DR. MICHAEL RAYMOND BRODEUR (NPI# 1093805202) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093805202 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL RAYMOND BRODEUR |
| Credential | PHARMD,CGP,FASCP |
| Practice Address |
106 New Scotland Ave Albany College of Pharmacy Albany NY 12208-3425 |
| Mailing Address |
32 Surrey Mall Slingerlands NY 12159-9650 |
| Practice Telephone | 5186947386 |
| Mailing Telephone | 5184759282 |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835G0303X |
Pharmacist Specialization: Geriatric |
046286 | NY | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225375165 | Michael David Brodeur | Psychologist | 1815 Ne Wilson Rd, Pullman, WA 99164-0001 | 2013-01-11 |
| 1417290180 | Michael Norman Brodeur | Emergency Medicine | 2606 Hospital Blvd, 5 West, Corpus Christi, TX 78405-1804 | 2013-04-01 |
| 1245423938 | Michael Robert Brodeur Jr. | Chiropractor | 268 Highland Ave, Fall River, MA 02720-5402 | 2007-08-25 |
| Street Address |
106 NEW SCOTLAND AVE ALBANY COLLEGE OF PHARMACY |
| City | ALBANY |
| State | NY |
| Zip Code | 12208-3425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124024278 | Darren William Grabe | Pharmacist | 106 New Scotland Ave, Albany, NY 12208-3425 | 2005-06-23 |
| 1679174866 | Kylie Jurgeleit | Student in an Organized Health Care Education/Training Program | 106 New Scotland Ave, Albany, NY 12208-3425 | 2020-11-04 |
| 1346873908 | Artem Kitaychik | Student in an Organized Health Care Education/Training Program | 106 New Scotland Ave, Albany, NY 12208-3425 | 2020-02-21 |
| 1598304511 | Kelsey Hennig | Pharmacist | 106 New Scotland Ave, Albany, NY 12208-3425 | 2019-12-23 |
| 1649727678 | Albany College of Pharmacy and Health Sciences | Clinic/Center | 106 New Scotland Ave, Department of Pharmacy Practice, Albany, NY 12208-3425 | 2016-09-07 |
| 1578017679 | Jacqueline Helen Cleary | Pharmacist | 106 New Scotland Ave, Department of Pharmacy Practice, Albany, NY 12208-3425 | 2016-08-08 |
| 1801216049 | Joseph Carreno | Pharmacist | 106 New Scotland Ave, Albany, NY 12208-3425 | 2014-04-25 |
| 1679899843 | Magdalene Marie Assimon | Pharmacist | 106 New Scotland Ave, O'brien 231, Albany, NY 12208-3425 | 2010-04-13 |
| 1447483623 | Andrew Flynn | Pharmacist | 106 New Scotland Ave, Office 009c, Albany, NY 12208-3425 | 2009-09-03 |
| 1083846729 | Jacquelyn Canning | Pharmacist | 106 New Scotland Ave, Albany, NY 12208-3425 | 2009-08-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255959045 | Fatima Mahmood | Student in an Organized Health Care Education/Training Program | 47 New Scotland Ave, Department of Internal Medicine, Albany, NY 12208 | 2020-07-08 |
| 1861021784 | Jessica Anne Charles-larose | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept. of Family Medicine, Albany, NY 12208 | 2020-04-02 |
| 1235767211 | Michael Charles Harrington | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept. of Orthopedic Surgery, Albany, NY 12208 | 2020-03-27 |
| 1518594126 | Arkar Htoo | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept of Pathology, Albany, NY 12208 | 2020-03-24 |
| 1366079030 | Omar Merdan | Student in an Organized Health Care Education/Training Program | 47 New Scotland Ave, Dept of Medicine/pediatrics, Albany, NY 12208 | 2020-03-24 |
| 1306473079 | Sergo Gabunia | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept of General Surgery, Albany, NY 12208 | 2020-03-24 |
| 1205469392 | Cornell Andre Morris | Social Worker | Albany Stratton Va Medical Center, 113 Holland Avenue, Albany, NY 12208 | 2020-02-17 |
| 1558909234 | St. Peter's Health Partners Medical Associates, P.C. | Surgery | 319 South Manning Blvd Suite 310, Capital Region Colon & Rectal Surgery, Albany, NY 12208 | 2019-12-13 |
| 1912543265 | Meghan Rose Baxter | Social Worker | 58 Academy Rd., Albany, NY 12208 | 2019-11-21 |
| 1245883461 | Gwendolyn Medak | Registered Nurse | 15 New Scotland Ave, Albany, NY 12208 | 2019-07-17 |
| Find all providers in zip 12208 | ||||
| Taxonomy Code | 1835G0303X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Geriatric |
| A pharmacist who is certified in geriatric pharmacy practice is designated as a "Certified Geriatric Pharmacist" (CGP). To become certified, candidates are expected to be knowledgeable about principles of geriatric pharmacotherapy and the provision of pharmaceutical care to the elderly. |
| Notes: Source: Commission for Certification in Geriatric Pharmacy (www.ccgp.org) [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942532510 | Kelly Lynn Flynn | Pharmacist | 16 Walker Way, Albany, NY 12205-4995 | 2010-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265083935 | Joseph M Chionchio | Pharmacist | 79 Montgomery St, Goshen, NY 10924-1514 | 2019-09-24 |
| 1629629449 | Roma Pelizza-tichenor | Pharmacist | 1 Georgia Ln, Croton On Hudson, NY 10520-3405 | 2019-09-23 |
| 1396396206 | Golsa Zeiarati | Pharmacist | 19 Minkel Rd, Ossining, NY 10562-2127 | 2019-09-23 |
| 1447813159 | Saundra Seep | Pharmacist | 335 Parrish St Ste 1500, Canandaigua, NY 14424-1728 | 2019-04-18 |
| 1710301262 | Vincent J Wadcan | Pharmacist | 1 E Tremont Ave, Bronx, NY 10453-5838 | 2014-02-04 |
| 1497009542 | Robert George Wahler Jr. | Pharmacist | 234 Paradise Ln, Tonawanda, NY 14150-2813 | 2012-10-27 |
| 1992000814 | Anne Ettipio | Pharmacist | 28 Brookfield Ln, Unit 5, Cheektowaga, NY 14227-1971 | 2011-01-24 |
| 1063733509 | Donald Nicholas Vitello | Pharmacist | 2220 Clifton Park Rd, Schenectady, NY 12309-4002 | 2010-06-18 |
| 1275852030 | Ralph N. Comanzo | Pharmacist | 59 Hetchltown Rd, Scotia, NY 12309 | 2010-05-19 |
| 1578881496 | John Edward Palladino | Pharmacist | 18 Yardley Ct, Loudonville, NY 12211-2647 | 2010-05-17 |
| Find all providers with the same taxonomy | ||||
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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.