MS. MARY MARTHA HALL (NPI# 1023187002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023187002 |
| Entity Type | Individual |
| Full Name | MS. MARY MARTHA HALL |
| Credential | RPH |
| Practice Address |
209 C Street Endicott WA 99125-0024 |
| Mailing Address |
Po Box 24 Endicott WA 99125-0024 |
| Practice Telephone | 5096573457 |
| Mailing Telephone | 5096573457 |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 1188 | AK | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | PH00020888 | WA | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | STATE LICENSE | PH00020888 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528673589 | Mary A Hall | Registered Nurse | 622 Mary St, Warminster, PA 18974-2800 | 2020-09-15 |
| 1063042927 | Mary Gillon Hall | Nurse Practitioner | 90 La Rue Pl Nw, Atlanta, GA 30327-4075 | 2020-01-20 |
| 1396396776 | Mary Melyssa Hall | Music Therapist | 99 Fort Washington Ave Lowr Level, New York, NY 10032-4655 | 2019-09-26 |
| 1619524303 | Mary L Hall | Occupational Therapist | 2980 Hermitage Dr, Sumter, SC 29150-6006 | 2019-08-19 |
| 1801353693 | Mary B Hall | Dietitian, Registered | 507 Brooks Ave, San Jose, CA 95125-1620 | 2019-02-27 |
| 1346735529 | Mary Justine Hall | Acupuncturist | 54 W Twin Oaks Ter Ste 13, South Burlington, VT 05403-7141 | 2018-06-29 |
| 1144721663 | Mary Hall | Technician | 1730 7th St Nw Apt 502, Washington, DC 20001-3132 | 2018-02-21 |
| 1538675244 | Mary Elizabeth Hall | Social Worker | 411 Stave Mill Rd, Murphysboro, IL 62966-4888 | 2017-12-18 |
| 1043682479 | Mary Hall | Developmental Therapist | 4720 Fox Den Ct, Louisville, KY 40241-1008 | 2015-10-25 |
| 1669870374 | Mary Lois Hall | Pediatrics | 3500 Humboldt Ave S, Minneapolis, MN 55408-3316 | 2014-12-11 |
| Street Address |
209 C STREET |
| City | ENDICOTT |
| State | WA |
| Zip Code | 99125-0024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902997190 | Endicott School District | Local Education Agency (LEA) | 308 School Dr, Endicott, WA 99125-8734 | 2006-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033734983 | Anna Kristine Zaccardo | Counselor | 1635 Union Center Maine Hwy Ste 103, Endicott, NY 13760-1340 | 2020-06-16 |
| 1376173336 | Priscilla Mcpherson | Licensed Practical Nurse | 218 Oak Hill Ave, Endicott, NY 13760-2812 | 2020-01-18 |
| 1396380986 | Melissa Ann Howard | Registered Nurse | 1112 Broad St, Endicott, NY 13760-5204 | 2019-11-07 |
| 1750925533 | Desirae Rose Samiani | Physical Therapist | 2638 Magnolia St, Endicott, NY 13760-2375 | 2019-11-04 |
| 1063053221 | Shayna Will | Student in an Organized Health Care Education/Training Program | 515 Marcella St, Endicott, NY 13760-4669 | 2019-09-30 |
| 1184281503 | Miranda Mae George | Licensed Practical Nurse | 333 Squires Ave, Endicott, NY 13760-2940 | 2019-05-21 |
| 1306400130 | Ashley Lynn Vail | Preventive Medicine | 2001 E Main St, Endicott, NY 13760-5622 | 2019-04-26 |
| 1588124721 | Alden H Moy | Pharmacist | 2728 Grandview Pl, Endicott, NY 13760-7043 | 2019-03-22 |
| 1477019313 | Craig Jack Gilkey | Counselor | 202 Wilson Ave, Endicott, NY 13760-3244 | 2019-02-15 |
| 1649745084 | Lori Ann Bullock | Registered Nurse | 816 Martin Street, Endicott, NY 13760 | 2018-10-12 |
| Find all providers in ENDICOTT | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588124721 | Alden H Moy | Pharmacist | 2728 Grandview Pl, Endicott, NY 13760-7043 | 2019-03-22 |
| 1376829580 | Margaret M Montone | Pharmacist | 1010 Union Center Hwy, Endicott, NY 13760-2037 | 2011-11-01 |
| 1093038093 | Beth Dean | Pharmacist | 303 Airport Rd, Endicott, NY 13760-4403 | 2010-03-04 |
| 1194047498 | Jessica Marie Link | Pharmacist | 412 Day Hollow Rd, Endicott, NY 13760-2050 | 2010-02-28 |
| 1962670828 | Rachelle Ann Alig | Pharmacist | 1008 Union Center Highway, Endicott, NY 13760 | 2008-02-13 |
| 1851418750 | Jaroslav V Salenko | Pharmacist | 527 Endicott Plz, Endicott, NY 13760-5047 | 2007-03-23 |
| 1679075113 | Michelle Staiger | Pharmacist | 1103 North St, Endicott, NY 13760-5246 | 2018-02-28 |
| 1912224122 | Matthew James | Pharmacist | 1103 North St, Cvs Pharmacy, Endicott, NY 13760-5246 | 2010-04-27 |
| 1952624264 | Paula M Casiuk | Pharmacist | 412 Day Hollow Rd, Endicott, NY 13760-2050 | 2010-03-02 |
| 1437301066 | Leann K Janeczko | Pharmacist | 1103 North St, Endicott, NY 13760-5246 | 2008-10-14 |
| Find all providers in ENDICOTT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.