MARK BERNING (NPI# 1336512714) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336512714 |
| Entity Type | Individual |
| Full Name | MARK BERNING |
| Credential | PHARMD |
| Practice Address |
152 S 4th St Montpelier ID 83254-1538 |
| Practice Telephone | 2089043600 |
| Practice Fax Number | 2089040556 |
| Mailing Telephone | 2089043600 |
| Mailing Fax Number | 2089040556 |
| Enumeration Date | 2015-11-05 |
| Last Update Date | 2017-03-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | P7384 | ID | Pharmacy Service Providers |
| Street Address |
152 S 4TH ST |
| City | MONTPELIER |
| State | ID |
| Zip Code | 83254-1538 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932200391 | Heidi Yvonne Walker | Physician Assistant | 152 S 4th St, Montpelier, ID 83254-1538 | 2006-09-26 |
| 1033603345 | Sydnie M Hobbs | Nurse Practitioner | 152 S 4th St, Montpelier, ID 83254 | 2018-06-20 |
| 1184163511 | Bear Lake Community Health Center Pharmacy - 340b | Pharmacy | 152 S 4th St, Montpelier, ID 83254-1538 | 2017-02-17 |
| 1861949679 | Bear Lake Community Health Center | Pharmacy | 152 S 4th St, Montpelier, ID 83254-1538 | 2016-09-09 |
| 1003264664 | Bear Lake Community Health Center | Clinic/Center | 152 S 4th St, Montpelier, ID 83254-1538 | 2016-05-24 |
| 1386829687 | Mina L Wayman | Nurse Practitioner | 152 S 4th St, Montpelier, ID 83254-1538 | 2008-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366597866 | Joseph F Decker Professional Corp | Surgery | 164 S 5th, Montpelier, ID 83254 | 2007-01-24 |
| 1447311139 | Bear Lake County | Ambulance | 385 Cemetary Road, Montpelier, ID 83254 | 2006-12-13 |
| 1073685343 | Steven D Hammond | Dentist | 455 Washington St, Montpelier, ID 83254 | 2006-11-14 |
| 1982610549 | Dorian S Grunig | Nurse Anesthetist, Certified Registered | 164 South 5th, Montpelier, ID 83254 | 2006-08-01 |
| 1104840412 | Harold A Olson | Pharmacist | 765 Washington St., Montpelier, ID 83254 | 2006-07-27 |
| 1265505705 | Robert D Degnan | Obstetrics & Gynecology | 742 Washington St, Montpelier, ID 83254 | 2006-11-15 |
| 1952491714 | Gary Scott Griffin | Nurse Anesthetist, Certified Registered | 164 South 5th, Montpelier, ID 83254 | 2006-10-13 |
| 1013027952 | Matthew Brinton Stevens | Chiropractor | 710 N 4th St, Montpelier, ID 83254-1050 | 2006-08-30 |
| 1265542435 | Reset P.a. | Chiropractor | 710 N 4th St, Montpelier, ID 83254-1050 | 2006-08-30 |
| 1740598614 | Bear Lake Memorial Hospital | Assisted Living Facility | 855 Boise St, Montpelier, ID 83254-1070 | 2010-09-14 |
| Find all providers in zip 83254 | ||||
| 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 |
|---|---|---|---|---|
| 1417493297 | Sayed Shahabodin Khatounabadi | Pharmacist | 29-31 Main St, Montpelier, VT 05602 | 2017-01-17 |
| 1972052660 | Frangis Aliakbarkhani | Pharmacist | 29-31 Main St., Montpelier, VT 05602 | 2016-09-23 |
| 1336420728 | Christina Sheehan | Pharmacist | 29-31 Main Street, Montpelier, VT 05602 | 2011-08-30 |
| 1669518155 | Shasta Styles Jinkins | Pharmacist | 16317 Old Ridge Rd, Montpelier, VA 23192-2229 | 2007-01-30 |
| 1104840412 | Harold A Olson | Pharmacist | 765 Washington St., Montpelier, ID 83254 | 2006-07-27 |
| 1265425433 | Dean A Wallentine | Pharmacist | 836 Washington St, Montpelier, ID 83254-1423 | 2005-08-23 |
| 1982257309 | Barbara Ellen Corkery | Pharmacist | 69 Main St, Montpelier, VT 05602-2931 | 2019-07-24 |
| 1790198406 | Rite Aid | Pharmacist | 29 Main St, Montpelier, VT 05602-3174 | 2014-06-10 |
| 1720335664 | Casey Humpherys | Pharmacist | 836 Washington St, Montpelier, ID 83254-1423 | 2012-08-09 |
| 1770868937 | Anthony Stafford Ruud | Pharmacist | 130 S 4th St, Montpelier, ID 83254-1538 | 2011-10-19 |
| Find all providers in MONTPELIER | ||||
| City | MONTPELIER |
| Zip Code | 83254 |
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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.