DR. MARK J HOGAN (NPI# 1952691610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952691610 |
| Entity Type | Individual |
| Full Name | DR. MARK J HOGAN |
| Credential | PHARM.D., R.PH. |
| Practice Address |
4200 Rusty Rd Saint Louis MO 63128-1973 |
| Practice Telephone | 3148785125 |
| Mailing Telephone | 3148785125 |
| Enumeration Date | 2011-04-15 |
| Last Update Date | 2011-04-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 041654 | MO | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932646577 | Mark P Hogan | Contractor | 806 Delamar Ave Nw, Albuquerque, NM 87107-5122 | 2017-01-20 |
| 1578103016 | Mark Alan Hogan Jr. | Pharmacist | 110 S D St, Oskaloosa, IA 52577-3202 | 2020-01-13 |
| 1396917431 | Mark R Hogan | Acupuncturist | 1004 South Ave W, Missoula, MT 59801-7909 | 2008-03-28 |
| 1558454579 | Mark Graham Hogan | Emergency Medicine | 201 Hospital Rd, Canton, GA 30114-2408 | 2006-10-02 |
| 1104865468 | Mark J Hogan | Radiology | 700 Childrens Dr, Columbus, OH 43205-2664 | 2006-06-05 |
| Street Address |
4200 RUSTY RD |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63128-1973 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689680886 | Michael Walter Kline | Optometrist | 4200 Rusty Rd, Saint Louis, MO 63128-1973 | 2006-07-31 |
| 1558756429 | Costco Wholesale Corporation | Hearing Aid Equipment | 4200 Rusty Rd, Saint Louis, MO 63128-1973 | 2015-03-30 |
| 1497146476 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 4200 Rusty Rd, Saint Louis, MO 63128-1973 | 2015-02-11 |
| 1265799571 | Summer L Cajigal | Pharmacist | 4200 Rusty Rd, Saint Louis, MO 63128-1973 | 2012-04-12 |
| 1134494867 | Sarah Essner | Pharmacist | 4200 Rusty Rd, Saint Louis, MO 63128-1973 | 2012-03-13 |
| 1912278060 | Elisabeth D Knibb | Optometrist | 4200 Rusty Rd, Saint Louis, MO 63128-1973 | 2012-01-21 |
| 1235427576 | Stacy L Scatcherd | Pharmacist | 4200 Rusty Rd, Saint Louis, MO 63128-1973 | 2011-07-20 |
| 1730299355 | Costco Wholesale Corporation | Pharmacy | 4200 Rusty Rd, Saint Louis, MO 63128 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235771155 | James T Fetsch Dmd LLC | Dentist | 10004 Kennerly Rd Suite 240, Saint Louis, MO 63128 | 2019-10-11 |
| 1326504655 | Nikodem Dental Holdings | Dentist | 4337 Butler Hill Rd Suite G, St Louis Mo, MO 63128 | 2019-02-12 |
| 1932678505 | Michelle Anne Arvidson | Physical Therapy Assistant | Elite Physical Therapy, 12608 Lamplighter Square Shopping Center, St. Louis, MO 63128 | 2018-11-13 |
| 1245726710 | Kristen Rider | Nurse Practitioner | 9964 Kennerly Rd Ste D, Saint Louis, MO 63128 | 2018-07-07 |
| 1306217427 | Sophia Bednarski | Dentist | 12660 Lamplighter Square Shopping Center, St. Louis, MO 63128 | 2015-10-15 |
| 1427434224 | Darcie Burrus | Counselor | 12523 Old Tesson Rd G, St Louis, MO 63128 | 2015-08-04 |
| 1710368584 | Sara Hawatmeh | Internal Medicine | 12345 W Bend Dr Ste 304, Saint Louis, MO 63128 | 2015-06-17 |
| 1871989590 | Celia Grace Montes-kolence | Speech-Language Pathologist | 12335 W Bend Drive, Saint Louis, MO 63128 | 2015-04-09 |
| 1245629302 | Marius Antonio Evans | Dentist | 9911 Kennerly Rd., Suite G, St. Louis, MO 63128 | 2015-01-13 |
| 1801230313 | Sarah Elizabeth Walsh | Emergency Medicine | 10010 Kennerly Road, Emergency Department, St. Anthony's Medical Center, St. Louis, MO 63128 | 2013-04-26 |
| Find all providers in zip 63128 | ||||
| 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 |
|---|---|---|---|---|
| 1457959736 | Andrea Williams | Pharmacist | 13231 Windbrooke Ln, Saint Louis, MO 63146-2221 | 2020-10-09 |
| 1417564196 | Barbara Rodgers | Pharmacist | 4700 N Hanley Rd Ste 256, Saint Louis, MO 63134-2700 | 2020-09-28 |
| 1396358339 | Michael A Heltzel | Pharmacist | 630 Emerson Rd Apt 307, Saint Louis, MO 63141-6764 | 2020-08-28 |
| 1295345866 | Elyar Gasanli | Pharmacist | 159 Lindbergh Place Dr, Saint Louis, MO 63146-5902 | 2020-08-07 |
| 1063039360 | Brad Collins | Pharmacist | 4240 Duncan Ave Ste 200, Saint Louis, MO 63110-1123 | 2020-07-02 |
| 1932720182 | Thomas Valiaparampil | Pharmacist | 7328 Cheshire Ln, Saint Louis, MO 63123-2125 | 2020-04-29 |
| 1467080945 | Ehikhuemhen Enaholo | Pharmacist | 5132 Waterman Blvd Apt 209, Saint Louis, MO 63108-1137 | 2020-03-30 |
| 1700425204 | Mena Khaled | Pharmacist | 9031 Big Chief Dr, Saint Louis, MO 63123-6605 | 2019-12-31 |
| 1952964652 | Almir Muharemovic | Pharmacist | 1205 Mangrove Ln Apt 6, Saint Louis, MO 63125-5631 | 2019-04-17 |
| 1215496518 | Ryan Freund | Pharmacist | 1861 Craig Park Ct, Saint Louis, MO 63146-4122 | 2019-03-16 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63128 |
Please comment or provide details below to improve the information on DR. MARK J HOGAN.
| 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.