MR. BOB EDWARD MANDERNACK (NPI# 1780649145) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780649145 |
| Entity Type | Individual |
| Full Name | MR. BOB EDWARD MANDERNACK |
| Other Name | MR. ROBERT EDWARD MANDERNACK |
| Credential | P.PH. |
| Practice Address |
6061 S Willow Dr Greenwood Village CO 80111-5103 |
| Mailing Address |
9956 Cottoncreek Dr Littleton CO 80130-3823 |
| Practice Telephone | 8778398121 |
| Practice Fax Number | 8772890617 |
| Mailing Telephone | 3032840295 |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 183500000X | Pharmacist | 13062 | CA | Pharmacy Service Providers |
| X | 183500000X | Pharmacist | ID | Pharmacy Service Providers |
| Street Address |
6061 S WILLOW DR |
| City | GREENWOOD VILLAGE |
| State | CO |
| Zip Code | 80111-5103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922637552 | Aaron Joseph Rushing | Anesthesiologist Assistant | Us Anesthesia Partners of Colorado, Inc, 8000 E. Maplewood Ave., Suite 200, Greenwood Village, CO 80111 | 2020-04-06 |
| 1003381252 | Bing Xu | Non-emergency Medical Transport (VAN) | 9000 E Caley Way, Greenwood Village, CO 80111 | 2018-10-03 |
| 1669963146 | Deborah G. Aragon | Physician Assistant | 6229 S. Iola Wy, Englewood, CO 80111 | 2018-05-21 |
| 1902343718 | Jennifer Bielefeld | Registered Nurse | 6162 South Willow Dr., Suite 100, Greenwood Village, CO 80111 | 2017-01-31 |
| 1225589807 | Osama M Kassab | Chiropractor | 5690 Dtc Blvd Ste 140e, Greenwood Village, CO 80111 | 2016-10-19 |
| 1891242400 | Samantha Fiegel | Counselor | 6021 S Syracuse Way Ste 216, Greenwood Village, CO 80111 | 2016-09-01 |
| 1831644368 | Melissa Fischer Alconcel | Dentist | 8940 E. Crescent Parkway, Suite 370, Greenwood Village, CO 80111 | 2016-08-25 |
| 1245680263 | Carron Maclean | Counselor | 5310 Dtc Pkwy Ste A, Greenwood Village, CO 80111 | 2016-06-21 |
| 1326493792 | Insight Psychotherapy LLC | Counselor | 7350 E Progress Place, Suite 100, Greenwood Village, CO 80111 | 2016-05-04 |
| 1457705410 | Amy Flora | Occupational Therapist | 5750 Dtc Pkwy #170, Greenwood Village, CO 80111 | 2016-04-15 |
| Find all providers in zip 80111 | ||||
| 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 |
|---|---|---|---|---|
| 1235299884 | Ronald Kennedy | Pharmacist | 36 Silver Fox Cir, Greenwood Village, CO 80121-2129 | 2006-12-12 |
| 1336755107 | Melissa Beyarslan | Pharmacist | 6000 S Holly St, Greenwood Village, CO 80111-4251 | 2020-09-17 |
| 1710420138 | Sara Maichle | Pharmacist | 6000 S Holly St, Greenwood Village, CO 80111-4251 | 2016-12-02 |
| 1306390687 | Tracey Laessig | Pharmacist | 4910 S Yosemite St, Greenwood Village, CO 80111-1383 | 2016-08-04 |
| 1871962464 | Yevgeniya Lvovskiy Scherbak | Pharmacist | 4910 S Yosemite St, Greenwood Village, CO 80111-1383 | 2015-09-24 |
| 1174991285 | Carol Benzing | Pharmacist | 8301 E Prentice Ave, Suite 207, Greenwood Village, CO 80111-2903 | 2015-09-04 |
| 1427424795 | Veronica Lucas | Pharmacist | 6767 S Clinton St, Greenwood Village, CO 80112-3617 | 2015-08-20 |
| 1508269168 | Ashley Marrs | Pharmacist | 6767 S Clinton St, Greenwood Village, CO 80112-3617 | 2014-09-26 |
| 1447669049 | Alicia Garcia | Pharmacist | 4910 S Yosemite St, Greenwood Village, CO 80111-1383 | 2014-08-07 |
| 1922416940 | Nathan Dahlberg | Pharmacist | 6767 S Clinton St, Greenwood Village, CO 80112-3617 | 2014-07-23 |
| Find all providers in GREENWOOD VILLAGE | ||||
| City | GREENWOOD VILLAGE |
| Zip Code | 80111 |
Please comment or provide details below to improve the information on MR. BOB EDWARD MANDERNACK.
| 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.