MR. LAURENCE EVAN NISONOFF (NPI# 1598043382) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598043382 |
| Entity Type | Individual |
| Full Name | MR. LAURENCE EVAN NISONOFF |
| Credential | PHARMACIST |
| Practice Address |
105 Edwards Village Blvd Ste G-107 Edwards CO 81632-9914 |
| Mailing Address |
1418 Moraine Dr Vail CO 81657-4981 |
| Practice Telephone | 9704767308 |
| Mailing Telephone | 9704767308 |
| Mailing Fax Number | 9704767306 |
| Enumeration Date | 2011-07-27 |
| Last Update Date | 2011-07-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 13767 | CO | Pharmacy Service Providers |
| Street Address |
105 EDWARDS VILLAGE BLVD STE G-107 |
| City | EDWARDS |
| State | CO |
| Zip Code | 81632-9914 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972869725 | Vail Valley Pharmacy | Pharmacy | 105 Edwards Village Blvd Ste G-107, Edwards, CO 81632 | 2012-04-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538771258 | Bsig Rx LLC | Pharmacy | 105 Edwards Village Blvd., Unit G-107, Edwards, CO 81632 | 2020-08-24 |
| 1700430535 | Luke Cobb | Chiropractor | 128 Main St #c6, Edwards, CO 81632 | 2019-07-30 |
| 1710453543 | Lindsay Marie Bergman | Physician Assistant | 1140 Edwards Village II, B-105, Edwards, CO 81632 | 2018-10-19 |
| 1073092037 | Ryan G Zastrow, Dds, Pllc | Dentist | 275 Main St Unit O 203, Edwards, CO 81632 | 2018-08-10 |
| 1093216046 | Mauricio Cadavid | Massage Therapist | Vimg, 105 Edwards Village Center A-203, Edwards, CO 81632 | 2018-02-26 |
| 1083113765 | Mountain Valley Kids Dental, Pllc | Dentist | 105 Edwards Village Blvd., #d-202, Po Box 41, Edwards, CO 81632 | 2018-02-07 |
| 1760903447 | Bryan Diekmann | Specialist/Technologist | 1140 Edwards Village Blvd. Ste 105, Edwards, CO 81632 | 2017-07-03 |
| 1457702409 | Anesthesia Partners of Colorado | Anesthesiology | 230 Foal Circle, Edwards, CO 81632 | 2016-06-30 |
| 1720437148 | Sheila Griffith | Specialist | 105 Edwards Village Blvd Suite G201, Edwards, CO 81632 | 2016-06-07 |
| 1992107171 | Sara Bentley | Physical Therapist | 105 Edwards Village Center, Suite A203, Edwards, CO 81632 | 2014-09-19 |
| Find all providers in zip 81632 | ||||
| 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 |
|---|---|---|---|---|
| 1265852396 | Wesley John Fischer | Pharmacist | 30 Nightengale Road, Edwards U.S. Air Force Base Pharmacy, Edwards, CA 93524 | 2014-04-16 |
| 1356483556 | Judith A Prather | Pharmacist | 420 Winslow Road, Box 997, Edwards, CO 81632-0997 | 2007-02-13 |
| 1730232299 | Thomas Terrell IIi | Pharmacist | 8023 W Robertson Rd, Edwards, IL 61528-9643 | 2007-01-19 |
| 1720427891 | Courtney Lambrecht | Pharmacist | 105 Edwards Village Blvd, Ste G107, Edwards, CO 81632 | 2013-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538760319 | Deeka Mcdaniel | Pharmacist | 333 Colorado Ave #3, Telluride, CO 81435 | 2020-11-06 |
| 1487253902 | Brooke Anne Melkus | Pharmacist | 261 Durant St, Grand Junction, CO 81503-3411 | 2020-10-26 |
| 1184222432 | Chad Toussant | Pharmacist | 502 W Myrtle St Apt 108, Fort Collins, CO 80521-3613 | 2020-10-09 |
| 1679188221 | Valerie Madison | Pharmacist | 6138 E Yale Ave, Denver, CO 80222-7063 | 2020-09-10 |
| 1548874886 | Sharon M Smith | Pharmacist | 12639 Elm St, Thornton, CO 80241-3027 | 2020-09-03 |
| 1497367866 | Sergey I Fouks | Pharmacist | 449 S Balsam St, Lakewood, CO 80226-3012 | 2020-08-18 |
| 1710598529 | Sarah Jean Seavey | Pharmacist | 2992 Patterson Rd, Grand Junction, CO 81504-3105 | 2020-08-14 |
| 1750992707 | Rebecca Sue Palmer | Pharmacist | 7955 6th St, Wellington, CO 80549 | 2020-08-13 |
| 1568073054 | Brandi Reinhart | Pharmacist | 2601 S Lemay Ave Unit 42, Fort Collins, CO 80525-2247 | 2020-08-10 |
| 1871103622 | Melinda O'brien | Pharmacist | 4775 Larimer Pkwy Ste 100, Johnstown, CO 80534-9023 | 2020-08-06 |
| Find all providers with the same taxonomy | ||||
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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.