MR. MARK RUSSELL MCCLAIN (NPI# 1619399771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619399771 |
| Entity Type | Individual |
| Full Name | MR. MARK RUSSELL MCCLAIN |
| Credential | R.PH. |
| Practice Address |
801 Vassar Dr Ne Albuquerque NM 87106-2725 |
| Practice Telephone | 5052484027 |
| Practice Fax Number | 5052487642 |
| Mailing Telephone | 5052484027 |
| Mailing Fax Number | 5052487642 |
| Enumeration Date | 2014-01-09 |
| Last Update Date | 2014-01-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | RPH 46073 | CA | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | RP00005383 | NM | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336387141 | Mark Mcclain | Anesthesiology | 2810 N Swan Rd, Suite 100, Tucson, AZ 85712-6305 | 2009-02-02 |
| 1952415168 | Mark Alan Mcclain | Psychologist | 1 Poston Rd, Suite 145, Charleston, SC 29407-3424 | 2006-08-18 |
| Street Address |
801 VASSAR DR NE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87106-2725 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750384673 | Elizabeth D Perea | Pharmacist | 801 Vassar Dr Ne, Albuquerque, NM 87106-2725 | 2005-05-24 |
| 1710533914 | David Wayne Sigars | Pharmacist | 801 Vassar Dr Ne, Albuquerque, NM 87106-2725 | 2019-08-13 |
| 1952881120 | Joseph Anthony Nardolillo | Pharmacist | 801 Vassar Dr Ne, Albuquerque, NM 87106-2725 | 2018-08-17 |
| 1487159794 | Alyeshka Liz Jusino- Acosta | Pharmacist | 801 Vassar Dr Ne, Albuquerque, NM 87106-2725 | 2018-03-28 |
| 1851890495 | Mariela Cisco | Dietitian, Registered | 801 Vassar Dr Ne, Albuquerque, NM 87106-2725 | 2018-02-09 |
| 1003364050 | Taylor Morris | Pharmacist | 801 Vassar Dr Ne, Albuquerque, NM 87106-2725 | 2016-09-20 |
| 1528516531 | Nicholas Cushman | Pharmacist | 801 Vassar Dr Ne, Albuquerque, NM 87106-2725 | 2016-09-19 |
| 1700332103 | Grace-anne Stimpson | Nurse Practitioner | 801 Vassar Dr Ne, Albuquerque, NM 87106-2725 | 2016-08-26 |
| 1134504236 | Sean Navin | Pharmacist | 801 Vassar Dr Ne, Albuquerque, NM 87106-2725 | 2015-07-30 |
| 1295131027 | Tenzin Jangchup | Pharmacist | 801 Vassar Dr Ne, Albuquerque, NM 87106-2725 | 2014-11-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629679808 | Jorge Licano | Student in an Organized Health Care Education/Training Program | Unmh Hospital 2211 Lomas Blvd Ne, Albuquerque, NM 87106 | 2020-11-04 |
| 1730780032 | Joseph Sanchez | Student in an Organized Health Care Education/Training Program | (unmh Hospital 2211 Lomas Blvd Ne, Albuquerque, NM 87106 | 2020-11-03 |
| 1336746205 | Evan Laub | Pharmacist | 2950 Central Ave. Sw, Albuquerque, NM 87106 | 2020-10-05 |
| 1487203154 | Theresa Martinez | Technician | 5680 Avedon Dr. Se, Albuquerque, NM 87106 | 2019-09-05 |
| 1205300647 | Louis Mayer II | Specialist/Technologist | 1414 University Blvd Tow Diehm Athletic Facility, Albuquerque, NM 87106 | 2019-01-18 |
| 1235633355 | Terrena Grace Vigil Brady | Occupational Therapist | 1001 Yale Blvd, Albuquerque, NM 87106 | 2018-03-22 |
| 1205355195 | Yaritza Ruiz | Specialist/Technologist | 1200 Avenida Cesar Chavez, 231d, Albuquerque, NM 87106 | 2017-09-12 |
| 1457873382 | Cynthia Bluhm | Registered Nurse | 7600 Cedar St Se Ste 7600, Albuquerque, NM 87106 | 2017-07-12 |
| 1295265882 | Hallie Chancellor | Behavior Technician | 1801 Gibson Blvd Se Apt 1046, Albuquerque, NM 87106 | 2017-06-15 |
| 1780111757 | Jiana Hook | Physical Medicine & Rehabilitation | 1414 University Blvd. Se, Albuquerque, NM 87106 | 2017-05-22 |
| Find all providers in zip 87106 | ||||
| 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 |
|---|---|---|---|---|
| 1083212534 | Keishla Marie Cortes Vera | Pharmacist | 7400 San Pedro Dr Ne Apt 1015, Albuquerque, NM 87109-4688 | 2020-10-15 |
| 1336746205 | Evan Laub | Pharmacist | 2950 Central Ave. Sw, Albuquerque, NM 87106 | 2020-10-05 |
| 1689280125 | Perry Pedersen | Pharmacist | 13251 Chaco Canyon Ln Ne, Albuquerque, NM 87111-7117 | 2020-09-21 |
| 1891300174 | Veronica Chacon | Pharmacist | 8000 Montgomery Blvd Ne Apt 416, Albuquerque, NM 87109-1631 | 2020-09-13 |
| 1588275135 | Roopali Sharma | Pharmacist | 1501 San Pedro Dr Se Bldg 41, Albuquerque, NM 87108-5180 | 2020-08-16 |
| 1699385104 | Dustin Mayberry | Pharmacist | 4404 Barrett Ave Nw, Albuquerque, NM 87114-6529 | 2020-08-10 |
| 1508499385 | Nicole D Gutierrez | Pharmacist | 6219 Marigold Ct Nw, Albuquerque, NM 87120-3278 | 2020-02-19 |
| 1265074405 | Andrew Jacob Reuter | Pharmacist | 3816 Copper Ave Ne, Unit A, Albuquerque, NM 87108 | 2019-10-09 |
| 1790326890 | Aaron Milton Lovato | Pharmacist | 7719 Ridgeview Dr Nw, Albuquerque, NM 87120-2864 | 2019-10-01 |
| 1891259628 | Aaron Rivera | Pharmacist | 10909 Estribo St Nw, Albuquerque, NM 87114-6309 | 2019-01-25 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87106 |
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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.