DR. MARY ATHENA FISHER (NPI# 1891070710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891070710 |
| Entity Type | Individual |
| Full Name | DR. MARY ATHENA FISHER |
| Credential | PHARMD |
| Practice Address |
1606 Barnum Ave Stratford CT 06614 |
| Mailing Address |
287 Hamilton Ave Apt 4k Stamford CT 06902 |
| Practice Telephone | 2033772851 |
| Mailing Telephone | 7732907905 |
| Enumeration Date | 2011-10-12 |
| Last Update Date | 2011-10-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PCT.0011780 | CT | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770860140 | Mary Sue Fisher | Pharmacist | 14348 Murphy Cir W, Carmel, IN 46074-1101 | 2011-11-13 |
| 1316182710 | Mary Fisher | Occupational Therapist | 1000 South Ave Ste Ll2, Staten Island, NY 10314-3430 | 2008-12-13 |
| 1972750685 | Mary Grace Fisher | Nurse Practitioner | 141 Piedmont Avenue, Suite D, Georgia State University, Atlanta, GA 30303 | 2008-08-25 |
| 1639373343 | Mary Fisher | Speech-Language Pathologist | 3421 W Davis St Ste 210, Conroe, TX 77304-1846 | 2007-06-14 |
| 1417059635 | Mary Jill Fisher | Counselor | 1107 White St, Mccomb, MS 39648-2957 | 2006-09-01 |
| 1861401630 | Mary Margaret Fisher | Social Worker | 1222 Rochester Ave, Iowa City, IA 52245-3128 | 2006-08-07 |
| 1134144306 | Mary Beth Fisher | Nurse Practitioner | 451 James Madison Hwy, Suite 104, Culpeper, VA 22701-2360 | 2006-07-12 |
| 1184610784 | Mary V Fisher | Optometrist | 1626 N Litchfield Rd Ste 110, Goodyear, AZ 85395-1399 | 2005-09-20 |
| 1508869058 | Mary M Fisher | Dentist | 6010 W Maple Rd, Ste 210, West Bloomfield, MI 48322-4406 | 2005-05-28 |
| 1518483155 | Mary Ann Fisher | Social Worker | 1601 23rd Ave S, Nashville, TN 37212-3133 | 2017-08-16 |
| Street Address |
1606 BARNUM AVE |
| City | STRATFORD |
| State | CT |
| Zip Code | 06614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477568723 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1606 Barnum Ave, Stratford, CT 06614-5301 | 2006-07-29 |
| 1952918807 | Yan Wang | Pharmacist | 1606 Barnum Ave, Stratford, CT 06614-5301 | 2020-09-24 |
| 1609372580 | Olena Koval | Pharmacist | 1606 Barnum Ave, Stratford, CT 06614-5301 | 2018-04-01 |
| 1790291995 | Daune Alexis-bailey | Pharmacist | 1606 Barnum Ave, Stratford, CT 06614-5301 | 2017-12-26 |
| 1083153449 | Raymond W Hau | Pharmacist | 1606 Barnum Ave, Stratford, CT 06614-5301 | 2017-02-17 |
| 1154790665 | Sally Park | Pharmacist | 1606 Barnum Ave, Stratford, CT 06614-5301 | 2015-09-15 |
| 1346616083 | Michelle Yu | Pharmacist | 1606 Barnum Ave, Stratford, CT 06614-5301 | 2015-08-17 |
| 1811399363 | Ju-young Song | Pharmacist | 1606 Barnum Ave, Stratford, CT 06614-5301 | 2014-09-16 |
| 1215336151 | Anthony Ngo | Pharmacist | 1606 Barnum Ave, Stratford, CT 06614-5301 | 2014-08-16 |
| 1073862769 | Benny Chemmacheril Michael | Pharmacist | 1606 Barnum Ave, Stratford, CT 06614-5301 | 2012-09-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588139604 | David A Crosby | Physician Assistant | 125 Pumpkin Ground Road, Stratford, CT 06614 | 2018-10-04 |
| 1710489232 | Karen Marie Laconte | Naturopath | 720 Hilltop Dr, Stratford, CT 06614 | 2018-02-28 |
| 1972024693 | Amanda Wilson | Social Worker | 60 Edmund Street, Stratford, CT 06614 | 2017-07-03 |
| 1558801423 | Kristine Lynn Conlan | Physical Therapist | 55 Pasadena Ave., Stratford, CT 06614 | 2017-02-27 |
| 1811440258 | Seokwon Kwon | Dentist | 320 Boston Ave, Stratford, CT 06614 | 2016-08-02 |
| 1093176141 | Kathleen G Domek | Technician/Technologist | 150 Barnum Avenue Cut Off, Stratford, CT 06614 | 2016-03-17 |
| 1417328634 | Kelley Machado | Social Worker | 2127 Nichols Ave, Stratford, CT 06614 | 2015-10-14 |
| 1043629553 | Jennifer Woods-mesquita | Social Worker | 125 Greenlawn Ave, Stratford, CT 06614 | 2014-08-08 |
| 1437564010 | Jose R. Pacheco | Obstetrics & Gynecology | 120 Brightwood Ave, Stratford, CT 06614 | 2014-06-23 |
| 1740612829 | Stanley Brovender | General Practice | 773b Pontiac Lane, Stratford, CT 06614 | 2013-07-31 |
| Find all providers in zip 06614 | ||||
| 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 |
|---|---|---|---|---|
| 1477174878 | John Healey | Pharmacist | 85 Kenyon St, Stratford, CT 06614-2511 | 2020-04-27 |
| 1972013951 | Kacie Samantha Coleman | Pharmacist | 355 Hawley Ln, Stratford, CT 06614-1514 | 2017-10-04 |
| 1659722742 | James Trojanowski | Pharmacist | 1367 Broadbridge Ave, Stratford, CT 06615-5702 | 2016-06-29 |
| 1326408626 | Elliott Prussel | Pharmacist | 622b Onondaga Ln, Stratford, CT 06614-8320 | 2016-02-29 |
| 1346625936 | Andrew Lin | Pharmacist | 1111 Stratford Ave, 515, Stratford, CT 06615-6344 | 2015-07-23 |
| 1124453295 | Krunal Karavadia | Pharmacist | 25 S White Horse Pike, Stratford, NJ 08084-1520 | 2013-09-09 |
| 1366710485 | Elaine Zielinski | Pharmacist | 1 Hawley Lane, Stratford, CT 06614 | 2011-12-03 |
| 1386933026 | Rite Aide | Pharmacist | 3680 Main St, Stratford, CT 06614-4102 | 2011-04-04 |
| 1881907947 | Jon Leonard Weber | Pharmacist | 231 Cornell Ave, Stratford, NJ 08084-1121 | 2010-07-19 |
| 1205148699 | Binta D Amin | Pharmacist | 100 Warwick Rd. & Longwood Dr., Stratford, NJ 08084-2229 | 2010-07-14 |
| Find all providers in STRATFORD | ||||
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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.