MICHAEL DAVID MASTERSON (NPI# 1114105723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114105723 |
| Entity Type | Individual |
| Full Name | MICHAEL DAVID MASTERSON |
| Credential | PHARMACIST |
| Practice Address |
3 Crossing Blvd Halfmoon NY 12065-4154 |
| Practice Telephone | 5188314434 |
| Practice Fax Number | 5188314562 |
| Mailing Telephone | 5188314434 |
| Mailing Fax Number | 5188314562 |
| Enumeration Date | 2008-02-06 |
| Last Update Date | 2015-11-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835X0200X |
Pharmacist Specialization: Oncology |
049715 | NY | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649240052 | Michael Denis Masterson | Internal Medicine | 1250 La Venta, Suite 202, Westlake Village, CA 91361 | 2006-01-26 |
| 1508857004 | Michael Daniel Masterson | Anesthesiology | 940 Country Club Rd, Eugene, OR 97401-2208 | 2005-11-02 |
| 1629525258 | Michael Masterson | Dentist | 652 Hamilton Road, Usa Dental Activity, Fort Sill, OK 73503 | 2016-09-01 |
| 1962816017 | Michael Masterson | Counselor | 631 Willow Creek Rd, Leicester, NC 28748-5646 | 2014-06-17 |
| Street Address |
3 CROSSING BLVD |
| City | HALFMOON |
| State | NY |
| Zip Code | 12065-4154 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871978429 | Albany Medical College | General Practice | 3 Crossing Blvd, Halfmoon, NY 12065-4154 | 2015-07-24 |
| 1013331735 | Adriana Lisinschi | Internal Medicine | 3 Crossing Blvd, Suite One, Halfmoon, NY 12065-4154 | 2014-02-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699395392 | Farah Malek | Pathology | 51 Heritage Point Drvie, Clifton Park, NY 12065 | 2020-04-22 |
| 1679116115 | Mary Beth Bulger | Registered Nurse | Shenendehowa Central School, 970 Rt 146, Clifton Park, NY 12065 | 2019-10-28 |
| 1346801636 | Terri Anne Willman | Physician Assistant | 1783 Route 9 Suite 102, Clifton Park, NY 12065 | 2019-06-26 |
| 1437633732 | Abhishek Chopra | Pharmacist | 74 Squire Lane, Clifton Park, NY 12065 | 2018-09-21 |
| 1295213817 | Ella Kotsyuba | Pharmacist | 1022 Ny-146, Clifton Park, NY 12065 | 2018-08-06 |
| 1659865962 | Dorothy Lacombe Adult Healthcare Nurse Practitioner Pllc | Internal Medicine | 954 Rt 146, Suite 3, Clifton Park, NY 12065 | 2018-06-20 |
| 1245723907 | Catherine Marie Blaauboer I | Licensed Practical Nurse | 206 Alnut Drive, Clifton Park, NY 12065 | 2018-06-07 |
| 1326530627 | Melissa Morgan | Physician Assistant | 29 Mann Blvd, Halfmoon, NY 12065 | 2018-06-01 |
| 1982101465 | Janelle Stannard | Occupational Therapist | 23 Sitterly Road, Clifton Park, NY 12065 | 2018-04-10 |
| 1962903831 | Clifton Park Asc LLC | Clinic/Center | 16 Maxwell Dr., Clifton Park, NY 12065 | 2018-02-26 |
| Find all providers in zip 12065 | ||||
| Taxonomy Code | 1835X0200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Oncology |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in developing, recommending, implementing, monitoring, and modifying pharmacotherapeutic plans to optimize outcomes in patients with malignant diseases. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447865670 | Scott Freeswick | Pharmacist | 1275 York Ave # H313, New York, NY 10065-6007 | 2020-09-14 |
| 1932718343 | Eric Boateng | Pharmacist | 1650 Grand Concourse Bsmt Pharmacy, Bronx, NY 10457-7606 | 2020-07-31 |
| 1740803873 | Robert Lewis | Pharmacist | 545 E 73rd St, New York, NY 10021-4003 | 2020-05-23 |
| 1467073247 | Deborah Lilly | Pharmacist | 5 Lilac Pl, Thornwood, NY 10594-2102 | 2020-05-02 |
| 1831757772 | Terry Kheng Pak | Pharmacist | 1275 York Ave Ste 712, New York, NY 10065-6007 | 2019-06-05 |
| 1598270639 | Jennifer Robin Gruber | Pharmacist | 640 Ellicott St Ste 301, Buffalo, NY 14203-1245 | 2017-12-12 |
| 1427504000 | Carmen Lau | Pharmacist | 1275 York Avenue Schwartz-710, New York, NY 10065 | 2016-09-01 |
| 1114306628 | Sarah Mark | Pharmacist | 1999 Marcus Ave Ste 116, New Hyde Park, NY 11042-1028 | 2015-05-29 |
| 1316336001 | Alison A Tomasulo | Pharmacist | 903 Helen Ct, North Bellmore, NY 11710-1029 | 2015-01-18 |
| 1750705786 | Joshua Pecoraro | Pharmacist | 1275 York Ave S-714, New York, NY 10065 | 2014-02-11 |
| Find all providers with the same taxonomy | ||||
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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.