DR. BRIAN DECKER (NPI# 1104008648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104008648 |
| Entity Type | Individual |
| Full Name | DR. BRIAN DECKER |
| Credential | PHARM D |
| Practice Address |
311 Route 9w Glenmont NY 12077-2909 |
| Practice Telephone | 5184321747 |
| Practice Fax Number | 5184327225 |
| Mailing Telephone | 5184321747 |
| Mailing Fax Number | 5184327225 |
| Enumeration Date | 2007-11-27 |
| Last Update Date | 2007-11-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 049698 | NY | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02522654 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487674610 | Brian C Decker II | Dentist | 7575 W University Ave, Suite P, Gainesville, FL 32607-7600 | 2006-07-20 |
| 1760421051 | Brian Joseph Decker | Nurse Practitioner | 1327 E 17th St, Idaho Falls, ID 83404 | 2006-06-05 |
| 1053840843 | Brian Decker | Counselor | 114 Genesee St, Utica, NY 13502-3508 | 2017-06-06 |
| 1861761157 | Brian Nutt Decker | Student in an Organized Health Care Education/Training Program | 200 N Greensboro St, Carrboro, NC 27510-1833 | 2011-12-15 |
| 1801809157 | Brian J Decker | Family Medicine | 7782 20th Ave, Jenison, MI 49428 | 2006-08-15 |
| Street Address |
311 ROUTE 9W |
| City | GLENMONT |
| State | NY |
| Zip Code | 12077-2909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154348381 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 311 Route 9w, Glenmont, NY 12077-2909 | 2006-07-16 |
| 1922386937 | Erica Cipriano Stevenson | Pharmacist | 311 Route 9w, Glenmont, NY 12077 | 2011-07-25 |
| 1760664122 | Treva Renee Braisted | Pharmacist | 311 Route 9w, Glenmont, NY 12077-2909 | 2007-11-28 |
| 1043323348 | Wal-mart Stores East, Lp | Technician/Technologist | 311 Route 9w, Glenmont, NY 12077-2909 | 2006-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497869846 | Michael V. Conte Dds, PC | Clinic/Center | 336 Glenmont Rd., Glenmont, NY 12077 | 2006-08-19 |
| 1275646655 | Golub Corporation | Pharmacy | Town Squire Plaza, 329 Glenmont Rd, Glenmont, NY 12077 | 2006-08-17 |
| 1477525137 | Jeffrey P Riker | Chiropractor | 398 Feura Bush Rd, Glenmont, NY 12077 | 2006-02-06 |
| 1154808483 | Lea Abel | Physician Assistant | 329 Glenmont Rd, Glenmont, NY 12077 | 2018-07-19 |
| 1831495076 | Heather Machabee | Registered Nurse | 328 Route 9w, Glenmont, NY 12077-2908 | 2011-02-07 |
| 1760723969 | Healthstat On-site Clinic/farm Family | Preventive Medicine | 344 Route 9w, Glenmont, NY 12077-2910 | 2013-03-13 |
| 1295912947 | Jeffrey G Middendorf | Pharmacist | 392 Feura Bush Rd, Glenmont, NY 12077-2954 | 2008-01-24 |
| 1548768021 | Glenmont Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 398 Feura Bush Rd, Glenmont, NY 12077-2954 | 2018-01-30 |
| 1508297730 | Robert Lacosta | Hearing Instrument Specialist | 398 Feura Bush Rd, Glenmont, NY 12077-2954 | 2013-12-13 |
| 1811212699 | Sidney M Balick | Pharmacist | 392 Feura Bush Rd, Glenmont, NY 12077-2954 | 2010-04-05 |
| Find all providers in zip 12077 | ||||
| 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 |
|---|---|---|---|---|
| 1295912947 | Jeffrey G Middendorf | Pharmacist | 392 Feura Bush Rd, Glenmont, NY 12077-2954 | 2008-01-24 |
| 1831378165 | Teresa A Kirchner | Pharmacist | 329 Glenmont Rd, Glenmont, NY 12077-3468 | 2007-11-02 |
| 1922386937 | Erica Cipriano Stevenson | Pharmacist | 311 Route 9w, Glenmont, NY 12077 | 2011-07-25 |
| 1811212699 | Sidney M Balick | Pharmacist | 392 Feura Bush Rd, Glenmont, NY 12077-2954 | 2010-04-05 |
| 1093038036 | Alan S Rosenblum | Pharmacist | 392 Feura Bush Rd, Glenmont, NY 12077-2954 | 2010-03-04 |
| 1336461680 | Constance Corbett | Pharmacist | 392 Feura Bush Rd, Glenmont, NY 12077-2954 | 2010-02-26 |
| 1760664122 | Treva Renee Braisted | Pharmacist | 311 Route 9w, Glenmont, NY 12077-2909 | 2007-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023619186 | Seta Crilley | Pharmacist | 17 Fishermans Dr, Port Washington, NY 11050-1733 | 2020-11-05 |
| 1528669603 | Caroline Preval | Pharmacist | 3333 New Hyde Park Rd, New Hyde Park, NY 11042-1204 | 2020-11-04 |
| 1275134686 | Chiranjit Kumar Saha | Pharmacist | 6128 Broadway, Woodside, NY 11377-2152 | 2020-11-03 |
| 1437759693 | Anthony So | Pharmacist | 8765 94th St, Woodhaven, NY 11421-2236 | 2020-10-27 |
| 1942809785 | Obaid Zia | Pharmacist | 106 Elm Ln, New Hyde Park, NY 11040-2406 | 2020-10-22 |
| 1235738915 | Vishal Pravinkumar Patel | Pharmacist | 3930 59th St Apt A6, Woodside, NY 11377-3401 | 2020-10-22 |
| 1447859491 | Iman Nagi Yahia | Pharmacist | 182 17th St Apt 2, Brooklyn, NY 11215-5374 | 2020-10-21 |
| 1518566827 | Vinson Eng | Pharmacist | 2629 Ocean Ave, Brooklyn, NY 11229-4552 | 2020-10-19 |
| 1114526324 | Victoria Wong | Pharmacist | 2643 E 18th St, Brooklyn, NY 11235-3625 | 2020-10-19 |
| 1487253803 | Michelle Liao | Pharmacist | 1845 Shore Pkwy, Brooklyn, NY 11214-6628 | 2020-10-19 |
| 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.