MR. DAVID BLOOM (NPI# 1417234782) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417234782 |
| Entity Type | Individual |
| Full Name | MR. DAVID BLOOM |
| Practice Address |
3020 Warbler Pl Highland Park IL 60035-1267 |
| Practice Telephone | 8479037623 |
| Mailing Telephone | 8479037623 |
| Enumeration Date | 2011-11-14 |
| Last Update Date | 2011-11-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 1508940 | WI | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417261785 | David Bloom | Surgery | 136 Beach 117th St, #513, Rockaway Park, NY 11694-2079 | 2010-07-29 |
| 1205048584 | David Alan Bloom | Dentist | 2910 Orchard Pl, Orchard Lake, MI 48324-2356 | 2007-05-07 |
| 1316073901 | David L Bloom | Radiology | 600 Federal St, Andover, MA 01810-1039 | 2007-02-26 |
| 1104874759 | David Isaac Bloom | Internal Medicine | 5350 W Atlantic Ave, Ste 100, Delray Beach, FL 33484-8112 | 2006-05-05 |
| 1215996038 | David Charles Bloom | Otolaryngology | 2121 Ne 139th Street, Suite 245, Vancouver, WA 98686 | 2006-03-21 |
| 1356344683 | David Marshall Bloom | Internal Medicine | 2841 Lomita Blvd, Suite 215, Torrance, CA 90505-5116 | 2005-05-31 |
| 1598129850 | David Louis Bloom | Pediatrics | 1 Childrens Place Cb 8116, Saint Louis, MO 63110 | 2016-04-12 |
| 1336468461 | David A Bloom | Radiology | 6600 66th St N, Pinellas Park, FL 33781-5040 | 2010-05-28 |
| 1659582419 | David I. Bloom Jr. | Dentist | 1060 Day Hill Rd, Windsor, CT 06095-5719 | 2007-05-24 |
| 1417005737 | David R Bloom | Family Medicine | 17822 Beach Blvd, #325, Huntington Beach, CA 92647 | 2007-01-05 |
| Street Address |
3020 WARBLER PL |
| City | HIGHLAND PARK |
| State | IL |
| Zip Code | 60035-1267 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770140006 | Julian Jay Freeman | Internal Medicine | 1954 1st St., Suite 263, Highland Park, IL 60035 | 2019-05-22 |
| 1851838858 | Melissa Block | Lactation Consultant, Non-RN | 303 Sheridan Road, Highland Park, IL 60035 | 2017-01-27 |
| 1750838280 | Megan Hyatt | Physical Therapist | Central Parkway, Store #210, Highland Park, IL 60035 | 2016-09-01 |
| 1962865907 | Timothy C Dennis | Counselor | 1724 1st St., Nicasa, Highland Park, IL 60035 | 2016-03-29 |
| 1821458027 | Sarah Marie Pinger | Counselor | 1724 1st Street, Highland Park, IL 60035 | 2016-03-01 |
| 1508262775 | Jennifer Francis Gilbert | Social Worker | 1067 Centerfield Court, Highland Park, IL 60035 | 2014-11-14 |
| 1588070148 | Hpoms | Clinic/Center | 1893 Sheridan Rd Suite 311, Highland Park, IL 60035 | 2014-07-03 |
| 1477974152 | Mtca Psychological Services of Illinois P.C. | Psychologist | 1651 Richfield Avenue, Highland Park, IL 60035 | 2013-12-23 |
| 1760819510 | Linda Beth Greco | Social Worker | 274 Linden Park Place, Highland Park, IL 60035 | 2013-10-10 |
| 1770821373 | Eve Cooper Agin | Counselor | 1866 Sheridan Road, Suite 203, Highland Park, IL 60035 | 2013-01-17 |
| Find all providers in zip 60035 | ||||
| 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 |
|---|---|---|---|---|
| 1477029114 | Wisameldin Esmael | Pharmacist | 106 Woodbridge Ave Apt 1, Highland Park, NJ 08904-3210 | 2018-10-21 |
| 1578800835 | Pamela Greenfield | Pharmacist | 2099 Skokie Valley Road, Target Pharmacy, Highland Park, IL 60035 | 2013-01-07 |
| 1891077954 | Moumita Datta | Pharmacist | 14048 Woodward Ave, Highland Park, MI 48203-3629 | 2011-09-14 |
| 1518247071 | William L Laegeler | Pharmacist | 2673 Logan St, Highland Park, IL 60035-1420 | 2011-08-27 |
| 1649550229 | Marc Allen Gaines | Pharmacist | 1165 County Line Rd, Highland Park, IL 60035-4501 | 2011-08-26 |
| 1790008001 | Dilip R Patel | Pharmacist | 96 Cedar Ln Apt A, Highland Park, NJ 08904-2044 | 2010-03-02 |
| 1174774624 | Gary Berger | Pharmacist | 1630 Old Deerfield Rd, Suite 202, Highland Park, IL 60035-3027 | 2008-10-02 |
| 1841412780 | Annmarie Richardson | Pharmacist | 332 Raritan Ave, Highland Park, NJ 08904 | 2007-05-02 |
| 1194734350 | Mi K. Yom | Pharmacist | 2912 Lexington Ln, Highland Park, IL 60035-1026 | 2006-08-05 |
| 1215973854 | Vijay Torio Maktal | Pharmacist | 325 Raritan Ave, Saiff Drugs, Highland Park, NJ 08904-2701 | 2006-06-21 |
| Find all providers in HIGHLAND PARK | ||||
| City | HIGHLAND PARK |
| Zip Code | 60035 |
Please comment or provide details below to improve the information on MR. DAVID BLOOM.
| 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.