NICOLETTE S MAILLIS (NPI# 1598101107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598101107 |
| Entity Type | Individual |
| Full Name | NICOLETTE S MAILLIS |
| Credential | PHARMD |
| Practice Address |
536 E Fairy Chasm Rd Bayside WI 53217-1810 |
| Practice Telephone | 4142172388 |
| Mailing Telephone | 4142172388 |
| Enumeration Date | 2013-05-22 |
| Last Update Date | 2013-05-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 1338840 | WI | Pharmacy Service Providers |
| Street Address |
536 E FAIRY CHASM RD |
| City | BAYSIDE |
| State | WI |
| Zip Code | 53217-1810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922632587 | Jasmine Dockery | Pharmacist | 5400 N Port Washington, Glendale, WI 53217 | 2020-02-23 |
| 1174017339 | North Lakes Nursing Home Health Care Agency LLC | Home Health | 225 E Fairmount Ave, Milwaukee, WI 53217 | 2018-06-20 |
| 1083140289 | Miriah Ann King, Ms, Lpc | Counselor | 7805 North Boyd Way, Fox Point, WI 53217 | 2017-05-08 |
| 1245783067 | Lakesha L Jones | Counselor | 5235 N Ironwood Rd, Glendale, WI 53217 | 2016-07-28 |
| 1750783312 | Ibrahim S Abouzeid | Specialist/Technologist, Other | 333 W Brown Deer Road, #240, Milwaukee, WI 53217 | 2014-09-25 |
| 1255733598 | Victoria Gorodetsky | Pharmacist | 229 W Indian Creek Ct, Milwaukee, WI 53217 | 2014-09-18 |
| 1174800049 | John Herman Esser | Internal Medicine | 1050 W Acacia Rd, Milwaukee, WI 53217 | 2011-11-07 |
| 1710298351 | Leann M Harman | Physical Therapist | 5333 N Port Washington Rd Ste B, Glendale, WI 53217 | 2010-06-29 |
| 1306012455 | Emily Marie Gallagher | Speech-Language Pathologist | 6700 N. Port Washington Road, Milwaukee, WI 53217 | 2008-05-07 |
| 1164625455 | Mary Catherine Enderlin | Psychologist | 6110 N Port Washington Road, The Cambridge Group, Glendale, WI 53217 | 2007-06-06 |
| Find all providers in zip 53217 | ||||
| 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 |
|---|---|---|---|---|
| 1659912442 | Katherine Cindy Hong | Pharmacist | 20206 Rocky Hill Rd Apt B1, Bayside, NY 11361-3008 | 2019-10-02 |
| 1881175826 | Eva Mui | Pharmacist | 212 Northern Blvd, Bayside, NY 11361 | 2018-08-28 |
| 1689154908 | Sunga Kwon | Pharmacist | 4625 215th St, Bayside, NY 11361-3345 | 2018-08-16 |
| 1659731958 | Amanda Ishak | Pharmacist | 1855 Corporal Kennedy St Apt 1d, Bayside, NY 11360-1459 | 2016-02-29 |
| 1194184507 | Eunji Oh | Pharmacist | 219-15 B Northern Blvd, Bayside, NY 11365-3647 | 2016-02-12 |
| 1841668514 | Meiyi Fu | Pharmacist | 21350 34th Rd Fl 2, Bayside, NY 11361-1708 | 2015-09-10 |
| 1760850887 | Sonya Kim | Pharmacist | 4731 216th St, 3d, Bayside, NY 11361-3419 | 2015-09-04 |
| 1891162616 | Rahisa Jamal | Pharmacist | 3608 205th St, Bayside, NY 11361-1236 | 2015-08-27 |
| 1306223979 | Jayoung Park | Pharmacist | 1612 Bell Blvd Fl 2, Bayside, NY 11360-1640 | 2015-05-02 |
| 1003208760 | Ok Chung | Pharmacist | 21012 39th Ave, 3 Floor, Bayside, NY 11361-1910 | 2015-03-04 |
| Find all providers in BAYSIDE | ||||
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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.