DR. MARK MITCHELL MOUZAKIS (NPI# 1457617508) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457617508 |
| Entity Type | Individual |
| Full Name | DR. MARK MITCHELL MOUZAKIS |
| Credential | PHARMD, RPH |
| Practice Address |
2855 S County Road 489 Lewiston MI 49756-8155 |
| Practice Telephone | 9897862239 |
| Practice Fax Number | 9897869150 |
| Mailing Telephone | 9897862239 |
| Mailing Fax Number | 9897869150 |
| Enumeration Date | 2012-04-03 |
| Last Update Date | 2012-04-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 5302039939 | MI | Pharmacy Service Providers |
| Street Address |
2855 S COUNTY ROAD 489 |
| City | LEWISTON |
| State | MI |
| Zip Code | 49756-8155 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922646884 | Ana M. Fish | Pharmacist | 2855 S County Road 489, Lewiston, MI 49756-8155 | 2019-12-11 |
| 1427593649 | Carolyne Hanes | Pharmacist | 2855 S County Road 489, Lewiston, MI 49756-8155 | 2016-12-24 |
| 1801294426 | Rite Aid Pharmacy | Pharmacist | 2855 S County Road 489, Lewiston, MI 49756-8155 | 2014-12-13 |
| 1942606892 | Rite Aid | Clinic/Center | 2855 S County Road 489, Lewiston, MI 49756-8155 | 2014-11-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760495360 | Daniel Rand Woodruff | Chiropractor | 4556 Salling Avenue, Lewiston, MI 49756 | 2006-08-14 |
| 1720098395 | Township of Albert | Ambulance | 4196 Salling Ave, Lewiston, MI 49756 | 2006-08-08 |
| 1649652298 | Stephanie Rutterbush | Family Medicine | 3040 Bourn St, Lewiston, MI 49756 | 2015-06-19 |
| 1285867838 | Munson Healthcare Otsego Memorial Hospital | General Practice | 3040 Bourn St, Lewiston, MI 49756 | 2009-08-31 |
| 1538328364 | Munson Healthcare Otsego Memorial Hospital | General Practice | 3040 Bourn St, Lewiston, MI 49756 | 2008-06-06 |
| 1366631798 | John Peter Marconnit | Dentist | 3051 Bay Street, Lewiston, MI 49756 | 2007-10-22 |
| 1396758991 | Woodruff Family Chiropractic, P.C. | Chiropractor | 4556 Salling Ave, Lewiston, MI 49756 | 2006-08-14 |
| 1336159995 | Rite Aid of Michigan Inc | Durable Medical Equipment & Medical Supplies | 2855 South County Road 489, Lewiston, MI 49756-0097 | 2006-08-08 |
| 1841315090 | John P. Marconnit D.d.s., P.C. | Dental Laboratory | 3051 Bay Street, Lewiston, MI 49756-0170 | 2007-03-20 |
| 1760422455 | Toupin Chiropractic Clinics, P.C. | Chiropractor | 4556 Salling Ave, Lewiston, MI 49756-7852 | 2006-06-08 |
| Find all providers in zip 49756 | ||||
| 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 |
|---|---|---|---|---|
| 1295111631 | Ryan Terrence O'laughlin | Pharmacist | 481 Morgan Dr, Lewiston, NY 14092-1014 | 2015-08-08 |
| 1477939593 | Robert Alan Mayer | Pharmacist | 3020 6th St # A, Lewiston, ID 83501-4653 | 2015-07-31 |
| 1447636535 | Dexter Peele | Pharmacist | 320 Piney Woods Rd, Lewiston, NC 27849-9204 | 2015-07-30 |
| 1861754459 | Christina M Hammond | Pharmacist | 710 Burrell Ave, Lewiston, ID 83501-4985 | 2012-06-11 |
| 1982965513 | Sharon J Wood | Pharmacist | 274 Reservoir Dr, Lewiston, ID 83501-9637 | 2012-05-30 |
| 1194001230 | Scott Mason Eustis | Pharmacist | 166 Old Webster Rd, Lewiston, ME 04240-1513 | 2011-11-02 |
| 1992080964 | Bobbi J Heitstuman | Pharmacist | 332 Thain Rd, Lewiston, ID 83501-5337 | 2011-10-20 |
| 1124329651 | Richard Byron Robertson | Pharmacist | 2330 Nez Perce Dr, Lewiston, ID 83501-4107 | 2010-11-15 |
| 1821306200 | Lynsey Janelle Plummer | Pharmacist | 987 Lisbon St, Lewiston, ME 04240-5747 | 2010-09-19 |
| 1801100482 | Cyril George Cofie | Pharmacist | 430 Sabattus St, Lewiston, ME 04240-5430 | 2010-08-05 |
| Find all providers in LEWISTON | ||||
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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.