BRIAN J MACK (NPI# 1215269774) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215269774 |
| Entity Type | Individual |
| Full Name | BRIAN J MACK |
| Credential | RPH |
| Practice Address |
1549 Route 9 Walmart Pharmacy Halfmoon NY 12065-5603 |
| Practice Telephone | 5183735732 |
| Practice Fax Number | 5183735753 |
| Mailing Telephone | 5183735732 |
| Mailing Fax Number | 5183735753 |
| Enumeration Date | 2010-02-09 |
| Last Update Date | 2010-02-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 044401 | NY | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063979128 | Brian Mack | Internal Medicine | 520 N Elam Ave, Greensboro, NC 27403-1127 | 2019-02-25 |
| 1336282474 | Brian Mack | Anesthesiology | 514 W Pueblo St, Second Floor, Santa Barbara, CA 93105-6219 | 2007-02-15 |
| Street Address |
1549 ROUTE 9 WALMART PHARMACY |
| City | HALFMOON |
| State | NY |
| Zip Code | 12065-5603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780601849 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 1549 Route 9, Halfmoon, NY 12065-5614 | 2006-07-16 |
| 1770924763 | Michael David Sautter | Pharmacist | 1549 Route 9, Walmart Pharmacy, Halfmoon, NY 12065 | 2013-07-08 |
| 1689906844 | Thomas Henry Colligan Iv | Pharmacist | 1549 Route 9, Halfmoon, NY 12065 | 2010-02-12 |
| 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 | 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 |
|---|---|---|---|---|
| 1144837873 | Hayley Fraser | Pharmacist | 1009 Schooner Ct, Halfmoon, NY 12065-8803 | 2020-09-27 |
| 1588276323 | Tanya Ahuja | Pharmacist | 20 Shelbourne Dr, Halfmoon, NY 12065-6256 | 2020-08-22 |
| 1104149418 | Karen A Delcoure | Pharmacist | 1476 Rt 9, Halfmoon, NY 12065 | 2010-03-02 |
| 1922615640 | Megan Ashley Gerken | Pharmacist | 121 Old Route 146, Halfmoon, NY 12065-2912 | 2020-09-27 |
| 1558900308 | Robert H Halloran | Pharmacist | 1476 Route 9, Halfmoon, NY 12065-6524 | 2019-12-26 |
| 1871149203 | Patricia Rachel Drake | Pharmacist | 1476 Route 9, Halfmoon, NY 12065-6524 | 2019-08-12 |
| 1447769336 | Hui Cheng | Pharmacist | 1483 Route 9, Halfmoon, NY 12065-6522 | 2017-09-24 |
| 1770924763 | Michael David Sautter | Pharmacist | 1549 Route 9, Walmart Pharmacy, Halfmoon, NY 12065 | 2013-07-08 |
| 1689906844 | Thomas Henry Colligan Iv | Pharmacist | 1549 Route 9, Halfmoon, NY 12065 | 2010-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023619186 | Seta Crilley | Pharmacist | 17 Fishermans Dr, Port Washington, NY 11050-1733 | 2020-11-05 |
| 1528669603 | Caroline Preval | Pharmacist | 3333 New Hyde Park Rd, New Hyde Park, NY 11042-1204 | 2020-11-04 |
| 1275134686 | Chiranjit Kumar Saha | Pharmacist | 6128 Broadway, Woodside, NY 11377-2152 | 2020-11-03 |
| 1437759693 | Anthony So | Pharmacist | 8765 94th St, Woodhaven, NY 11421-2236 | 2020-10-27 |
| 1942809785 | Obaid Zia | Pharmacist | 106 Elm Ln, New Hyde Park, NY 11040-2406 | 2020-10-22 |
| 1235738915 | Vishal Pravinkumar Patel | Pharmacist | 3930 59th St Apt A6, Woodside, NY 11377-3401 | 2020-10-22 |
| 1447859491 | Iman Nagi Yahia | Pharmacist | 182 17th St Apt 2, Brooklyn, NY 11215-5374 | 2020-10-21 |
| 1518566827 | Vinson Eng | Pharmacist | 2629 Ocean Ave, Brooklyn, NY 11229-4552 | 2020-10-19 |
| 1114526324 | Victoria Wong | Pharmacist | 2643 E 18th St, Brooklyn, NY 11235-3625 | 2020-10-19 |
| 1487253803 | Michelle Liao | Pharmacist | 1845 Shore Pkwy, Brooklyn, NY 11214-6628 | 2020-10-19 |
| 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.