CARL D HENDERSON (NPI# 1427237932) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427237932 |
| Entity Type | Individual |
| Full Name | CARL D HENDERSON |
| Practice Address |
27 Round Lake Rd Ballston Lake NY 12019-1129 |
| Practice Telephone | 5188992986 |
| Enumeration Date | 2007-10-31 |
| Last Update Date | 2007-10-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 034122 | NY | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508286105 | Carl Wayne Henderson | Case Manager/Care Coordinator | 1303 W. Parkway, Compton, CA 90220-5030 | 2014-04-22 |
| 1003941204 | Carl Lenear Henderson | Dentist | 1217 South Main St, Correspondence Only Pob 1193, Greenwood, SC 29646 | 2007-02-21 |
| 1235372574 | Carl Star Henderson | Internal Medicine | 3 Riverside Cir, Roanoke, VA 24016-4955 | 2009-04-16 |
| 1952333080 | Carl Henderson | Physical Therapist | 6005 Park Ave, Suite 802, Memphis, TN 38119-5202 | 2006-07-07 |
| Street Address |
27 ROUND LAKE RD |
| City | BALLSTON LAKE |
| State | NY |
| Zip Code | 12019-1129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497270631 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 27 Round Lake Rd, Ballston Lake, NY 12019-1129 | 2017-08-09 |
| 1851772669 | Jill Frament | Pharmacist | 27 Round Lake Rd, Ballston Lake, NY 12019-1129 | 2015-06-17 |
| 1821401670 | Natalia Selyuzhitski | Pharmacist | 27 Round Lake Rd, Ballston Lake, NY 12019-1129 | 2014-06-10 |
| 1053633883 | Lindsay Barone | Pharmacist | 27 Round Lake Rd, Ballston Lake, NY 12019-1129 | 2010-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093254765 | Leah Bushey | Occupational Therapist | 4062 Jockey St, Charlton, NY 12019 | 2017-02-15 |
| 1033492160 | Katie Whelan | Speech-Language Pathologist | 9 St. Patrick Place, Ballston Lake, NY 12019 | 2011-09-26 |
| 1548564941 | Anthony Iannuccillo | Optometrist | 5 Wood Dale Dr., Ballston Lake, NY 12019 | 2010-12-29 |
| 1578886867 | Cynthia Sadauskas | Pharmacist | 806 Saratoga Rd, Burnt Hills, NY 12019 | 2010-03-01 |
| 1801065412 | Mary Bridget Murphy | Pharmacist | 806 Route 50, Burnt Hills, NY 12019 | 2008-02-27 |
| 1962617191 | Stephanie Yonkers | Nurse Practitioner | 318 Ruhle Rd. S., Ballston Lake, NY 12019 | 2007-05-11 |
| 1457574287 | David Brooks Pierce | Dentist | 110 Lake Rd., Ballston Lake, NY 12019 | 2007-04-10 |
| 1326123183 | Paul J Gauthier Sr. | Dentist | 397 Stage Rd, Charlton, NY 12019 | 2006-10-27 |
| 1942398300 | Irwin Bruce Finch | Dentist | 134 Wood Dale Drive, Ballston Lake, NY 12019 | 2006-10-11 |
| 1124053897 | Jerry Frank Maiello Jr. | Social Worker | 331 Ushers Road, Northway 10 Professional Park, Ballston Lake, NY 12019 | 2006-07-11 |
| Find all providers in zip 12019 | ||||
| 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 |
|---|---|---|---|---|
| 1376085480 | Sarah Elizabeth Hoffman | Pharmacist | 3b Windy Hl, Ballston Lake, NY 12019-9029 | 2016-11-07 |
| 1912299512 | Denis John Casey | Pharmacist | 19 Village View Blf, Ballston Lake, NY 12019-1205 | 2011-05-15 |
| 1194901199 | Patricia A Southworth | Pharmacist | 6 Frank St, Ballston Lake, NY 12019-2400 | 2008-01-21 |
| 1851772669 | Jill Frament | Pharmacist | 27 Round Lake Rd, Ballston Lake, NY 12019-1129 | 2015-06-17 |
| 1821401670 | Natalia Selyuzhitski | Pharmacist | 27 Round Lake Rd, Ballston Lake, NY 12019-1129 | 2014-06-10 |
| 1053633883 | Lindsay Barone | Pharmacist | 27 Round Lake Rd, Ballston Lake, NY 12019-1129 | 2010-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023619186 | Seta Crilley | Pharmacist | 17 Fishermans Dr, Port Washington, NY 11050-1733 | 2020-11-05 |
| 1528669603 | Caroline Preval | Pharmacist | 3333 New Hyde Park Rd, New Hyde Park, NY 11042-1204 | 2020-11-04 |
| 1275134686 | Chiranjit Kumar Saha | Pharmacist | 6128 Broadway, Woodside, NY 11377-2152 | 2020-11-03 |
| 1437759693 | Anthony So | Pharmacist | 8765 94th St, Woodhaven, NY 11421-2236 | 2020-10-27 |
| 1942809785 | Obaid Zia | Pharmacist | 106 Elm Ln, New Hyde Park, NY 11040-2406 | 2020-10-22 |
| 1235738915 | Vishal Pravinkumar Patel | Pharmacist | 3930 59th St Apt A6, Woodside, NY 11377-3401 | 2020-10-22 |
| 1447859491 | Iman Nagi Yahia | Pharmacist | 182 17th St Apt 2, Brooklyn, NY 11215-5374 | 2020-10-21 |
| 1518566827 | Vinson Eng | Pharmacist | 2629 Ocean Ave, Brooklyn, NY 11229-4552 | 2020-10-19 |
| 1114526324 | Victoria Wong | Pharmacist | 2643 E 18th St, Brooklyn, NY 11235-3625 | 2020-10-19 |
| 1487253803 | Michelle Liao | Pharmacist | 1845 Shore Pkwy, Brooklyn, NY 11214-6628 | 2020-10-19 |
| Find all providers with the same taxonomy | ||||
| City | BALLSTON LAKE |
| Zip Code | 12019 |
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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.