DR. BRANDON MORK (NPI# 1316545643) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316545643 |
| Entity Type | Individual |
| Full Name | DR. BRANDON MORK |
| Credential | PHARMD |
| Practice Address |
150 Main Ave W Winsted MN 55395-7872 |
| Mailing Address |
537 Stevens St Sw Watertown MN 55388-9215 |
| Practice Telephone | 3204852555 |
| Practice Fax Number | 3204854266 |
| Mailing Telephone | 6123873872 |
| Enumeration Date | 2020-10-09 |
| Last Update Date | 2020-10-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 124618 | MN | Pharmacy Service Providers |
| Street Address |
150 MAIN AVE W |
| City | WINSTED |
| State | MN |
| Zip Code | 55395-7872 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114071800 | Keaveny Drug Inc | Pharmacy | 150 Main Ave W, Winsted, MN 55395-7872 | 2007-01-22 |
| 1174092746 | Keaveny Drug Inc | Pharmacy | 150 Main Ave W, Winsted, MN 55395-7872 | 2018-11-13 |
| 1720556459 | Deborah Keaveny | Pharmacist | 150 Main Ave W, Winsted, MN 55395-7872 | 2018-11-12 |
| 1760797211 | Julie Rizzo | Pharmacist | 150 Main Ave W, Winsted, MN 55395-7872 | 2010-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629449590 | Transcend Therapeutic LLC | Marriage & Family Therapist | 107 Second St. So, Winsted, MN 55395 | 2015-10-16 |
| 1821485178 | Lone Wolf Recovery | Community/Behavioral Health | 471 2nd St N, Winsted, MN 55395 | 2015-04-23 |
| 1700108735 | Recovery Resources Winsted | Community/Behavioral Health | 471 2nd Street North, Winsted, MN 55395 | 2010-02-18 |
| 1750599205 | Deborah Kay Lynch | Physical Therapy Assistant | 551 Fourth St. N., Winsted, MN 55395 | 2007-05-18 |
| 1013124973 | Shannon Lynn Alsleben | Physical Therapy Assistant | 551 Fourth St North, Winsted, MN 55395 | 2007-05-17 |
| 1205041704 | Ronda Milender | Occupational Therapy Assistant | 551 4th St. N, Suite 101, Winsted, MN 55395 | 2007-05-10 |
| 1659584134 | Trisha Lynn Schauer | Occupational Therapist | 551 4th St North, Suite 101, Winsted, MN 55395 | 2007-05-08 |
| 1073736989 | Jessica A Linn | Dentist | 123 Fairlawn Ave W, Winsted, MN 55395 | 2007-04-10 |
| 1639296221 | Glencoe Regional Health Services | Non-Pharmacy Dispensing Site | 511 4th St. North, Winsted, MN 55395 | 2007-03-26 |
| 1811057268 | Brent Scott Schank | Chiropractor | 111 Second St. N, Winsted, MN 55395 | 2006-12-08 |
| Find all providers in zip 55395 | ||||
| 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 |
|---|---|---|---|---|
| 1376833202 | Janelle Lazzaro | Pharmacist | 104 Sucker Brook Rd, Winsted, CT 06098-2917 | 2011-04-12 |
| 1982751996 | John Philip Parisi | Pharmacist | 104 Old Colebrook Rd, Winsted, CT 06098-2226 | 2007-01-04 |
| 1851391452 | Ivery & Dudley Pharmacy Inc | Pharmacist | 118 Main St, Winsted, CT 06098-1713 | 2005-07-26 |
| 1558975748 | Lori Lee Bittel | Pharmacist | 294 Main St, Winsted, CT 06098-1688 | 2020-09-03 |
| 1720556459 | Deborah Keaveny | Pharmacist | 150 Main Ave W, Winsted, MN 55395-7872 | 2018-11-12 |
| 1174052385 | Katherine Condon Messier | Pharmacist | 200 New Hartford Rd, Winsted, CT 06098-3373 | 2017-06-09 |
| 1003344029 | Nadjat Benhalima | Pharmacist | 200 New Hartford Rd, Winsted, CT 06098-3373 | 2017-06-03 |
| 1376077412 | Sarah Alden Fisher | Pharmacist | 47 Main St, Winsted, CT 06098-1703 | 2017-04-15 |
| 1356704514 | Mark Croce | Pharmacist | 47 Main St, Winsted, CT 06098-1703 | 2016-04-04 |
| 1164887188 | Joseph Palmeri | Pharmacist | 294 Main St, Beacon Prescriptions, Winsted, CT 06098-1688 | 2015-12-17 |
| Find all providers in WINSTED | ||||
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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.