MARK LUCIAN DEMMER (NPI# 1558742684) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558742684 |
| Entity Type | Individual |
| Full Name | MARK LUCIAN DEMMER |
| Credential | RPH |
| Practice Address |
1745 Miami Ave Kingman AZ 86401-4020 |
| Practice Telephone | 9285425554 |
| Mailing Telephone | 9285425554 |
| Enumeration Date | 2015-06-15 |
| Last Update Date | 2015-06-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 14157 | AZ | Pharmacy Service Providers |
| Street Address |
1745 MIAMI AVE |
| City | KINGMAN |
| State | AZ |
| Zip Code | 86401-4020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053858704 | Robert Cole | Nurse Practitioner | 3545 Cheyenne Ave, King,an, AZ 86401 | 2017-01-19 |
| 1710420286 | Acadia Healthcare Inc | Nurse Practitioner | 2699 E Andy Devine, Suite B, Kingman, AZ 86401 | 2016-11-30 |
| 1174079800 | Kenneth Mcadow | Physical Therapist | 2404 Stockton Hill Road, Suite K, Kingman, AZ 86401 | 2016-09-01 |
| 1649659483 | Tracie Hirz | Case Manager/Care Coordinator | 3656 Packsaddle Road, Kingman, AZ 86401 | 2015-05-27 |
| 1548657695 | Chelsea Presbrey | Family Medicine | 2202 N Stockton Hill Rd Ste 100, Kingman, AZ 86401 | 2015-04-15 |
| 1649617226 | Abubakr Abdelmunim Tagelsir Abdelaziz | Internal Medicine | 2501 N Stockton Hill Rd Ste 102, Kingman, AZ 86401 | 2013-05-23 |
| 1205173325 | Patricia Jean Marko | Social Worker | 2002 Stockton Hill Road, Mohave Mental Health Clinic, Inc., Kingman, AZ 86401 | 2013-01-09 |
| 1770835316 | Hae Young Lee | Dentist | 2058 Maya Dr., Kingman, AZ 86401 | 2012-10-05 |
| 1255681623 | Hilary Radler | Specialist/Technologist | 3033 Macdonald, Kingman, AZ 86401 | 2012-09-13 |
| 1477836880 | Goodwill of Northern Arizona | Exclusive Provider Organization | 2369 Airway Avenue, Kingman, AZ 86401 | 2011-09-21 |
| Find all providers in zip 86401 | ||||
| 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 |
|---|---|---|---|---|
| 1740701788 | Meredith Voran | Pharmacist | 211 N. Main, Kingman, KS 67068 | 2017-06-29 |
| 1871026476 | Hellen Ly | Pharmacist | 3501 N Stockton Hill Rd, Kingman, AZ 86409-3227 | 2017-04-10 |
| 1558774984 | Fernando Velez | Pharmacist | 2003 Roy Rogers Way, Kingman, AZ 86409 | 2014-06-03 |
| 1518217785 | Paul Howse | Pharmacist | 3340 E Andy Devine Ave, Kingman, AZ 86401-3704 | 2012-09-14 |
| 1528343324 | Scott A Bell | Pharmacist | 3490 Stockton Hill Rd, Kingman, AZ 86409-3680 | 2011-10-12 |
| 1194049890 | Craig David Coy | Pharmacist | 3340 E. Andy Devine, K-mart Pharmacy, Kingman, AZ 86401 | 2010-03-24 |
| 1639400344 | Yolanda Arciaga Budomo | Pharmacist | 2116 Roy Rogers Way, Kingman, AZ 86409-0945 | 2010-01-20 |
| 1033449277 | Nikunj Patel | Pharmacist | 3487 Stockton Hill Rd, Kingman, AZ 86409-3681 | 2010-01-11 |
| 1922138379 | Krista Leigh Lehew | Pharmacist | 3970 Stockton Hill Rd, Kingman, AZ 86409-3002 | 2007-03-06 |
| 1083771125 | Anselm Nnamdi Chinyere | Pharmacist | 4100 Airway Ave, Kingman, AZ 86401-8519 | 2007-01-01 |
| Find all providers in KINGMAN | ||||
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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.