DR. MARC CHRISTOPHER BRANCACCIO (NPI# 1407146244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407146244 |
| Entity Type | Individual |
| Full Name | DR. MARC CHRISTOPHER BRANCACCIO |
| Credential | PHARMD. |
| Practice Address |
7470 Brockway Rd Brockway MI 48097-3458 |
| Practice Telephone | 8103873211 |
| Practice Fax Number | 8103872279 |
| Mailing Telephone | 8103873211 |
| Mailing Fax Number | 8103872279 |
| Enumeration Date | 2011-04-13 |
| Last Update Date | 2019-03-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 20406 | NC | Pharmacy Service Providers |
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
5302040489 | MI | Pharmacy Service Providers |
| Street Address |
7470 BROCKWAY RD |
| City | BROCKWAY |
| State | MI |
| Zip Code | 48097-3458 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710982574 | Kathleen Diane Coenen | Physician Assistant | 7470 Brockway Rd, Brockway, MI 48097-3458 | 2005-06-17 |
| 1154780930 | Brianna J Steadman | Physician Assistant | 7470 Brockway Rd, Brockway, MI 48097-3458 | 2016-02-22 |
| 1457607251 | Melissa Mariutza | Nurse Practitioner | 7470 Brockway Rd, Brockway, MI 48097-3458 | 2012-07-30 |
| 1902186752 | Christine Sue Harrington | Nurse Practitioner | 7470 Brockway Rd, Brockway, MI 48097-3458 | 2011-08-25 |
| 1164601290 | Family First Health Care, Yale, P.l.l.c. | Family Medicine | 7470 Brockway Rd, Brockway, MI 48097-3458 | 2007-10-25 |
| 1851485213 | Visiting Nurse Services of Michigan | Pharmacy | 7470 Brockway Rd, Brockway, MI 48097-3458 | 2006-10-02 |
| 1720189616 | Joseph Gerard Kulczewski | Physician Assistant | 7470 Brockway Rd, Brockway, MI 48097-3458 | 2006-09-26 |
| 1245330521 | Tara R Deters | Physician Assistant | 7470 Brockway Rd, Brockway, MI 48097-3458 | 2006-09-25 |
| 1346341385 | Carolyn Marie Richards | Physician Assistant | 7470 Brockway Rd, Brockway, MI 48097-3458 | 2006-09-25 |
| 1366551343 | Robert Ernest Bastianelli | Pharmacist | 7470 Brockway Rd, Brockway, MI 48097-3458 | 2006-08-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215065271 | Tracy Lynn Krause | Physical Therapist | 7609 Brockway Road, Yale, MI 48097 | 2007-03-01 |
| 1336247485 | Alan Rutledge Bredin | Dentist | 333 Gordon Dr., Suite B, Yale, MI 48097 | 2006-09-20 |
| 1154425312 | Hubert Frederick Conlee | Chiropractor | 211 Brockway Rd, Yale, MI 48097 | 2006-09-11 |
| 1902882814 | Seema K Doshi | Internal Medicine | 333 Gordon Drive, Yale, MI 48097 | 2005-12-22 |
| 1093887598 | Winfred Darryl Williams | Family Medicine | 333 Gordon Drive, Yale, MI 48097 | 2006-11-14 |
| 1326146317 | Mary L. Vinckier, D.d.s., P.C. | Dentist | 333 Gordon Dr., Suite B, Yale, MI 48097 | 2006-09-21 |
| 1467559849 | Mary L. Vinckier | Dentist | 333 Gordon Drive, Suite B, Yale, MI 48097 | 2006-09-20 |
| 1285277616 | Giselle Gark | Behavior Technician | 8939 Brockway Rd, Brockway, MI 48097-2403 | 2019-10-17 |
| 1811346471 | Ashley Jones | Technician, Other | 12383 Jeddo Rd, Brockway, MI 48097-2410 | 2016-06-05 |
| 1275990921 | Keith Laurain | Specialist | 11339 Jeddo Rd, Brockway, MI 48097-2511 | 2016-01-26 |
| Find all providers in zip 48097 | ||||
| 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 |
|---|---|---|---|---|
| 1578163069 | Alaric Michael Nielson | Pharmacist | 158 Schoolcraft St, Lake Linden, MI 49945-1328 | 2020-10-26 |
| 1598380529 | Daniel Asare Offei | Pharmacist | 2539 Sagewood Ave Ne Unit 718, Grand Rapids, MI 49525-2952 | 2020-06-16 |
| 1013540426 | Aiman Abueida | Pharmacist | 17000 Executive Plaza Dr Ste 201, Dearborn, MI 48126-2793 | 2020-02-14 |
| 1336770866 | Azadeh Ali Moghaddam | Pharmacist | 5951 Sunrise Dr, Ypsilanti, MI 48197-7498 | 2020-02-03 |
| 1811527104 | Bailey Elaine Johnson | Pharmacist | 626 W Front St, Traverse City, MI 49684-2210 | 2020-01-25 |
| 1588202089 | Kenneth Alexander | Pharmacist | 40339 Grand River Ave # 110, Novi, MI 48375 | 2019-12-15 |
| 1760020333 | Deborah Handrinos Njus | Pharmacist | 19028 Stonewater Blvd, Northville, MI 48168-8560 | 2019-12-14 |
| 1255978037 | Dana Trudell | Pharmacist | 829 W 4th St, Pinconning, MI 48650-8907 | 2019-11-29 |
| 1174169270 | Debra Joyce Lammers | Pharmacist | 531 West Main Street, Milan, MI 48160 | 2019-11-23 |
| 1467098533 | Thomas Aaron | Pharmacist | 4194 Glenbrook Ct, Sterling Heights, MI 48310-3378 | 2019-11-22 |
| 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.