MONICA MAZUR (NPI# 1295919769) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295919769 |
| Entity Type | Individual |
| Full Name | MONICA MAZUR |
| Credential | RPH |
| Practice Address |
102 E Schuyler St Boonville NY 13309-1104 |
| Mailing Address |
2153 Kotary Rd Constableville NY 13325-1915 |
| Practice Telephone | 3159424476 |
| Mailing Telephone | 3153972503 |
| Enumeration Date | 2007-12-20 |
| Last Update Date | 2007-12-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 36414 | NY | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01016164 | 05 |
| Street Address |
102 E SCHUYLER ST |
| City | BOONVILLE |
| State | NY |
| Zip Code | 13309-1104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104000850 | Michael Jonathan Kramer | Pharmacist | 102 E Schuyler St, Boonville, NY 13309-1104 | 2007-12-18 |
| 1487177333 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 102 E Schuyler St, Boonville, NY 13309-1104 | 2017-07-24 |
| 1225212780 | Michele L Kaun | Pharmacist | 102 E Schuyler St, Boonville, NY 13309-1104 | 2007-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447582606 | Jessica M Maurer | Pharmacist | 261 Utica Blvd, Boonville, NY 13309 | 2010-02-12 |
| 1104058791 | Tracy Bova | Registered Nurse | 13407 New York 12, Boonville, NY 13309 | 2009-08-14 |
| 1336347822 | Kph Healthcare Services, Inc. | Pharmacy | 261 Utica Boulevard, Boonville, NY 13309 | 2007-07-05 |
| 1487784278 | Bruce Michael Renders | Dentist | 109 Ann Street, Boonville, NY 13309 | 2007-03-07 |
| 1992870570 | Richard L Sears Thomas N Caruso Dds PC | Dentist | 3 Schuyler St, Boonville, NY 13309 | 2006-11-21 |
| 1124265749 | Sushma Sapkota Pandey | Internal Medicine | 13407 State Route 12, Boonville Family Care, Boonville, NY 13309 | 2009-01-20 |
| 1003090242 | Michele Van Dreason | Pharmacist | 261 Utica Boulevard, Boonville, NY 13309 | 2007-12-24 |
| 1144368127 | Ann F Mellen | Nurse Practitioner | 13407 State Route 12, Boonville, NY 13309 | 2007-02-02 |
| 1487678447 | Elizabeth Gleasman | Nurse Practitioner | 13407 State Route 12, Boonville, NY 13309 | 2006-07-26 |
| 1164465381 | Toby Kevin Davis | Clinical Neuropsychologist | 137 Main St., Boonville, NY 13309-0696 | 2006-06-14 |
| Find all providers in zip 13309 | ||||
| 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 |
|---|---|---|---|---|
| 1447582606 | Jessica M Maurer | Pharmacist | 261 Utica Blvd, Boonville, NY 13309 | 2010-02-12 |
| 1104000850 | Michael Jonathan Kramer | Pharmacist | 102 E Schuyler St, Boonville, NY 13309-1104 | 2007-12-18 |
| 1134720071 | Sierra Meier | Pharmacist | 1115 American Way, Boonville, IN 47601-8604 | 2020-11-06 |
| 1992305783 | Brad Lee Boerio | Pharmacist | 2150 Main St, Boonville, MO 65233-1941 | 2020-10-29 |
| 1720688666 | Tiffany Lenz | Pharmacist | 2150 Main St, Boonville, MO 65233-1941 | 2020-10-29 |
| 1992305767 | Robyn Smith | Pharmacist | 800 Main St, Boonville, MO 65233-1658 | 2020-10-29 |
| 1245830256 | Eric Wyant | Pharmacist | 1115 American Way, Boonville, IN 47601-8604 | 2020-10-28 |
| 1588264873 | Sabrina Dawn Simmons | Pharmacist | 2150 Main St, Boonville, MO 65233-1941 | 2020-10-27 |
| 1356973895 | Nicole Andrea Spencer | Pharmacist | 1115 American Way, Boonville, IN 47601-8604 | 2020-02-11 |
| 1003090242 | Michele Van Dreason | Pharmacist | 261 Utica Boulevard, Boonville, NY 13309 | 2007-12-24 |
| Find all providers in BOONVILLE | ||||
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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.