DR. HEATHER MARIE CLARKE (NPI# 1205141280) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205141280 |
| Entity Type | Individual |
| Full Name | DR. HEATHER MARIE CLARKE |
| Credential | PHARM D |
| Practice Address |
625 Broadhollow Rd Melville NY 11747-5006 |
| Mailing Address |
822 Whitebirch Ln Wantagh NY 11793-1605 |
| Practice Telephone | 6312938154 |
| Enumeration Date | 2010-08-13 |
| Last Update Date | 2010-08-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 54548 | NY | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275975864 | Heather N Clarke | Contractor | 3047 Hobart St, Apt 3j, Woodside, NY 11377-1463 | 2013-07-23 |
| 1184966426 | Heather Marie Clarke | Case Manager/Care Coordinator | 1430 Wilkins Cir, Casper, WY 82601-1336 | 2013-03-25 |
| 1588986624 | Heather Marie Clarke | Registered Nurse | 5 Computer Dr W, Albany, NY 12205-1659 | 2010-02-16 |
| 1003875998 | Heather Margaret Clarke | Midwife | 890 W Faris Rd, Suite 470, Greenville, SC 29605-4253 | 2006-03-21 |
| Street Address |
625 BROADHOLLOW RD |
| City | MELVILLE |
| State | NY |
| Zip Code | 11747-5006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073556031 | Sophia De Monte | Pharmacist | 625 Broadhollow Rd, Melville, NY 11747-5006 | 2006-06-14 |
| 1023468246 | Sean Patrick Mulligan | Pharmacist | 625 Broadhollow Rd, Melville, NY 11747-5006 | 2016-06-18 |
| 1083008304 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 625 Broadhollow Rd, Melville, NY 11747-5006 | 2015-03-25 |
| 1023400827 | Costco Wholesale Corporation | Hearing Aid Equipment | 625 Broadhollow Rd, Melville, NY 11747-5006 | 2015-03-03 |
| 1841494036 | Marie Prasad Sison | Optometrist | 625 Broadhollow Rd, Melville, NY 11747-5006 | 2007-06-12 |
| 1548488075 | Jasper Corso | Pharmacist | 625 Broadhollow Rd, Melville, NY 11747-5006 | 2007-04-22 |
| 1417067042 | Costco Wholesale Corporation | Pharmacy | 625 Broadhollow Rd, Melville, NY 11747 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891316139 | Shaina Flanzraich | Physical Therapist | 3237 1800 Walt Whitman Rd, 120, Melville, NY 11747 | 2020-04-28 |
| 1952943763 | Liana Danielle Maher | Behavior Technician | 225 Broadhallow Road Suite 402, Melville, NY 11747 | 2019-10-14 |
| 1114402096 | Anicka Inez Douglas | Behavior Technician | 225 Broadhollow Road Suite 402, Melville, NY 11747 | 2018-09-26 |
| 1962988717 | Brien Nina-louise Potter | Behavior Technician | 225 Broadhollow Road, Suite 402, Melville, NY 11747 | 2018-07-16 |
| 1750804951 | Iri: Innovative Resources for Independence | Intermediate Care Facility, Mentally Retarded | 922 Rainbow Commons Ct, Melville, NY 11747 | 2017-07-19 |
| 1386178127 | Marissa Zydor | Specialist | 538 Ny-110 #202, Melville, NY 11747 | 2017-04-19 |
| 1992236624 | Annmarie Irene Russo | Behavior Technician | 538 Ny-110, Suite 202, Melville, NY 11747 | 2017-03-24 |
| 1205378130 | Independent Group Home Living Program, Inc | Nursing Facility/Intermediate Care Facility | 914 Rainbow Commons, Melville, NY 11747 | 2016-11-09 |
| 1932641867 | Independent Group Home Living Program, Inc | Nursing Facility/Intermediate Care Facility | 917 Rainbow Commons, Melville, NY 11747 | 2016-11-09 |
| 1740732999 | Independent Group Home Living Program, Inc | Nursing Facility/Intermediate Care Facility | 924 Rainbow Commons, Melville, NY 11747 | 2016-11-03 |
| Find all providers in zip 11747 | ||||
| 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 |
|---|---|---|---|---|
| 1356707897 | Suprina S. Sheth | Pharmacist | 5 Twilight Ct, Melville, NY 11747-3221 | 2016-01-13 |
| 1447503222 | Jacqueline Krista Volpe | Pharmacist | 532 Broadhollow Rd Ste 104, Melville, NY 11747-3609 | 2012-10-18 |
| 1942518030 | Stephen L Francucci | Pharmacist | 32 Chateau Dr, Melville, NY 11747-4129 | 2010-09-22 |
| 1316264583 | Lyonel David Belony Jr. | Pharmacist | 1600 Walt Whitman Rd, Melville, NY 11747-3088 | 2010-04-28 |
| 1801110911 | Michael B Jablon | Pharmacist | 119 Madeira Blvd, Melville, NY 11747 | 2010-03-18 |
| 1750613121 | Glenn Schabel | Pharmacist | 1660 Walt Whitman Rd., Ste. 105, Melville, NY 11747-4160 | 2010-02-09 |
| 1568794261 | Lawrence Jay Sussman | Pharmacist | 459 Walt Whitman Rd, Melville, NY 11747-2106 | 2010-02-04 |
| 1801128673 | Anthony J D'amato | Pharmacist | 1660 Walt Whitman Rd Ste 105, Melville, NY 11747-4160 | 2010-02-04 |
| 1467609289 | Al Dossantos | Pharmacist | 1860 Walt Whitman Rd, Suite 700, Melville, NY 11747-3282 | 2008-08-22 |
| 1992916084 | Joseph J Patti | Pharmacist | 459 Rt 110, Melville, NY 11747 | 2007-05-24 |
| Find all providers in MELVILLE | ||||
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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.