MARY C. MACNIDER (NPI# 1215363577) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215363577 |
| Entity Type | Individual |
| Full Name | MARY C. MACNIDER |
| Credential | R.PH. |
| Practice Address |
4201 W Medical Center Dr Mchenry IL 60050-8409 |
| Practice Telephone | 8157594400 |
| Mailing Telephone | 8157594400 |
| Enumeration Date | 2013-09-18 |
| Last Update Date | 2013-09-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
051032154 | IL | Pharmacy Service Providers |
| Street Address |
4201 W MEDICAL CENTER DR |
| City | MCHENRY |
| State | IL |
| Zip Code | 60050-8409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710973458 | John A. Sharum | Physician Assistant | 4201 W Medical Center Dr, Emergency Department, Mchenry, IL 60050-8409 | 2005-09-27 |
| 1245869502 | Haile E Fitzgerald | Nurse Anesthetist, Certified Registered | 4201 W Medical Center Dr, Mchenry, IL 60050-8409 | 2020-04-07 |
| 1013546639 | Thiago Gagliano Juca Domingues De Oliveira | Internal Medicine | 4201 W Medical Center Dr, Mchenry, IL 60050-8409 | 2020-04-06 |
| 1619506508 | Shirly Susan Samuel | Internal Medicine | 4201 W Medical Center Dr, Mchenry, IL 60050-8409 | 2020-04-03 |
| 1831728856 | Grace Ying | Internal Medicine | 4201 W Medical Center Dr, Mchenry, IL 60050-8409 | 2020-04-02 |
| 1356970347 | Om Parkash | Internal Medicine | 4201 W Medical Center Dr, Mchenry, IL 60050-8409 | 2020-04-02 |
| 1164052023 | Apollo Medflight, LLC | Ambulance | 4201 W Medical Center Dr, Mchenry, IL 60050-8409 | 2020-01-20 |
| 1770142622 | Annie Maria Skariah | Internal Medicine | 4201 W Medical Center Dr, Mchenry, IL 60050-8409 | 2019-06-12 |
| 1730747809 | Aatma Ram | Internal Medicine | 4201 W Medical Center Dr, Mchenry, IL 60050-8409 | 2019-06-03 |
| 1245898923 | Harvey Patel | Internal Medicine | 4201 W Medical Center Dr, Mchenry, IL 60050-8409 | 2019-05-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932728003 | Tco Jv, LLC | Skilled Nursing Facility | 550 Ridgeview Drive, Mchenry, IL 60050 | 2020-04-09 |
| 1992274971 | Lisa Luedtke | Counselor | 5342 West Elm Street, Mchenry, IL 60050 | 2018-11-19 |
| 1013402825 | Fox Ridge Medical Associates, LLC | Internal Medicine | 3633 Municipal Dr, Mchenry, IL 60050 | 2018-06-25 |
| 1700387065 | Richard Stacy Birmantas | Speech-Language Pathologist | 6515 West Route 120, Mchenry, IL 60050 | 2018-02-22 |
| 1659888774 | Kathleen Mather | Speech-Language Pathologist | 3502 Washington St, Mchenry, IL 60050 | 2018-01-10 |
| 1891205605 | Delorean Mckinney | Psychologist | 4031 Dayton Ave, Mchenry, IL 60050 | 2017-10-06 |
| 1851810741 | Diana Park | Pharmacist | 2253 N. Richmond Rd., Mchenry, IL 60050 | 2017-09-12 |
| 1063931921 | Lauren M Young | Counselor | 4031 W. Dayton Street, Mchenery, IL 60050 | 2017-09-12 |
| 1376086264 | Elizabeth Kathleen Zacher | Social Worker | 4100 W Dayton Street, Mchenry, IL 60050 | 2016-11-23 |
| 1700332491 | Jasmine Elias | Social Worker | 4031 Dayton St, Mchenry, IL 60050 | 2016-09-01 |
| Find all providers in zip 60050 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366823890 | Pang Chong | Pharmacist | 4201 W Medical Center Dr, Mchenry, IL 60050-8409 | 2015-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790392223 | Michelle To | Pharmacist | 2252 Aster Ct, Naperville, IL 60565-8893 | 2020-09-29 |
| 1760099253 | Kelsey Schultz | Pharmacist | 1058 N Paulina St Apt 2, Chicago, IL 60622-3918 | 2020-09-28 |
| 1053927988 | Caleb David Braasch | Pharmacist | 1818 South Airport Rd, Decatur, IL 62521 | 2020-09-16 |
| 1578176061 | Omolara Akintilo | Pharmacist | 3254 Toulouse, Bourbonnais, IL 60914-4554 | 2020-08-25 |
| 1972120285 | Susan F. Michaelis | Pharmacist | 405 W South St, Arlington Heights, IL 60005-1703 | 2020-07-02 |
| 1730701392 | Alexander Tam-phan Nguyen | Pharmacist | 773 N Silver Leaf Ln, Round Lake, IL 60073-5267 | 2020-05-17 |
| 1336769074 | Shakeel Ahmed | Pharmacist | 1471 E Business Center Dr Ste 500, Mt Prospect, IL 60056-6082 | 2020-04-22 |
| 1780214668 | Rikii A Pyle | Pharmacist | 1704 W Deyoung St, Marion, IL 62959-1054 | 2020-01-20 |
| 1629608773 | Madeline Lea Taitt | Pharmacist | 3637 Herrin Rd, Carterville, IL 62918-3156 | 2020-01-16 |
| 1235769464 | Joshua David Chady | Pharmacist | 550 E Industrial Park Rd, Murphysboro, IL 62966-3947 | 2020-01-15 |
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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.