MARY J GAGNE (NPI# 1962810598) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962810598 |
| Entity Type | Individual |
| Full Name | MARY J GAGNE |
| Credential | PHARMD |
| Practice Address |
115 Seymour Drive Wal-mart Pharmacy Derby VT 05829 |
| Mailing Address |
115 Seymour Drive Wal-mart Pharmacy Newport VT 05855 |
| Practice Telephone | 8026248011 |
| Enumeration Date | 2014-07-28 |
| Last Update Date | 2016-10-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 033.0104313 | VT | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831109040 | Mary Lee Gagne | Clinical Nurse Specialist | 27 Park St, Psych Center, Hyannis, MA 02601-5230 | 2006-08-09 |
| Street Address |
115 SEYMOUR DRIVE WAL-MART PHARMACY |
| City | DERBY |
| State | VT |
| Zip Code | 05829 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619424298 | Walmart Stores East Lp | Pharmacy | 115 Seymour Drive, Derby, VT 05829-0000 | 2016-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730535493 | Daria Therese Torrisi | Social Worker | 57 Junior High Dr, Derby, VT 05829 | 2016-05-11 |
| 1972938991 | Michael Thomas Kentoski | Pharmacist | 4408 U.S. Route 5, Derby, VT 05829 | 2013-09-10 |
| 1023316494 | Tony J Graveline | Counselor | 181 Crawford Road, Derby, VT 05829 | 2011-03-08 |
| 1144434051 | Robert Charles Ianni Jr. | Pharmacist | 4408 Us Route 5, Derby, VT 05829 | 2007-05-09 |
| 1710029806 | Edward H. Stonebraker | Chiropractor | 562 Main Street, Derby, VT 05829 | 2007-02-13 |
| 1669547576 | Dennis E. Leblanc, D.d.s. | Dentist | 296 Main St., Derby, VT 05829 | 2006-11-24 |
| 1194331355 | Claudia M Alexander | Social Worker | 181 Crawford Road, Derby, VT 05829 | 2020-09-22 |
| 1366088825 | Marie N Mcgregor | Counselor | 181 Crawford Road, Derby, VT 05829 | 2019-11-20 |
| 1508428665 | Aaron Billings | Counselor | 181 Crawford Road, Derby, VT 05829 | 2019-06-28 |
| 1588139463 | Brandon Vanasse Dmd Pllc | Clinic/Center | 296 Main Street, Derby, VT 05829 | 2018-10-08 |
| Find all providers in zip 05829 | ||||
| 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 |
|---|---|---|---|---|
| 1043850704 | Anna Konopka | Pharmacist | 7 Benanto Dr, Derby, CT 06418-2247 | 2020-01-10 |
| 1972938991 | Michael Thomas Kentoski | Pharmacist | 4408 U.S. Route 5, Derby, VT 05829 | 2013-09-10 |
| 1801185830 | Richard Coutu | Pharmacist | 4408 Us Rte 5, Derby, VT 05829-0618 | 2011-03-30 |
| 1225219637 | Alan Joseph Sailer | Pharmacist | 6939 Erie Rd, Derby, NY 14047-9406 | 2007-11-14 |
| 1144434051 | Robert Charles Ianni Jr. | Pharmacist | 4408 Us Route 5, Derby, VT 05829 | 2007-05-09 |
| 1275687972 | Gary Damm | Pharmacist | 1101 N Woodlawn Blvd, Derby, KS 67037-2714 | 2007-01-22 |
| 1164461737 | William G Youngs | Pharmacist | 6914 Erie Rd, Derby, NY 14047-9665 | 2006-06-06 |
| 1104427533 | Nico Conorozzo | Pharmacist | 6939 Erie Rd, Derby, NY 14047-9406 | 2020-11-03 |
| 1326654856 | Mercedes Breann Dorsey | Pharmacist | 1101 N Rock Rd, Derby, KS 67037 | 2020-09-21 |
| 1053922617 | Roa A Ababneh | Pharmacist | 458 N Baltimore Ave, Derby, KS 67037-1606 | 2020-08-16 |
| Find all providers in DERBY | ||||
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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.