DR. MARCUS M STAVCHANSKY (NPI# 1073654661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073654661 |
| Entity Type | Individual |
| Full Name | DR. MARCUS M STAVCHANSKY |
| Credential | PHARM.D. |
| Practice Address |
1341 W Mockingbird Ln Suite #400 E Dallas TX 75247-6913 |
| Mailing Address |
4604 Bretton Bay Ln Dallas TX 75287-6803 |
| Practice Telephone | 2146479312 |
| Mailing Telephone | 5127976470 |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2012-07-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 39396 | TX | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | PHARMACY LICENSE | 39396 | 01 |
| Street Address |
1341 W MOCKINGBIRD LN SUITE #400 E |
| City | DALLAS |
| State | TX |
| Zip Code | 75247-6913 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346243151 | Michael C Fitzpatrick | Specialist | 1341 W Mockingbird Ln, Mockingbird Towers, Ste 710e, Dallas, TX 75247-6913 | 2005-05-24 |
| 1083247522 | Nina Anunobi | Nurse Practitioner | 1341 W Mockingbird Ln, Dallas, TX 75247-6913 | 2020-02-12 |
| 1770046807 | Willybroad Che | Nurse Practitioner | 1341 W Mockingbird Ln, Dallas, TX 75247-6913 | 2019-04-06 |
| 1417322157 | Premiere Counseling and Recovery Services | Counselor | 1341 W Mockingbird Ln, Suite 600, West Tower, Dallas, TX 75247-6913 | 2015-12-07 |
| 1215241211 | John G Mchenry Md Mph Pllc | Ophthalmology | 1341 W Mockingbird Ln, Suite 241, Dallas, TX 75247-6913 | 2010-08-02 |
| 1811223993 | Carestaf of Dallas, Lp | Home Health | 1341 W Mockingbird Ln, Suite 242w, Dallas, TX 75247-6913 | 2009-10-26 |
| 1588899256 | Peter Choi | Internal Medicine | 1341 W Mockingbird Ln, Suite 240e, Dallas, TX 75247-4971 | 2009-05-24 |
| 1477725398 | Lifespan Pharmacy Inc | Pharmacy | 1341 W Mockingbird Ln, Suite 304w, Dallas, TX 75247 | 2008-04-01 |
| 1548310691 | Bahar Anbar | Physician Assistant | 1341 W Mockingbird Ln, Mockingbird Towers, Ste 710e, Dallas, TX 75247-6913 | 2007-01-11 |
| 1104975655 | Jeanelle Leilani Kam | Obstetrics & Gynecology | 1341 W Mockingbird Ln, Suite 200 E, Dallas, TX 75247-6913 | 2007-01-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558973842 | Paramount Medical Rehabilitation LLC | Clinic/Center | 8585 North Stemmons Freeway Ste 107-s, Dallas, TX 75247 | 2020-08-19 |
| 1750916144 | Sunshine Kids Pediatric Day Center, LLC | Nursing Care | 9127-9131 King Arthur Boulevard, Dallas, TX 75247 | 2020-03-06 |
| 1740789924 | Jennifer Pauli | Nurse Practitioner | 7610 N Stemmons Fwy Ste 360, Dallas, TX 75247 | 2018-02-02 |
| 1669991097 | Kai Medical Laboratories, LLC | Pathology | 8230 Elmbrook Dr Ste 200, Dallas, TX 75247 | 2017-09-18 |
| 1174055610 | Hoa Perkins | Technician/Technologist | 1499 Regal Row Suite 505a, Dallas, TX 75247 | 2017-04-03 |
| 1376910018 | Integron LLC | Clinical Medical Laboratory | 5139 Sharp Street, Dallas, TX 75247 | 2015-08-28 |
| 1710364575 | T.e.a.m. | Community/Behavioral Health | 1140 Empire Central Blvd, 520, Dallas, TX 75247 | 2015-04-30 |
| 1093053126 | Guardian Health Systems Aurora | Pharmacy | 7920 Elmbrook Drive Suite 108, Suite 108, Dallas, TX 75247 | 2013-01-24 |
| 1457665317 | Pediatric Home Healthcare, LLC | Home Health | 1341 W Mockingbird Ln Ste 245e, Dallas, TX 75247 | 2010-08-03 |
| 1275846388 | Another Chancee, Inc. | Social Worker | 1140 Empire Central Drive, Suite 260, Dallas, TX 75247 | 2010-07-17 |
| Find all providers in zip 75247 | ||||
| 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 |
|---|---|---|---|---|
| 1922608629 | Harshadbhai Vinubhai Patel | Pharmacist | 3615 Marietta Highway, Dallas, GA 30157 | 2020-10-30 |
| 1205436599 | Jessica Badders | Pharmacist | 6185 Retail Rd Ste 100, Dallas, TX 75231-7807 | 2020-10-27 |
| 1144820358 | Saad Sajid | Pharmacist | 4062 Lyndon B Johnson Fwy, Dallas, TX 75244-5701 | 2020-10-27 |
| 1417554882 | Ravindrakumar G Amipara | Pharmacist | 3201 Malcolm X Blvd, Dallas, TX 75215-2430 | 2020-10-07 |
| 1558973628 | Hisham Beshir | Pharmacist | 3802 Cedar Rprings Rd, Dallas, TX 75219-4136 | 2020-08-20 |
| 1497367858 | Devyn Giselle Pontzer | Pharmacist | 2802 N Carroll Ave Apt 3301, Dallas, TX 75204-3067 | 2020-08-18 |
| 1922619501 | Jorge Luis Gregorisch | Pharmacist | 2323 W Illinois Ave, Dallas, TX 75224-1637 | 2020-08-16 |
| 1427679059 | Kevon Jason Pierre | Pharmacist | 242 Arbor Creek Dr, Dallas, GA 30157-5536 | 2020-05-05 |
| 1700416658 | Rukayat Azeez | Pharmacist | 990 Singleton Blvd Apt 1554, Dallas, TX 75212-5276 | 2020-01-20 |
| 1205473279 | Olakunle Olabode | Pharmacist | 5675 Mountain Hollow Dr, Dallas, TX 75249-2028 | 2019-12-09 |
| Find all providers in DALLAS | ||||
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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.