MARK JENSEN (NPI# 1558776096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558776096 |
| Entity Type | Individual |
| Full Name | MARK JENSEN |
| Practice Address |
1200 N Beaver St Flagstaff AZ 86001-3118 |
| Mailing Address |
5124 S Opal Rd Flagstaff AZ 86005-6808 |
| Practice Telephone | 9282142829 |
| Mailing Telephone | 9288148933 |
| Enumeration Date | 2014-06-24 |
| Last Update Date | 2014-06-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | S016875 | AZ | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801345541 | Mark Charles Jensen | Physical Therapist | 8219 W Shelby Rd, Shelby, MI 49455-9560 | 2016-09-22 |
| 1679894307 | Mark Jensen | Social Worker | 3601 S 6th Ave Bldg 90, Tucson, AZ 85723-0001 | 2010-06-16 |
| 1306062906 | Mark A Jensen | Dentist | 3018 N Argonne Rd, Spokane, WA 99212-2179 | 2007-04-18 |
| 1053443721 | Mark Allen Jensen | Dentist | 208 East Call Street, Algona, IA 50511 | 2007-03-09 |
| 1891847158 | Mark Steven Jensen | Chiropractor | 1008 Camino San Acacio, Santa Fe, NM 87505-5955 | 2007-01-17 |
| 1871693457 | Mark Alan Jensen | Psychologist | 414 Gough St Ste 6, San Francisco, CA 94102-4474 | 2006-09-24 |
| 1518079193 | Mark Joseph Jensen | Chiropractor | 401 N. West Street, Suite 113, Raleigh, NC 27603 | 2006-08-31 |
| 1184602351 | Mark H Jensen | Plastic Surgery | 1248 E 90 N Ste 103, American Fork, UT 84003-2954 | 2006-01-06 |
| 1760473920 | Mark J Jensen | Optometrist | 22530 Se 64th Pl, Ste 140, Issaquah, WA 98027-5353 | 2005-11-04 |
| 1093715062 | Mark A Jensen | Specialist | 2217 Dubois Dr, Warsaw, IN 46580-3212 | 2005-07-29 |
| Street Address |
1200 N BEAVER ST |
| City | FLAGSTAFF |
| State | AZ |
| Zip Code | 86001-3118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346241189 | Alvin B Elisco | Internal Medicine | 1200 N Beaver St, Fmc Hospitalists, Flagstaff, AZ 86001-3118 | 2005-08-02 |
| 1285240515 | Amika Noel | Nurse Anesthetist, Certified Registered | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2020-09-22 |
| 1669084190 | Margaret Grace Mcgough | Registered Nurse | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2020-08-17 |
| 1942818398 | Regan Rowson | Registered Nurse | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2020-07-21 |
| 1871118984 | Nancy Gloria Flores | Audiologist | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2020-06-15 |
| 1679100705 | Kristy Anderson | Occupational Therapist | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2020-03-26 |
| 1164058087 | Bryan J Ebeling | Nurse Practitioner | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2020-03-23 |
| 1447808407 | Bryce Aldworth Randall | Registered Nurse | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2019-09-03 |
| 1851952162 | Samuel Small | Nurse Practitioner | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2019-06-26 |
| 1235797283 | Rebecca R Boger | Dietitian, Registered | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2019-06-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427658756 | Marlenne Adair Escobar-mendoza | Specialist/Technologist | 1705 South San Francisco Street, Flagstaff, AZ 86001 | 2020-10-27 |
| 1962033712 | Laura-lee Prescott | Social Worker | Northern Az Va Healthcare System, Flagstaff Cboc, 1300 W. University Ave., Suite 300, Flagstaff, AZ 86001 | 2020-01-30 |
| 1194360784 | Trinity Medical Consultants Pllc | Internal Medicine | 1521 N Cliff Drive, Flagstaff, AZ 86001 | 2019-11-07 |
| 1154849610 | Altacare, LLC | Family Medicine | 2700 S Woodlands Village Blvd Ste 700, Flagstaff, AZ 86001 | 2017-09-05 |
| 1487174926 | Lindsey Marie Forstie | Nurse Practitioner | 7263 E Dreamview Trail, Flagstaff, AZ 86001 | 2017-06-26 |
| 1255860763 | Welbrook Senior Living Flagstaff LLC | Skilled Nursing Facility | 1521 N Pine Cliff Dr, Flagstaff, AZ 86001 | 2017-06-08 |
| 1912432675 | Ryan Tiscareno | Specialist/Technologist | 621 West Cherry Ave, Flagstaff, AZ 86001 | 2017-05-01 |
| 1629432380 | Behavioral Consultation Services, Inc. | Clinic/Center | 345 S. River Run Road, Suite 200, Flagstaff, AZ 86001 | 2016-04-08 |
| 1275920928 | Junli Gallagher | Speech-Language Pathologist | 1215 N. Beaver St, Flagstaff, AZ 86001 | 2015-04-21 |
| 1932592599 | Kristen Flugstad Psyd, LLC | Psychologist | 125 East Elm Avenue #203, Flagstaff, AZ 86001 | 2015-03-06 |
| Find all providers in zip 86001 | ||||
| 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 |
|---|---|---|---|---|
| 1346698917 | Ashlee Pugliano | Pharmacist | 66 W Separation Canyon Trl, Flagstaff, AZ 86005-8362 | 2016-05-24 |
| 1952738643 | Independent Pharmacy Solutions | Pharmacist | 6100 N Smokerise Dr, Flagstaff, AZ 86004-2772 | 2013-09-26 |
| 1912209719 | Payal Parekh | Pharmacist | 1500 E Cedar, Flagstaff, AZ 86004 | 2010-11-30 |
| 1528369758 | Jonathan S Gleeman | Pharmacist | 1500 E. Cedar Ave., Flagstaff, AZ 86004-1641 | 2010-11-04 |
| 1316247885 | Ronald H Burr | Pharmacist | 4910 N Highway 89, Flagstaff, AZ 86004 | 2010-10-29 |
| 1396059960 | Shannon Mccutcheon | Pharmacist | 1416 E Route 66, Flagstaff, AZ 86001-4820 | 2010-08-05 |
| 1285962209 | Dennis Peter Sperle | Pharmacist | 6300 N Us Highway 89, Flagstaff, AZ 86004-2761 | 2009-12-02 |
| 1235385998 | Chadwick Mellen | Pharmacist | 1300 W University Ave Ste 200, Flagstaff, AZ 86001-7228 | 2008-08-13 |
| 1710159041 | Douglas E. Baer Sr. | Pharmacist | 1808 N Edgewood St, Flagstaff, AZ 86004-8711 | 2008-03-27 |
| 1205025640 | Daniel Wayne Dalton | Pharmacist | 10332 E Palomino Rd, Flagstaff, AZ 86004-9102 | 2007-10-22 |
| Find all providers in FLAGSTAFF | ||||
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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.