MARK MCCARTHY (NPI# 1720351752) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720351752 |
| Entity Type | Individual |
| Full Name | MARK MCCARTHY |
| Practice Address |
13501 Cicero Ave Crestwood IL 60445-1934 |
| Practice Telephone | 7083961280 |
| Mailing Telephone | 7083961280 |
| Enumeration Date | 2012-02-22 |
| Last Update Date | 2012-02-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 051.294924 | IL | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114050077 | Mark Lynn Mccarthy | Dentist | 2900 Central Ave Bldg 1, Billings, MT 59102-8626 | 2007-03-13 |
| 1689769150 | Mark Redmond Mccarthy | Counselor | 3101 Broadway, Suite 220, Kansas City, MO 64111 | 2006-10-03 |
| 1932204401 | Mark Patrick Mccarthy | Specialist/Technologist | 100 Simsbury Rd Ste 208, Avon, CT 06001-3793 | 2006-09-13 |
| 1558370973 | Mark Anthony Mccarthy | Internal Medicine | 2718 Cadiz St, New Orleans, LA 70115-6930 | 2006-08-05 |
| 1427020627 | Mark A Mccarthy | Orthopaedic Surgery | 1200 Oakleaf Way Ste A, Altoona, WI 54720-2245 | 2006-02-02 |
| 1124023262 | Mark Joseph Mccarthy | Specialist | 6161 Kempsville Cir, Suite 215, Norfolk, VA 23502-3932 | 2005-06-16 |
| 1487125506 | Mark Bradley Mccarthy | Counselor | 222 Wall St Ste 100, Seattle, WA 98121-1431 | 2018-12-16 |
| 1811222060 | Mark Xavier Mccarthy | Dentist | 439 S Kirkwood Rd, Suite 201, Saint Louis, MO 63122-6169 | 2009-10-06 |
| 1962500272 | Mark Richard Mccarthy | Counselor | 3620 N High St, Suite 209, Columbus, OH 43214-3611 | 2006-09-20 |
| Street Address |
13501 CICERO AVE |
| City | CRESTWOOD |
| State | IL |
| Zip Code | 60445-1934 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174539670 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 13501 Cicero Ave, Crestwood, IL 60418-1934 | 2006-08-01 |
| 1841802196 | Patricia Marie Arteaga | Pharmacist | 13501 Cicero Ave, Crestwood, IL 60418-1934 | 2020-08-18 |
| 1215213509 | Shavon Clark-howard | Pharmacist | 13501 Cicero Ave, Crestwood, IL 60445-1934 | 2011-10-31 |
| 1437434867 | Michael J Canter | Pharmacist | 13501 Cicero Ave, Crestwood, IL 60445-1934 | 2011-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861911398 | Paula Marie Jensen Hallahan | Psychologist | Hermansen Elementary School, 101 Wesglen Parkway, Romeoville, IL 60445 | 2017-09-15 |
| 1861933756 | Reginald Castillo | Emergency Medical Technician, Paramedic | 4939 East Circle Dr. #206, Crestwood, IL 60445 | 2017-03-13 |
| 1801259684 | Bruce Frank Leo | Hearing Instrument Specialist | 5553 W. 127th St, Crestwood, IL 60445 | 2016-03-30 |
| 1801291687 | Annie Eyer | Behavioral Analyst | 4942 138th Place, Crestwood, IL 60445 | 2014-10-23 |
| 1679997266 | Phoenix Behavioral Services, Inc | Case Management | 4649 147th Street, Midlothian, IL 60445 | 2014-02-18 |
| 1841537149 | Lacy Carol Little | Speech-Language Pathologist | 14715 Leclaire Ave., Midlothian, IL 60445 | 2013-01-08 |
| 1164709291 | Kathleen Chaudhari | Pharmacist | 4800 W 148th Street, Midlothian, IL 60445 | 2011-11-03 |
| 1063715498 | Amanda Rea Bird | Behavioral Analyst | 5415 129th Pl, Apt 4, Crestwood, IL 60445 | 2010-12-07 |
| 1831376615 | Plaza Nursing & Rehab Center, LLC | Durable Medical Equipment & Medical Supplies | 3249 W 147th St, Midlothiian, IL 60445 | 2008-01-24 |
| 1154475630 | Kevin Martin Bargamian | Dentist | 13549 South Cicero Avenue, Crestwood, IL 60445 | 2007-01-22 |
| Find all providers in zip 60445 | ||||
| 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 |
|---|---|---|---|---|
| 1922609965 | Nolan Batch | Pharmacist | 6501 Veterans Memorial Pkwy, Crestwood, KY 40014-8694 | 2020-11-05 |
| 1811598246 | Zuwena Shavers | Pharmacist | 4700 135th St, Crestwood, IL 60418-1405 | 2020-11-03 |
| 1205436862 | Linda Louise Scarnavack | Pharmacist | 4700 135th St, Crestwood, IL 60418-1405 | 2020-10-31 |
| 1861092611 | Brittany Vittitow | Pharmacist | 6501 Veterans Memorial Pkwy, Crestwood, KY 40014-8694 | 2020-10-30 |
| 1013517812 | Richard William Menard | Pharmacist | 6501 Veterans Memorial Pkwy, Crestwood, KY 40014-8694 | 2020-10-29 |
| 1841802196 | Patricia Marie Arteaga | Pharmacist | 13501 Cicero Ave, Crestwood, IL 60418-1934 | 2020-08-18 |
| 1598386716 | Tracy J Larsen | Pharmacist | 13601 Kenton Ave, Crestwood, IL 60418-1938 | 2020-04-28 |
| 1407499460 | Rebecca Souliotis | Pharmacist | 4700 135th St, Crestwood, IL 60418-1405 | 2019-10-22 |
| 1235409137 | Jennifer Kathleen Donovan | Pharmacist | 5071 Cal Sag Rd, (t-0868), Crestwood, IL 60445-1458 | 2012-01-09 |
| 1215213509 | Shavon Clark-howard | Pharmacist | 13501 Cicero Ave, Crestwood, IL 60445-1934 | 2011-10-31 |
| Find all providers in CRESTWOOD | ||||
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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.