MR. THOMAS BERNARD MCCORMACK JR. (NPI# 1134450570) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134450570 |
| Entity Type | Individual |
| Full Name | MR. THOMAS BERNARD MCCORMACK JR. |
| Credential | RPH |
| Practice Address |
210 S Pine St Burlington WI 53105-1914 |
| Practice Telephone | 2627637177 |
| Practice Fax Number | 2627639806 |
| Mailing Telephone | 2627637177 |
| Mailing Fax Number | 2627639806 |
| Enumeration Date | 2010-01-25 |
| Last Update Date | 2010-01-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 11282-040 | WI | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255768677 | Thomas D. Mccormack | Hearing Instrument Specialist | 1269 Memorial Dr., Chicopee, MA 01020 | 2013-09-30 |
| 1669619029 | Thomas Michael Mccormack | Acupuncturist | 1707 Cunliff Ln, Sarasota, FL 34239-4420 | 2009-01-07 |
| 1740298728 | Thomas W Mccormack Jr. | Psychiatry & Neurology | 1361 Jennings Mill Road, Building 200 Suite 201, Bogart, GA 30622 | 2006-08-04 |
| 1194985358 | Thomas Mccormack | Physical Therapist | 9000 Waukegan Rd, Suite 200, Morton Grove, IL 60053-2127 | 2008-06-11 |
| 1134263304 | Thomas Mccormack | Social Worker | 1 Cate St, Portsmouth, NH 03801-7108 | 2007-02-19 |
| 1225080005 | Thomas J. Mccormack | Family Medicine | 100 Rosebrook Way, Wareham, MA 02571-1138 | 2006-05-17 |
| 1508821596 | Thomas M Mccormack | Neurological Surgery | 1182 Troy Schenectady Rd, Suite 100, Latham, NY 12110-1000 | 2006-04-20 |
| 1972581353 | Thomas J Mccormack | Orthopaedic Surgery | 7900 Lees Summit Rd, Kansas City, MO 64139-1236 | 2006-01-05 |
| 1851397327 | Thomas P Mccormack | Specialist | 60 Brigham St, New Bedford, MA 02740-2208 | 2005-06-21 |
| Street Address |
210 S PINE ST |
| City | BURLINGTON |
| State | WI |
| Zip Code | 53105-1914 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063446284 | Aurora Pharmacy Inc | Pharmacy | 210 S Pine St, Burlington, WI 53105-1914 | 2006-07-11 |
| 1891325411 | Nicole Skinner | Pharmacist | 210 S Pine St, Burlington, WI 53105-1914 | 2020-01-23 |
| 1578109161 | Aurora Pharmacy Inc | Pharmacy | 210 S Pine St, Burlington, WI 53105-1914 | 2019-11-19 |
| 1982097663 | Shelly Jean Mullikin | Pharmacist | 210 S Pine St, Burlington, WI 53105-1914 | 2015-03-05 |
| 1285073262 | William John Clark | Pharmacist | 210 S Pine St, Burlington, WI 53105-1914 | 2013-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720574288 | Wisconsin Pain Management Specialists, LLC | Pain Medicine | 1050 S. Milwaukee Avenue, Suite 102, Burlington, WI 53105 | 2018-07-09 |
| 1952845679 | Jennifer Vozel | Registered Nurse | 40036 Bloomfield Rd, Burlington, WI 53105 | 2016-12-14 |
| 1356884613 | Labadie Family Dentistry, S.c. | Clinic/Center | 5019 Mormon Rd., Burlington, WI 53105 | 2016-11-18 |
| 1043654288 | Maureen Ann Mcnulty | Acupuncturist | 148 East State Street, Suite A, Burlington, WI 53105 | 2013-04-18 |
| 1003166349 | Jessica Robinson | Licensed Practical Nurse | 7656 Highland Ave, Burlington, WI 53105 | 2012-09-13 |
| 1063677334 | Douglas Armin Wild Sr. | Dentist | 2545 Partridge Wds. Ct., Burlington, WI 53105 | 2008-07-25 |
| 1346408945 | William Henry Basil | Dentist | 222 Adams St, Burlington, WI 53105 | 2008-05-30 |
| 1912108689 | Debra Jean Studey Leffelman | Midwife, Lay | 5617 Spring Valley Rd., Burlington, WI 53105 | 2007-05-30 |
| 1215142955 | Michelle Marie Mehring | Licensed Practical Nurse | 541 Kearney Rd, Burlington, WI 53105 | 2007-05-14 |
| 1003982802 | Alan Dean Meike | Chiropractor | 196 W Chestnut Street, Burlington, WI 53105 | 2006-11-27 |
| Find all providers in zip 53105 | ||||
| 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 |
|---|---|---|---|---|
| 1013517614 | William Reed | Pharmacist | 31413 County Road 720, Burlington, OK 73722-4475 | 2020-11-01 |
| 1053962720 | Edlyn Hwang | Pharmacist | 41 Burlington Mall Rd Inpatient Central Pharmacy, Burlington, MA 01805-0001 | 2019-09-24 |
| 1962914267 | Kerri Koleen Nichols | Pharmacist | 210 S Pine St Ste 1, Burlington, WI 53105-1914 | 2017-10-27 |
| 1861911968 | Michael Frey | Pharmacist | 2344 South Church St, Burlington, NC 27215 | 2017-09-11 |
| 1992229827 | Seth Isaac Barry | Pharmacist | 1009 W Main St., Burlington, NC 27217 | 2017-08-02 |
| 1326491556 | Kenneth Kausch | Pharmacist | 13 Borestone Ln, Burlington, VT 05408-1841 | 2016-07-23 |
| 1104292382 | Nancy Ann Huff | Pharmacist | Dept of Pharmacy 41 Mall Rd, Burlington, MA 01805-1011 | 2015-08-11 |
| 1366850257 | Brian Van Epps | Pharmacist | 158 Cherry St, Burlington, VT 05401-3818 | 2014-07-24 |
| 1811301484 | Crystal Lynn Dean-smith | Pharmacist | 2019 S Mebane St Apt A, Burlington, NC 27215-3902 | 2014-06-11 |
| 1407282304 | Ashley Taylor Phillips | Pharmacist | 2 West Route 130 South, Burlington, NJ 08016 | 2013-09-24 |
| Find all providers in BURLINGTON | ||||
| City | BURLINGTON |
| Zip Code | 53105 |
Please comment or provide details below to improve the information on MR. THOMAS BERNARD MCCORMACK JR..
| 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.