GARY MICHAEL PRIESKORN (NPI# 1174679187) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174679187 |
| Entity Type | Individual |
| Full Name | GARY MICHAEL PRIESKORN |
| Credential | PHARMACIST |
| Practice Address |
826 W Bellevue St Leslie MI 49251-9302 |
| Mailing Address |
12026 Cooper Rd Pleasant Lake MI 49272-9705 |
| Practice Telephone | 5175898291 |
| Practice Fax Number | 5175895819 |
| Mailing Telephone | 5175899822 |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 5302020373 | MI | Pharmacy Service Providers |
| Street Address |
826 W BELLEVUE ST |
| City | LESLIE |
| State | MI |
| Zip Code | 49251-9302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609885003 | Ltc Leonard LLC | Durable Medical Equipment & Medical Supplies | 826 W Bellevue St, Leslie, MI 49251-9302 | 2006-08-05 |
| 1942829395 | Ltc Leonard LLC | Pharmacy | 826 W Bellevue St, Leslie, MI 49251-9302 | 2020-04-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467599258 | Leslie Dental Associates | Dentist | 159 S Main, Leslie, MI 49251 | 2007-01-31 |
| 1417068628 | Timur Anum Baruti | Family Medicine | 207 E Bellevue, Leslie, MI 49251 | 2006-08-31 |
| 1740481167 | Robert Joseph Mondragon | Dentist | 159 South Main Street, Leslie, MI 49251-2530 | 2007-05-31 |
| 1316160971 | Leslie Medical Center P C | Clinic/Center | 207 E Bellevue St, Leslie, MI 49251-9373 | 2007-04-11 |
| 1427046481 | Leslie Area Ambulance Service, Inc. | Ambulance | 210 E Bellevue St, Leslie, MI 49251-9373 | 2005-10-12 |
| 1598254088 | Integrated Solutions II LLC | Registered Nurse | 207 E Bellevue St, Leslie, MI 49251-9373 | 2018-05-09 |
| 1740714849 | Total Wellness Urgent Care Pllc | Family Medicine | 207 E Bellevue St, Leslie, MI 49251-9373 | 2017-04-14 |
| 1952659377 | Nichole K Vanells | Nurse Practitioner | 207 E Bellevue St, Leslie, MI 49251-9373 | 2012-08-15 |
| 1376736694 | Latoshia Lynn Baruti | Registered Nurse | 207 E Bellevue St, Leslie, MI 49251-9373 | 2007-08-21 |
| 1629024856 | Kristin Sue Halsell | Physician Assistant | 130 N Sherman St, Leslie, MI 49251-9409 | 2006-05-26 |
| Find all providers in zip 49251 | ||||
| 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 |
|---|---|---|---|---|
| 1609477710 | Alix Sabbagh | Pharmacist | 154 River Ln, Dearborn, MI 48124-1047 | 2020-11-04 |
| 1659972867 | Bruce Alan Gilmore | Pharmacist | 5940 Augusta Ln, Grand Blanc, MI 48439-9473 | 2020-11-04 |
| 1437750551 | Anamiben R Patel | Pharmacist | 45555 Michigan Ave, Canton, MI 48188-2388 | 2020-11-04 |
| 1871194217 | Rajesh Koduru | Pharmacist | 27496 Pamplona Ln, Novi, MI 48374-4208 | 2020-11-03 |
| 1346841962 | Joy Emery | Pharmacist | 1770 N Alger Road, Alma, MI 48001 | 2020-11-02 |
| 1659972107 | Jane Gruenke | Pharmacist | N10305 Country Club Rd, Ironwood, MI 49938-9627 | 2020-11-02 |
| 1407456254 | Bradley Dwane Murphy | Pharmacist | 6170 S Saginaw, Grand Blanc, MI 48439 | 2020-10-30 |
| 1811597602 | Rachel L Martin | Pharmacist | 600 N Center Ave, Gaylord, MI 49735-1506 | 2020-10-29 |
| 1760081467 | Sam Nasser | Pharmacist | 6610 Reuter St, Dearborn, MI 48126-1898 | 2020-10-22 |
| 1427656990 | Tejal Shah | Pharmacist | 1153 Pembroke Dr, Rochester Hills, MI 48307-5756 | 2020-10-15 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on GARY MICHAEL PRIESKORN.
| 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.