MICHELLE WALLOCK (NPI# 1124267406) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124267406 |
| Entity Type | Individual |
| Full Name | MICHELLE WALLOCK |
| Practice Address |
900 Central Ave Albany NY 12206-1302 |
| Practice Telephone | 5184382152 |
| Practice Fax Number | 5184383107 |
| Mailing Telephone | 5184382152 |
| Mailing Fax Number | 5184383107 |
| Enumeration Date | 2009-02-11 |
| Last Update Date | 2009-02-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 051750 | NY | Pharmacy Service Providers |
| Street Address |
900 CENTRAL AVE |
| City | ALBANY |
| State | NY |
| Zip Code | 12206-1302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487201497 | Mary Marguerite Connors | Pharmacist | 900 Central Ave, Albany, NY 12206-1302 | 2019-08-23 |
| 1992369714 | Annie Maselli | Pharmacist | 900 Central Ave, Albany, NY 12206-1302 | 2019-04-26 |
| 1558687988 | Jennifer Reiner | Pharmacist | 900 Central Ave, Albany, NY 12206-1302 | 2010-04-09 |
| 1538485966 | Steven Leggett | Pharmacist | 900 Central Ave, Albany, NY 12206-1302 | 2010-04-09 |
| 1881910214 | Kristen Mercado | Pharmacist | 900 Central Ave, Albany, NY 12206-1302 | 2010-04-09 |
| 1154653715 | Christina M Chromczak | Pharmacist | 900 Central Ave, Albany, NY 12206-1302 | 2010-02-08 |
| 1811220338 | Tanya Vadala | Pharmacist | 900 Central Ave, Albany, NY 12206-1302 | 2009-09-16 |
| 1689811515 | Martins Foods of South Burlington LLC | Durable Medical Equipment & Medical Supplies | 900 Central Ave, Albany, NY 12206-1302 | 2009-01-14 |
| 1841483724 | Joseph Gabriel | Pharmacist | 900 Central Ave, Albany, NY 12206-1302 | 2007-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144749854 | Madena Lynn Henderson | Licensed Practical Nurse | 51 Garfield Pl, Albany, NY 12206 | 2017-09-13 |
| 1912456534 | Adeel A Janjua I | Contractor | 17 Roosevelt St, Albany, NY 12206 | 2016-09-23 |
| 1376901595 | Jacqueline Aimee Dall | Nurse Practitioner | 855 Central Avenue, Albany, NY 12206 | 2016-02-02 |
| 1326414210 | Sarah Walton | Pharmacist | 346 Central Ave, Albany, NY 12206 | 2015-08-14 |
| 1376932558 | Hope House, Inc. | Substance Abuse Rehabilitation Facility | 577 Livingston Ave., Albany, NY 12206 | 2015-01-12 |
| 1679993828 | Lori S. Matulewicz | Nurse Practitioner | 500 Central Ave., Equinox, Inc., Albany, NY 12206 | 2014-04-25 |
| 1437417995 | Ernest Nicola Chisena | Orthopaedic Surgery | 1367 Washington Avenue Suite 200, Albany, NY 12206 | 2012-05-02 |
| 1629368519 | Joseph M Rozell | Radiology | 255 Patroon Creek Blvd Apt 3439, Albany, NY 12206 | 2011-04-12 |
| 1346542404 | Melissa June Kowlessar | Licensed Practical Nurse | 69 Benson Street, Albany, NY 12206 | 2010-11-23 |
| 1316109796 | Edmund John Mcgrath | Podiatrist | 911 Central Avenue #24, Albany, NY 12206 | 2008-06-27 |
| Find all providers in zip 12206 | ||||
| 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 |
|---|---|---|---|---|
| 1356942023 | Kevin Thach Le | Pharmacist | 610 San Gabriel Ave Apt B, Albany, CA 94706-1469 | 2020-11-08 |
| 1649889726 | Christopher John Moorvartian | Pharmacist | 881 Meadow Ct Ne, Albany, OR 97322-3501 | 2020-07-24 |
| 1639792930 | Cadesia Gail Irvin | Pharmacist | 304 Virginia Ave, Albany, GA 31705-4548 | 2020-05-20 |
| 1326669300 | Thuha T Nguyen | Pharmacist | 2414 Sylvester Hwy, Albany, GA 31705-2469 | 2020-05-01 |
| 1205462462 | Laura Dunn-mahar | Pharmacist | 153 Central Ave Ste 1, Albany, NY 12206-2941 | 2020-03-19 |
| 1275178576 | Ccpb | Pharmacist | 903 N Cross St, Albany, KY 42602-1617 | 2019-11-10 |
| 1801430624 | Robert Joseph Esponge IIi | Pharmacist | 29148 S Montpelier Rd, Albany, LA 70711-4320 | 2019-11-05 |
| 1275038721 | Nicholas Bowen | Pharmacist | 728 Madison Ave # B1, Albany, NY 12208-3302 | 2018-03-27 |
| 1275045965 | Kyung Oh | Pharmacist | 713 Spokane Ave, Albany, CA 94706-1710 | 2017-11-02 |
| 1346759669 | Stephanie Tchen | Pharmacist | 315 S. Manning Blvd, Albany, NY 12208 | 2017-09-29 |
| Find all providers in ALBANY | ||||
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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.