MRS. STACEY ANN MCGOVERN (NPI# 1144409467) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144409467 |
| Entity Type | Individual |
| Full Name | MRS. STACEY ANN MCGOVERN |
| Credential | RPH |
| Practice Address |
614 Columbia Tpke East Greenbush NY 12061-1610 |
| Mailing Address |
351 Fairview Ave Hudson NY 12534 |
| Practice Telephone | 5184794230 |
| Mailing Telephone | 5188220076 |
| Enumeration Date | 2007-11-02 |
| Last Update Date | 2020-05-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 041447 | NY | Pharmacy Service Providers |
| Street Address |
614 COLUMBIA TPKE |
| City | EAST GREENBUSH |
| State | NY |
| Zip Code | 12061-1610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447867288 | Mariam S Gawdat | Pharmacist | 614 Columbia Tpke, East Greenbush, NY 12061-1610 | 2020-09-25 |
| 1619493947 | Lindsay M Itro | Pharmacist | 614 Columbia Tpke, East Greenbush, NY 12061-1610 | 2017-08-17 |
| 1124544945 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 614 Columbia Tpke, East Greenbush, NY 12061-1610 | 2017-08-15 |
| 1346562071 | Nicole Ann Urschel | Pharmacist | 614 Columbia Tpke, East Greenbush, NY 12061-1610 | 2010-02-22 |
| 1104007541 | April Michelle Gootz | Pharmacist | 614 Columbia Tpke, East Greenbush, NY 12061-1610 | 2007-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285096040 | Anne Keetz Redmond | Specialist | 673 Columbia Turnpike, Capital District Beginnings, East Greenbush, NY 12061 | 2016-03-22 |
| 1649523010 | James Mcdermott | Counselor | 743 Columbia Turnpike, East Greenbush, NY 12061 | 2012-10-22 |
| 1851606222 | Caley S Barile | Dentist | 114 Troy Road, East Greenbush, NY 12061 | 2010-08-10 |
| 1932334489 | Kathleen Kern Saunders | Social Worker | 22 Bri Lan Ave., East Greenbush, NY 12061 | 2009-05-27 |
| 1326148313 | Richard D Shade Jr. | Chiropractor | 569 Columbia Turnpike, East Greenbush, NY 12061 | 2006-09-22 |
| 1831207257 | Rensselaer Planning LLC | Assisted Living Facility | 1070 Luther Road, East Greenbush, NY 12061 | 2006-08-26 |
| 1891759296 | Kanchan P Singh | Optometrist | 609 Columbia Turnpike, Empire Vision Centers, East Greenbush, NY 12061 | 2006-04-13 |
| 1245706613 | East Greenbush Chiropractic Pllc | Chiropractor | 569 Columbia Turnpike, East Greenbush, NY 12061 | 2018-10-23 |
| 1639645419 | East Greenbush Chiropractic Pllc | Chiropractor | 569 Columbia Turnpike, East Greenbush, NY 12061 | 2018-10-18 |
| 1508385436 | Cara Della Villa | Specialist | 673 Columbia Turnpike, East Greenbush, NY 12061 | 2017-09-12 |
| Find all providers in zip 12061 | ||||
| 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 |
|---|---|---|---|---|
| 1083236327 | Lisa Gabriel | Pharmacist | 63 Parkridge Dr, East Greenbush, NY 12061-3635 | 2020-05-09 |
| 1447867288 | Mariam S Gawdat | Pharmacist | 614 Columbia Tpke, East Greenbush, NY 12061-1610 | 2020-09-25 |
| 1619493947 | Lindsay M Itro | Pharmacist | 614 Columbia Tpke, East Greenbush, NY 12061-1610 | 2017-08-17 |
| 1033432125 | Janet Rokjer | Pharmacist | 596 Columbia Tpke, East Greenbush, NY 12061-1617 | 2010-03-04 |
| 1245552538 | Krista Marie Nelson | Pharmacist | 598 Columbia Tpke, East Greenbush, NY 12061-1622 | 2010-02-27 |
| 1346562071 | Nicole Ann Urschel | Pharmacist | 614 Columbia Tpke, East Greenbush, NY 12061-1610 | 2010-02-22 |
| 1063699486 | Saury Damaris Elfeldt | Pharmacist | 596 Columbia Tpke, East Greenbush, NY 12061-1617 | 2008-01-28 |
| 1104007541 | April Michelle Gootz | Pharmacist | 614 Columbia Tpke, East Greenbush, NY 12061-1610 | 2007-11-14 |
| 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 | ||||
| City | EAST GREENBUSH |
| Zip Code | 12061 |
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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.