MR. MARK ALAN PALMER (NPI# 1285761361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285761361 |
| Entity Type | Individual |
| Full Name | MR. MARK ALAN PALMER |
| Credential | R.PH. |
| Practice Address |
3000 Route 96 South Waterloo NY 13165 |
| Practice Telephone | 3155395263 |
| Mailing Telephone | 3155395263 |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 031886 | NY | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558547471 | Mark Palmer | Pharmacist | 3873 Rome St, Pulaski, NY 13142-2488 | 2008-01-10 |
| 1336261338 | Mark Palmer | Dentist | 8345 Walnut Hill Ln Ste 125, Dallas, TX 75231-4223 | 2007-04-03 |
| 1285774240 | Mark A Palmer | Nurse Anesthetist, Certified Registered | 1246 Sunset Hill Rd, Williston, VT 05495-9648 | 2007-02-07 |
| 1275512402 | Mark Wesley Palmer | Physical Therapist | 1115 Garth Brooks Blvd, Yukon, OK 73099-4106 | 2006-01-16 |
| 1528045945 | Mark A Palmer | Optometrist | 313 W Church St, Albion, NE 68620-1224 | 2005-12-28 |
| 1922006527 | Mark Louis Palmer | Dentist | 101 Ne Eads St, Newport, OR 97365-2840 | 2005-07-08 |
| 1194062158 | Mark Hilton Palmer | Pharmacist | 1395 Sw Martin Hwy, Palm City, FL 34990-3373 | 2013-01-10 |
| 1376804260 | Mark Palmer | Dentist | 810 W 8th St, Safford, AZ 85546-3109 | 2012-06-06 |
| 1992002232 | Mark Stephen Palmer | Dentist | 204 Mccollum Dr, Suite 103, Laramie, WY 82070-5103 | 2011-02-23 |
| 1366563736 | Mark A. Palmer | Dentist | 1910 Cochran Rd, Pittsburgh, PA 15220-1107 | 2007-04-03 |
| Street Address |
3000 ROUTE 96 SOUTH |
| City | WATERLOO |
| State | NY |
| Zip Code | 13165 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497284848 | Mary Reese | Registered Nurse | 31 Thurber Drive, Waterloo, NY 13165 | 2017-06-08 |
| 1841738788 | Kristina Marie Metz | Counselor | 31 Thurber Dr., Waterloo, NY 13165 | 2017-02-10 |
| 1902273675 | Elisabeth Rouse | Licensed Practical Nurse | 21 Oak St Apt A., Waterloo, NY 13165 | 2015-08-28 |
| 1164773735 | Stephen Frederick Hartman | Dentist | 107 North Virginia Street, Waterloo, NY 13165 | 2012-09-24 |
| 1417204355 | Ute E Gallert | Nurse Practitioner | 369 E. Main Street, Huntington Living Center, Waterloo, NY 13165 | 2012-08-09 |
| 1770803918 | Shelley Reeland | Massage Therapist | 1388 Rt 96 N, Waterloo, NY 13165 | 2010-06-10 |
| 1275856031 | Yecham Kumaraswamy | Pharmacist | 1963 Route 5&20 Street, Waterloo, NY 13165 | 2010-03-09 |
| 1801128632 | David Edward Janack | Pharmacist | 1860 North Road, Waterloo, NY 13165 | 2010-02-04 |
| 1336476753 | Laura Jane Miccuci | Pharmacist | 1963 Routes 5 & 20, Waterloo, NY 13165 | 2009-11-05 |
| 1528203759 | Joanne Farula Corey | Speech-Language Pathologist | 2932 Rt. 96, Waterloo, NY 13165 | 2008-12-02 |
| Find all providers in zip 13165 | ||||
| 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 |
|---|---|---|---|---|
| 1891395448 | Amanda Hurtt | Pharmacist | 961 N Market St Stop 1, Waterloo, IL 62298-1061 | 2020-10-31 |
| 1710599592 | Shane Cieri | Pharmacist | 570 Waterloo Geneva Rd, Waterloo, NY 13165-1240 | 2020-08-21 |
| 1386273159 | Samantha Lynn Lenzendorf | Pharmacist | N7121 Newville Rd, Waterloo, WI 53594-9534 | 2020-04-03 |
| 1548645070 | Rosie Callaghan | Pharmacist | 1929 Us Route 20, Waterloo, NY 13165-9453 | 2015-07-27 |
| 1801286612 | Dino Pitta | Pharmacist | N7421 Mulderink Ln, Waterloo, WI 53594-9437 | 2015-02-01 |
| 1255778825 | Laura J Peloquin | Pharmacist | 1825 Logan Ave Rm 551, Allen Hospital Anticoagulation Clinic, Waterloo, IA 50703-1916 | 2013-05-23 |
| 1508136201 | Mary Catherine Meier | Pharmacist | 1714 E Ridgeway Ave, Waterloo, IA 50702-3528 | 2012-01-11 |
| 1922375773 | David Calton | Pharmacist | 2027 Huntington Rd, Box 1528, Waterloo, IA 50701-6001 | 2011-11-22 |
| 1639452899 | Jane Workman Ivey | Pharmacist | 363 Ridgewood Dr, Waterloo, SC 29384-5011 | 2011-09-23 |
| 1033436993 | Amy Joleen Bucknell | Pharmacist | 146 W Dale St Ste 103, Waterloo, IA 50703-1901 | 2010-04-30 |
| Find all providers in WATERLOO | ||||
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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.