MR. MARK ABDEL-MALAK (NPI# 1437308087) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437308087 |
| Entity Type | Individual |
| Full Name | MR. MARK ABDEL-MALAK |
| Credential | PHARM.D. |
| Practice Address |
3033 Excelsior Blvd Ste 275 Minneapolis MN 55416-5149 |
| Mailing Address |
331 Wilder St N Saint Paul MN 55104-5130 |
| Practice Telephone | 6128277768 |
| Mailing Telephone | 6125398631 |
| Enumeration Date | 2008-09-18 |
| Last Update Date | 2008-09-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
119516 | MN | Pharmacy Service Providers |
| Street Address |
3033 EXCELSIOR BLVD STE 275 |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55416-5149 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083629919 | Allyson Mae Schlichte | Pharmacist | 3033 Excelsior Blvd Ste 275, Minneapolis, MN 55416-5149 | 2006-07-29 |
| 1114344587 | Fardows Omar Salim | Family Medicine | 3033 Excelsior Blvd Ste 275, Minneapolis, MN 55416-5149 | 2014-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639711492 | Ismahan Abdirahman Mohamed | Psychologist | 4236 Parkglen Rd, St Louis Park, MN 55416 | 2019-10-14 |
| 1598307860 | Ayman Abulaziz Mohamed | Counselor | 4326 Park Glen Rd, St Louis Park, MN 55416 | 2019-10-08 |
| 1831758929 | Ally Group Homes LLC | Assisted Living Facility | 2944 Princeton Ave South, Saint Louis Park, MN 55416 | 2019-06-11 |
| 1609371525 | Heather Margaret Flatgard | Chiropractor | 5407 Excelsior Blvd Ste D, St Louis Park, MN 55416 | 2018-03-25 |
| 1942702394 | Polaris Pharmacy Services of Minnesota, LLC | Pharmacy | 4220 Park Glen Road, St. Louis Park, MN 55416 | 2018-03-01 |
| 1316469760 | Evert Ray Boyd | Psychologist | 3200 Highway 100 S., Groves Academy, St Louis Park, MN 55416 | 2017-07-07 |
| 1861941684 | Amanda Marie Tapper | Marriage & Family Therapist | 5407 Excelsior Blvd, Suite B, St Louis Park, MN 55416 | 2016-09-22 |
| 1326410416 | Clear Health Chiropractic LLC | Chiropractor | 5614 W 36th St, St. Louis Park, MN 55416 | 2015-10-28 |
| 1568897833 | Kay Elizabeth Lichtenberger | Physical Therapist | 4415 W 36.5 St, St. Louis Park, MN 55416 | 2013-09-05 |
| 1710221510 | Aaron Christopher Oppelt | Counselor | 1665 Utica Ave South - Suite 100, Saint Louis Park, MN 55416 | 2012-11-16 |
| Find all providers in zip 55416 | ||||
| Taxonomy Code | 1835P1200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacotherapy |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043244528 | Jeannine Melissa Conway | Pharmacist | 308 Harvard Street Se, Clinic 1a, Minneapolis, MN 55455 | 2006-07-10 |
| 1942285085 | Chrystian Reynaldo Pereira | Pharmacist | 2020 E 28th St, Minneapolis, MN 55407-1394 | 2005-12-13 |
| 1164425112 | Brian John Isetts | Pharmacist | 308 Harvard St Se, Rm 7-175, Minneapolis, MN 55455-0353 | 2005-05-23 |
| 1679100663 | Monika Tawfik | Pharmacist | 715 S 8th St, Minneapolis, MN 55404-1210 | 2020-03-27 |
| 1154975258 | Amanda Leigh Boese | Pharmacist | 1 Veterans Dr, Minneapolis, MN 55417-2309 | 2019-07-26 |
| 1811457005 | Simon Akerman | Pharmacist | 1 Veterans Dr, Minneapolis, MN 55417-2309 | 2019-03-22 |
| 1720538507 | Viviene Heitlage | Pharmacist | 701 Park Ave, Minneapolis, MN 55415-1623 | 2016-10-05 |
| 1396167219 | Sarah M Linder-stenzel | Pharmacist | 701 Park Ave, Mail Code Rl, Minneapolis, MN 55415-1623 | 2014-01-11 |
| 1770923120 | Kristine Widboom | Pharmacist | 500 Harvard St Se, Minneapolis, MN 55455-0363 | 2013-06-30 |
| 1588001721 | Mary Beth Borgstadt | Pharmacist | 701 Park Ave, Minneapolis, MN 55415-1623 | 2013-05-29 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55416 |
Please comment or provide details below to improve the information on MR. MARK ABDEL-MALAK.
| 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.