MARK GILLIAM (NPI# 1659920494) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659920494 |
| Entity Type | Individual |
| Full Name | MARK GILLIAM |
| Credential | PHARMD |
| Practice Address |
270 Copperfield Blvd Ne Ste 101 Concord NC 28025-2443 |
| Practice Telephone | 7047849613 |
| Enumeration Date | 2019-09-04 |
| Last Update Date | 2019-09-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 29133 | NC | Pharmacy Service Providers |
| Street Address |
270 COPPERFIELD BLVD NE STE 101 |
| City | CONCORD |
| State | NC |
| Zip Code | 28025-2443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124060942 | Moose Drug Company | Pharmacy | 270 Copperfield Blvd Ne Ste 101, Concord, NC 28025-2443 | 2006-06-13 |
| 1295355220 | Lance Michon Craig | Family Medicine | 270 Copperfield Blvd Ne Ste 101, Concord, NC 28025-2443 | 2020-04-20 |
| 1245894567 | Jose Delgado-robles | Family Medicine | 270 Copperfield Blvd Ne Ste 101, Concord, NC 28025-2443 | 2019-04-23 |
| 1861056137 | Sarah G Cox | Family Medicine | 270 Copperfield Blvd Ne Ste 101, Concord, NC 28025-2443 | 2019-04-23 |
| 1629554944 | Shantel Antoinette Houston | Pharmacist | 270 Copperfield Blvd Ne Ste 101, Concord, NC 28025-2443 | 2018-07-19 |
| 1255826426 | Kelci Joy Trahms | Pharmacist | 270 Copperfield Blvd Ne Ste 101, Concord, NC 28025-2443 | 2018-06-28 |
| 1619498433 | Scott Alexander Brewster | Pharmacist | 270 Copperfield Blvd Ne Ste 101, Concord, NC 28025-2443 | 2017-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053910729 | Renewed Mindset Therapeutic Services, Pllc | Social Worker | 349 Copperfield Blvd Suite L #334, Concord, NC 28025 | 2020-10-22 |
| 1194284380 | Carolinas Physicians Network Inc | Internal Medicine | 610 Alfred Brown Jr. Court, Concord, NC 28025 | 2019-03-18 |
| 1164913596 | Damarius Raymond Faggart | Counselor | 503 Amhurst Drive, Concord, NC 28025 | 2018-05-22 |
| 1437677085 | Kathryn Emily Kanauer | Counselor | 280 Executive Park Dr Ne, Concord, NC 28025 | 2017-09-05 |
| 1649794439 | Foster Health & Homecare, LLC | Home Health | 363 Church Street North, Suite 260-i, Concord, NC 28025 | 2017-08-02 |
| 1326569336 | Jessie Leigh Tilley-compton | Social Worker | 371 Amhurst St Sw, Concord, NC 28025 | 2017-06-29 |
| 1609305663 | Sarah Katherine Thompson | Licensed Practical Nurse | 248 Executive Park Dr, Concord, NC 28025 | 2017-06-05 |
| 1023463098 | Kiera Brown | Social Worker | 219 Lephillip Court, Concord, NC 28025 | 2016-04-27 |
| 1992169445 | Brittiny N. Ingram Vanterpool | Counselor | 250 Branchview Dr Sw, Concord, NC 28025 | 2016-04-11 |
| 1215399852 | The Charlotte-mecklenburg Hospital Authority | Clinic/Center | 840 Warren C. Coleman Blvd, Concord, NC 28025 | 2016-03-23 |
| Find all providers in zip 28025 | ||||
| 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 |
|---|---|---|---|---|
| 1598376246 | Mazen A Seleem | Pharmacist | 1467 Balhan Dr Apt 106, Concord, CA 94521-3754 | 2020-08-14 |
| 1912538422 | Mohammed Youssef | Pharmacist | 1495 Balhan Dr Apt 208, Concord, CA 94521-3772 | 2020-02-03 |
| 1013477694 | Joseph Pirani | Pharmacist | 1 Granite Pl Ste N200, Concord, NH 03301-3274 | 2019-03-21 |
| 1386112548 | Andrew Barlow | Pharmacist | 631 Gable Oaks Ln Nw, Concord, NC 28027-5203 | 2018-11-06 |
| 1194293498 | Jeffrey Michael Cho | Pharmacist | 954 Rosehedge Ct, Concord, CA 94521-5453 | 2018-11-05 |
| 1720553951 | Lindsi Tillo | Pharmacist | 300 Poplar Station Cir Nw Apt 301, Concord, NC 28027-8363 | 2018-10-03 |
| 1144700261 | Susan Elizabeth Burpee | Pharmacist | 2837 Saint Joseph Dr, Concord, CA 94518-2154 | 2018-08-17 |
| 1205358678 | Eva Moen | Pharmacist | 19 Nathan Pratt Drive, Unit 308, Concord, MA 01742 | 2017-07-07 |
| 1215475421 | Hengameh Lavasanifar | Pharmacist | Jcb;131 Ornac Suite 200;, Mgh Cancer Center At Emerson Hospital, Concord, MA 01742 | 2017-02-08 |
| 1558806364 | Kirthana Beaulac | Pharmacist | 649 Cambridge Tpke, Concord, MA 01742-3726 | 2017-01-03 |
| Find all providers in CONCORD | ||||
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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.