DENNIS L. MOCK (NPI# 1457670325) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457670325 |
| Entity Type | Individual |
| Full Name | DENNIS L. MOCK |
| Credential | PHARMACIST, R.PH. |
| Practice Address |
918 East Fort Wayne Street Warsaw IN 46580-3435 |
| Practice Telephone | 5742672774 |
| Mailing Telephone | 5742672774 |
| Enumeration Date | 2010-05-18 |
| Last Update Date | 2014-07-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 26012530A | IN | Pharmacy Service Providers |
| N | 174H00000X | Health Educator | 26012530A | IN | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | PHARMACIST, LICENSE INDIANA | 26012530A | 01 |
| Street Address |
918 EAST FORT WAYNE STREET |
| City | WARSAW |
| State | IN |
| Zip Code | 46580-3435 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346803772 | Amber Rae Parker | Physical Therapy Assistant | 2695 Shelden St., Warsaw, IN 46580 | 2019-04-22 |
| 1194255794 | Tyler Scott Kronk | Counselor | 105 Enterprise Drive, Warsaw, IN 46580 | 2017-06-15 |
| 1306244231 | Indiana Physical Therapy, Inc. | Clinic/Center | 3300 Lake City Hwy., Warsaw, IN 46580 | 2014-12-09 |
| 1922434687 | Yen Thi Vu | Pharmacist | 2400 East Center St, Warsaw, IN 46580 | 2013-09-25 |
| 1982956934 | Marsha Lynn Dreyer | Occupational Therapy Assistant | 300 E. Prairie Street, Warsaw, IN 46580 | 2012-10-15 |
| 1215286109 | Planned Parenthood of Indiana Warsaw | Clinic/Center | 630 S. Buffalo St., Suite 1, Warsaw, IN 46580 | 2012-09-06 |
| 1952636243 | Magdi Gabriel | Orthopaedic Surgery | 2087 Phaesant Ridge Drive, Warsaw, IN 46580 | 2009-10-05 |
| 1316132996 | Assisted Living Concepts Inc | Assisted Living Facility | 425 Chinworth Court, Warsaw, IN 46580 | 2007-09-07 |
| 1598986101 | Ericka Ester Haynes | Occupational Therapist | 900 Provident Drive, Warsaw, IN 46580 | 2007-05-01 |
| 1881819555 | Hartwiger Enterprises, Inc. | Home Health | 3510 Commerce Dr., Warsaw, IN 46580 | 2007-04-16 |
| Find all providers in zip 46580 | ||||
| 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 |
|---|---|---|---|---|
| 1922434687 | Yen Thi Vu | Pharmacist | 2400 East Center St, Warsaw, IN 46580 | 2013-09-25 |
| 1326338229 | Ginger Steele Branscomb | Pharmacist | 4672 Richmond Road, Warsaw, VA 22572-1298 | 2011-04-12 |
| 1912206160 | Beshoui W Amin | Pharmacist | 4671 Richmond Rd, Warsaw, VA 22572-3137 | 2011-03-26 |
| 1629391297 | Allan Herbison Smith | Pharmacist | 2348 Rt.19, Warsaw, NY 14569-9735 | 2010-03-10 |
| 1225120983 | Roxanne T Whalen | Pharmacist | 2280 Provident Ct Ste D, Warsaw, IN 46580-3284 | 2006-09-29 |
| 1912004326 | Jacqueline Ann Lowe | Pharmacist | 500 S Buffalo St, Warsaw, IN 46580-4307 | 2006-09-20 |
| 1144325200 | Denise Lynn Schue | Pharmacist | 2306 Dubois Drive, Warsaw, IN 46580 | 2006-09-13 |
| 1073562880 | Tera A. Teachout | Pharmacist | 2280 Provident Ct, Ste D, Warsaw, IN 46580-3284 | 2006-05-09 |
| 1740238138 | Krissa J Crawford | Pharmacist | 2211 E Center St, Warsaw, IN 46580-3719 | 2006-05-05 |
| 1942260393 | Lorne J Gay | Pharmacist | 75 N Main St, Warsaw, NY 14569-1343 | 2006-03-27 |
| Find all providers in WARSAW | ||||
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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.