MARA STREET (NPI# 1164851978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164851978 |
| Entity Type | Individual |
| Full Name | MARA STREET |
| Other Name | MARA WILLIAMS |
| Practice Address |
1601 Market Place Dr Great Falls MT 59404-3481 |
| Practice Telephone | 4067710475 |
| Practice Fax Number | 4067711425 |
| Mailing Telephone | 4067710475 |
| Mailing Fax Number | 4067711425 |
| Enumeration Date | 2013-11-02 |
| Last Update Date | 2013-11-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 3560 | MT | Pharmacy Service Providers |
| Street Address |
1601 MARKET PLACE DR |
| City | GREAT FALLS |
| State | MT |
| Zip Code | 59404-3481 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235154857 | Smiths Food & Drug Centers Inc | Durable Medical Equipment & Medical Supplies | 1601 Market Place Dr, Great Falls, MT 59404-3481 | 2006-07-13 |
| 1508289851 | Tanya Hitchcock | Pharmacist | 1601 Market Place Dr, Great Falls, MT 59404-3481 | 2014-01-22 |
| 1932538006 | Cliff Rossberg | Pharmacist | 1601 Market Place Dr, Great Falls, MT 59404-3481 | 2013-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629504154 | Shawna Renee Applegate | Nurse Practitioner | 115 4th St S., Great Falls, MT 59404 | 2017-05-03 |
| 1093267213 | Cara Firman | Counselor | 3300 3rd St Ne, Great Falls, MT 59404 | 2016-11-04 |
| 1457803900 | Benjamin Huempfner | Counselor | 1205 1st Ave Nw, Great Falls, MT 59404 | 2016-11-01 |
| 1649675471 | Stephen Trautman | Pharmacist | 1000 3rd Steet Nw, Great Falls, MT 59404 | 2014-10-22 |
| 1457765851 | Complete Eye Care Pllc | Optometrist | 1012 1st Ave Nw, Great Falls, MT 59404 | 2014-06-13 |
| 1871923714 | William Joshu | Physician Assistant | 25 14th Avenue N.w., Great Falls, MT 59404 | 2013-11-13 |
| 1679839369 | Joelene Sharon (o'neill) Goodover | Counselor | 803 Forest Ave., Great Falls, MT 59404 | 2012-04-06 |
| 1942512728 | Amy Jo Jamieson | Counselor | 600 Ave. A, Valley View School, Great Falls, MT 59404 | 2010-07-08 |
| 1942527890 | Matthew Clayton Taecker | Emergency Medicine | 113 38th Ave Ne, Great Falls, MT 59404 | 2010-04-30 |
| 1720212897 | Dana Marie Thompson | Military Health Care Provider | 819 Rhs/sg, 6944 Goddard Drive, Malmstrom Afb, MT 59404 | 2009-05-05 |
| Find all providers in zip 59404 | ||||
| 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 |
|---|---|---|---|---|
| 1366951733 | Weston James Fraser | Pharmacist | 915 1st Ave S Ste 110, Great Falls, MT 59401-3705 | 2017-09-28 |
| 1396293148 | Gary Milhorn II | Pharmacist | 503 Chester Ave Ste A, Great Falls, SC 29055-1207 | 2016-09-21 |
| 1770031411 | Polina Poliakova | Pharmacist | 9907 Georgetown Pike, Great Falls, VA 22066-2851 | 2016-09-12 |
| 1649675471 | Stephen Trautman | Pharmacist | 1000 3rd Steet Nw, Great Falls, MT 59404 | 2014-10-22 |
| 1700292919 | Matthew Donovan Broome | Pharmacist | 6330 Richburg Rd, Great Falls, SC 29055-8916 | 2014-07-08 |
| 1730426057 | Priscilla Gale | Pharmacist | 11002 Warwickshire Dr, Great Falls, VA 22066-1510 | 2013-01-07 |
| 1912239153 | Carrie A Skelton | Pharmacist | 1000 3rd St Nw, Great Falls, MT 59404-4114 | 2010-02-11 |
| 1710170097 | Rose M Kommers | Pharmacist | 209 39th Ave Ne, Great Falls, MT 59404-4245 | 2007-08-21 |
| 1851597850 | Steven O Hinkle | Pharmacist | #20 3d St N, Great Falls, MT 59404 | 2007-06-26 |
| 1114015344 | Public Drug Co Inc | Pharmacist | 324 Central Ave, Great Falls, MT 59401-3114 | 2006-10-11 |
| Find all providers in GREAT FALLS | ||||
| City | GREAT FALLS |
| Zip Code | 59404 |
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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.