DR. MARK THOMAS GAUDET (NPI# 1457589822) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457589822 |
| Entity Type | Individual |
| Full Name | DR. MARK THOMAS GAUDET |
| Credential | PHARM D |
| Practice Address |
8174 Ocean Gtwy Walgreens 9967 Easton MD 21601-7144 |
| Mailing Address |
22 Greenwood Shls Grasonville MD 21638-9658 |
| Practice Telephone | 4107636907 |
| Mailing Telephone | 4108277589 |
| Enumeration Date | 2009-06-24 |
| Last Update Date | 2009-06-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
20978 | MA | Pharmacy Service Providers |
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
18413 | MD | Pharmacy Service Providers |
| Street Address |
8174 OCEAN GTWY WALGREENS 9967 |
| City | EASTON |
| State | MD |
| Zip Code | 21601-7144 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104921089 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 8174 Ocean Gtwy, Easton, MD 21601-7144 | 2006-09-14 |
| 1659916088 | Antwi Ofori Amoateng | Pharmacist | 8174 Ocean Gtwy, Easton, MD 21601-7144 | 2019-11-08 |
| 1962043208 | Rodney Mawuko Lumor | Pharmacist | 8174 Ocean Gtwy, Easton, MD 21601-7144 | 2019-10-07 |
| 1851813125 | Amanda Rae Lehmann | Pharmacist | 8174 Ocean Gtwy, Easton, MD 21601-7144 | 2017-07-08 |
| 1033656244 | Marsha Raye Muhic | Pharmacist | 8174 Ocean Gtwy, Easton, MD 21601-7144 | 2017-01-25 |
| 1083165039 | Dwan Dalton | Pharmacist | 8174 Ocean Gtwy, Easton, MD 21601-7144 | 2016-10-14 |
| 1629472006 | Dawn Bagley | Pharmacist | 8174 Ocean Gtwy, Easton, MD 21601-7144 | 2014-10-14 |
| 1477957009 | Chuong H Nguyen | Pharmacist | 8174 Ocean Gtwy, Easton, MD 21601-7144 | 2014-10-10 |
| 1841602687 | Luladey Haile | Pharmacist | 8174 Ocean Gtwy, Easton, MD 21601-7144 | 2014-05-28 |
| 1982977112 | David Lee Craft | Pharmacist | 8174 Ocean Gtwy, Easton, MD 21601-7144 | 2012-02-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588205215 | Jodi Windsor Kindt | Nurse Practitioner | Aamg Talbot Primary Care, 28438 Marlboro Avenue, Easton, MD 21601 | 2019-10-03 |
| 1902466998 | Christina Deleon | Physician Assistant | 403 Marvel Court, Easton, MD 21601 | 2019-06-20 |
| 1710458583 | Patricia Vilani | Occupational Therapy Assistant | 12 Magnolia, Easton, MD 21601 | 2018-12-05 |
| 1538687702 | Kristin Dabbs Wilkerson | Counselor | 29520 Canvasback Drive, Easton, MD 21601 | 2017-09-07 |
| 1356869978 | Angela Lynn Rutherford | Physical Therapy Assistant | 610 Dutchman's Ln, Easton, MD 21601 | 2017-09-04 |
| 1851842389 | Myeyedr Optometry of Maryland, LLC | Optometrist | 28522 Marlboro Ave, Ste A, Easton, MD 21601 | 2016-10-19 |
| 1659721991 | Lauren Strady | Pediatrics | 500 Cadmus Ln Ste 210, Easton, MD 21601 | 2016-06-17 |
| 1194174391 | Statcare Group IIi, PC | Clinic/Center | 28522-c Marlboro Avenue, Easton, MD 21601 | 2016-06-08 |
| 1245684224 | Christina M Ball | Nurse Practitioner | 545 Cynwood Drive, Easton, MD 21601 | 2016-04-15 |
| 1205220274 | Rebecca Ann Ruby Ailstock | Midwife | 508 Idlewild Ave Ste 3, Easton, MD 21601 | 2015-03-26 |
| Find all providers in zip 21601 | ||||
| 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 |
|---|---|---|---|---|
| 1821142662 | Courtney Griffin Mase | Pharmacist | 50 Fieldstone Dr, Easton, CT 06612-1016 | 2007-01-22 |
| 1144829573 | Melissa Grube Means | Pharmacist | 219 S Washington St, Easton, MD 21601-2913 | 2020-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720697436 | Maxcare Pharmacy | Pharmacist | 7448 Baltimore Annapolis Blvd Ste A, Glen Burnie, MD 21061-3468 | 2020-07-28 |
| 1255966735 | David Lee Lowery | Pharmacist | 1102 Midvale Ave, Mount Airy, MD 21771-5522 | 2020-03-05 |
| 1639703523 | Mary Katherine Emadi | Pharmacist | 1320 Londontown Blvd, Eldersburg, MD 21784-6409 | 2020-02-28 |
| 1245878875 | Crowns Pharmacy LLC | Pharmacist | 9705 Fort Meade Rd, Laurel, MD 20707-4405 | 2019-12-13 |
| 1932750536 | Oluwadamilola Ademiluyi | Pharmacist | 202 Bottsford Ave, Upper Marlboro, MD 20774-8416 | 2019-09-25 |
| 1093361008 | Mark Adjetey | Pharmacist | 18924 Marsh Hawk Ln, Gaithersburg, MD 20879-1774 | 2019-08-15 |
| 1841760048 | Roudabeh Faghri | Pharmacist | 1201 Dutchmans Creek Dr, Brunswick, MD 21716-9770 | 2018-11-29 |
| 1003384678 | Prime Clinical Associates, LLC | Pharmacist | 9019 Sunni Shade Ct, Perry Hall, MD 21128-9222 | 2018-11-12 |
| 1922594837 | Adebayo Ajifolokun | Pharmacist | 2307 Clerklee Way, Bowie, MD 20721-1866 | 2018-07-03 |
| 1669993606 | Maria Giannas | Pharmacist | 6510 O'donnell St, Baltimore, MD 21224 | 2017-06-29 |
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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.