MARSHALL GORDON


Address: 1121 Pacific Ave, Lansing, MI 48910-3564
Phone: 5174855874

MARSHALL GORDON (NPI# 1801160551) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1801160551
Entity Type Individual
Full Name MARSHALL GORDON
Practice Address 1121 Pacific Ave
Lansing
MI 48910-3564
Practice Telephone 5174855874
Mailing Telephone 5174855874
Enumeration Date 2012-02-28
Last Update Date 2012-02-28
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 183500000X Pharmacist 5302022127 MI Pharmacy Service Providers

Office Location

Street Address 1121 PACIFIC AVE
City LANSING
State MI
Zip Code 48910-3564

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NPI Name Taxonomy Address Enumeration
1821604562 Wendy Lynne Hughes Licensed Practical Nurse 2025 S Washington Ave Suite 210 Lansing, Mi 48910, Lansing, MI 48910 2020-09-18
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1487284279 Kourtia Nicole Munson Counselor 2025 S Washighton Ave, Suite 210, Lansing, MI 48910 2020-01-21
1699248112 Cedar Pharmacy LLC Pharmacy 2513 S Cedar St., Lansing, MI 48910 2019-01-08
1134604390 Kazuho Kondo Student in an Organized Health Care Education/Training Program 3338 Beau Jardin Dr., 0812, Lansing, MI 48910 2018-10-03
1477036655 Dalia Elgohary Pharmacist 5016 S Martin Luther King, Lansing, MI 48910 2018-09-13
1457856940 Derrick Lynn Byrd Social Worker 4305 S. Cedar St., Lansing, MI 48910 2018-03-27
1326564964 Lansing Health Supplies Durable Medical Equipment & Medical Supplies 3105 S Martin Luther King Blvd #320, Lansing, MI 48910 2017-08-15
1265957203 Heather E Dover Dietitian, Registered 2510 Solomon Dr, Lansing, MI 48910 2017-08-10
1407307705 Elise Evans Occupational Therapist 2331 East Jolly Rd, Suite B, Lansing, MI 48910 2016-10-21
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Taxonomy Information

Taxonomy Code 183500000X
Grouping Pharmacy Service Providers
Classification Pharmacist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1053945055 Ali Mchawrab Pharmacist 5118 S Mlk Blvd, Lansing, MI 48911-3536 2020-02-27
1093348195 Snehal Patel Pharmacist 5118 S Martin Luther King Jr Blvd, Lansing, MI 48911-3536 2020-02-17
1356857296 Robert P Ross Pharmacist 1601 E Michigan Ave Ste 2, Lansing, MI 48912-2894 2017-12-14
1205382249 Mohammed Zohair Vaid Pharmacist 3106 E Saginaw St, Lansing, MI 48912-4712 2016-08-30
1215367149 Thomas Ball Pharmacist 5125 W Saginaw, Lansing, MI 48917 2013-11-13
1730513862 Eric D Roath Pharmacist 408 Kalamazoo Plz, Lansing, MI 48933-1901 2013-08-26
1619301090 C Arla Avis Vinson Pharmacist 17355 Torrence Ave, Lansing, IL 60438-1018 2013-08-21
1164774659 Bona Birki Gada Pharmacist 2410 W. Willow St, Apt A203, Lansing, MI 48917 2012-10-08
1699037515 Sandra Angela Campbell Pharmacist 7006 Captiva Dr, Lansing, MI 48917-5821 2012-06-15
1154604916 Aaron Michael Plas Pharmacist 3404 S Martin Luther King Blvd, Lansing, MI 48910-4339 2011-09-27
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Competitor

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City LANSING
Zip Code 48910

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Dataset Information

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.

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