DR. MARYLOURDES BRUNDIGE (NPI# 1104165133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104165133 |
| Entity Type | Individual |
| Full Name | DR. MARYLOURDES BRUNDIGE |
| Credential | PHARMD |
| Practice Address |
1425 Portland Ave Rochester NY 14621-3001 |
| Practice Telephone | 5859223947 |
| Practice Fax Number | 5859223730 |
| Mailing Telephone | 5859223947 |
| Mailing Fax Number | 5859223730 |
| Enumeration Date | 2013-02-12 |
| Last Update Date | 2013-02-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
031187-1 | NY | Pharmacy Service Providers |
| Street Address |
1425 PORTLAND AVE |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14621-3001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881697605 | Joseph David Silverberg | Ophthalmology | 1425 Portland Ave, Rochester, NY 14621-3001 | 2005-05-24 |
| 1598372443 | Chengu Niu | Student in an Organized Health Care Education/Training Program | 1425 Portland Ave, Rochester, NY 14621-3011 | 2020-09-24 |
| 1194339085 | Latanya Denise Brown | Licensed Practical Nurse | 1425 Portland Ave, Rochester, NY 14621-3011 | 2020-09-08 |
| 1487267134 | Roberto M Voica | Pharmacist | 1425 Portland Ave, Rochester, NY 14621-3011 | 2020-08-24 |
| 1538770102 | Utsav Joshi | Student in an Organized Health Care Education/Training Program | 1425 Portland Ave, Rochester, NY 14621-3011 | 2020-08-16 |
| 1952911687 | Ido Goldenberg | Student in an Organized Health Care Education/Training Program | 1425 Portland Ave, Rochester, NY 14621-3011 | 2020-08-06 |
| 1669081378 | Carlos Alejandro Portales Castillo | Student in an Organized Health Care Education/Training Program | 1425 Portland Ave, Rochester, NY 14621-3011 | 2020-07-28 |
| 1427667617 | Varun Bhalla | Student in an Organized Health Care Education/Training Program | 1425 Portland Ave, Rochester, NY 14621-3011 | 2020-07-23 |
| 1871101550 | Tamer Salhab Altamimi | Student in an Organized Health Care Education/Training Program | 1425 Portland Ave, Rochester, NY 14621-3011 | 2020-07-17 |
| 1508474628 | Hafsa Faisal | Student in an Organized Health Care Education/Training Program | 1425 Portland Ave, Rochester, NY 14621-3011 | 2020-07-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619515327 | Patti Humphrey | Occupational Therapist | 1831 Ridge Rd. East, Rochester, NY 14621 | 2019-12-12 |
| 1861956682 | Sonya Thomas | Counselor | Sonya Thomas, 490 East Ridge Road, Rochester, NY 14621 | 2019-01-25 |
| 1811478357 | Laura Iannella | Student in an Organized Health Care Education/Training Program | 1455 East Ridge, Rochester, NY 14621 | 2018-08-23 |
| 1982180345 | Naman Sharma | Student in an Organized Health Care Education/Training Program | Rochester General Hospital, 1425 Portland Avenue, Rochester, NY 14621 | 2018-07-18 |
| 1699213447 | Kara Mcallister | Nurse Practitioner | 370 East Ridge Road, Suite 400, Rochester, NY 14621 | 2017-02-01 |
| 1285082982 | Universal Care Services, LLC | In Home Supportive Care | 64 Delamaine Drive, Rochester, NY 14621 | 2016-06-03 |
| 1700243896 | Kenroy King I | Registered Nurse | 67 Warsaw Street, Rochester, NY 14621 | 2016-01-21 |
| 1154794808 | Shari Venisee | Licensed Practical Nurse | 67 Carthage St, Rochester, NY 14621 | 2015-11-03 |
| 1114349024 | Anthony Michael Plavsity | Registered Nurse | 1450 Clifford Ave, Rochester, NY 14621 | 2014-01-11 |
| 1033541107 | The Community Place of Greater Rochester, Inc | Case Management | 500 Carter Street, Rochester, NY 14621 | 2013-07-31 |
| Find all providers in zip 14621 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770034100 | Oliver Fischer | Pharmacist | 630 E Snell Rd, Rochester, MI 48306-2141 | 2016-10-20 |
| 1104232123 | Alexandra Danforth | Pharmacist | 259 Monroe Ave Ste 100, Rochester, NY 14607-3632 | 2014-07-10 |
| 1982989554 | Ole Olson | Pharmacist | 3444 Limerick Ln Ne, Rochester, MN 55906-8038 | 2011-10-14 |
| 1043312176 | Jeremy R Anderson | Pharmacist | 3041 Stonehedge Dr Ne, Mayo Clinic Family Clinic Northeast, Rochester, MN 55906-5426 | 2006-09-01 |
| 1457958670 | Andrew Choma | Pharmacist | 601 Elmwood Ave, Rochester, NY 14642-0001 | 2020-10-01 |
| 1003383647 | Razan El Melik | Pharmacist | 200 1st St Sw, Rochester, MN 55905-0001 | 2018-11-01 |
| 1619483831 | Emily Rae Lyon | Pharmacist | 200 1st St Sw, Rochester, MN 55905-0001 | 2017-12-26 |
| 1104330828 | Aleksandr Fesyuk | Pharmacist | 430 Spencerport Rd, Rochester, NY 14606-5219 | 2017-11-17 |
| 1114463510 | Kobi Nathan | Pharmacist | 3690 East Ave, Rochester, NY 14618-3537 | 2017-01-10 |
| 1770992208 | Tae Smith | Pharmacist | 601 Elmwood Ave, Box 617, Rochester, NY 14642-0001 | 2014-08-08 |
| Find all providers in ROCHESTER | ||||
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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.