MR. GORDON W HAAG (NPI# 1679609218) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679609218 |
| Entity Type | Individual |
| Full Name | MR. GORDON W HAAG |
| Credential | RPH |
| Practice Address |
100 Washington St Elmira NY 14901-2849 |
| Practice Telephone | 6077374708 |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2009-09-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 046992 | NY | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215059837 | Gordon Elwood Haag Jr. | Dentist | 301 W Bastanchury Rd, Ste.#260, Fullerton, CA 92835-3419 | 2007-04-04 |
| Street Address |
100 WASHINGTON ST |
| City | ELMIRA |
| State | NY |
| Zip Code | 14901-2849 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437765740 | Pamela Pappert Wolcott | Registered Nurse | 100 Washington St, Elmira, NY 14901-2849 | 2020-09-22 |
| 1366052243 | Sinead Bond | Registered Nurse | 100 Washington St, Elmira, NY 14901-2849 | 2020-08-05 |
| 1972122737 | Charlene Marie Quick X | Registered Nurse | 100 Washington St, Elmira, NY 14901-2849 | 2020-04-13 |
| 1639798481 | Kimberly Hall | Registered Nurse | 100 Washington St, Elmira, NY 14901-2849 | 2020-04-13 |
| 1548889397 | Leslie Ann Teagarden | Registered Nurse | 100 Washington St, Elmira, NY 14901-2849 | 2020-04-13 |
| 1902446966 | Ana Maria Minke | Registered Nurse | 100 Washington St, Elmira, NY 14901-2849 | 2020-01-08 |
| 1225676851 | Sharon Killam | Registered Nurse | 100 Washington St, Elmira, NY 14901-2849 | 2019-12-13 |
| 1275171068 | Jennifer Leigh-anne Miller | Registered Nurse | 100 Washington St, Elmira, NY 14901-2849 | 2019-12-12 |
| 1720625643 | Bonny Adams Smith | Registered Nurse | 100 Washington St, Elmira, NY 14901-2849 | 2019-12-10 |
| 1316584972 | Susan A Karski | Social Worker | 100 Washington St, Elmira, NY 14901-2849 | 2019-12-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447818182 | Davida Reane Moss | Case Manager/Care Coordinator | 310 Pensyvania Avenue, Elmira, NY 14901 | 2019-05-29 |
| 1316504889 | Jessica Leigh Badilla | Counselor | 1013 Water St, Elmira, NY 14901 | 2019-05-21 |
| 1427508811 | Cynthia Ann Sullivan | Counselor | 1019 E. Water Street, Elmira, NY 14901 | 2016-10-10 |
| 1508313362 | Kim Burlew | Case Manager/Care Coordinator | 1019 W. Water Street Family Services of Chemung County, Elmire, NY 14901 | 2016-09-08 |
| 1396195095 | State of New York Comptrollers Office | Clinic/Center | 164 Sullivan Street, Elmira, NY 14901 | 2016-06-14 |
| 1285089581 | Tasha R Miller | Licensed Practical Nurse | 426 Woodawn Ct, Elmira, NY 14901 | 2016-04-25 |
| 1750628111 | Kelly E Bartle-bush | Social Worker | 711 Sullivan St., Elmira, NY 14901 | 2013-01-04 |
| 1144594946 | Brian Mustico | Occupational Therapist | 512 West Clinton Street, Apartment B, Elmira, NY 14901 | 2012-02-27 |
| 1063780880 | Deidre Ann Callaghan | Physical Therapy Assistant | 555 St.josephs Blvd, Elmira, NY 14901 | 2011-12-07 |
| 1972889467 | Arnot Health | General Acute Care Hospital | 1 St.joseph's Blvd., Elmira, NY 14901 | 2011-10-27 |
| Find all providers in zip 14901 | ||||
| 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 |
|---|---|---|---|---|
| 1790163632 | Daniel L Prohotsky | Pharmacist | 1000 Pennslyvania Ave, Elmira, NY 14904-2609 | 2015-05-12 |
| 1639438690 | Mary Ann Klee | Pharmacist | 930 County Rd 64, T-2158, Elmira, NY 14903 | 2012-05-11 |
| 1497070817 | Bushra Bano Sheikh | Pharmacist | 49 Estates Drive, Elmira, NY 14903-7978 | 2010-03-29 |
| 1699097626 | Andrea D Mucitelli | Pharmacist | 830 Consumer Square Plaza, Rt 64, Elmira, NY 14903 | 2010-02-18 |
| 1487889721 | Mohammed Latif | Pharmacist | 116 Second St., Elmira, NY 14908 | 2009-05-15 |
| 1023292083 | Lynda M Overstrom | Pharmacist | 830 Consumer Square Plaza, Elmira, NY 14903 | 2007-12-26 |
| 1508047515 | Kenneth Edward Mantei | Pharmacist | 119 W. 2nd, Elmira, NY 14901 | 2007-11-19 |
| 1023218336 | Steven Michael Cheplick | Pharmacist | 1666 Grand Central Ave, Elmira, NY 14903-1947 | 2007-07-24 |
| 1205057270 | Gregory Schutrum | Pharmacist | 209 Mount Zoar St, Elmira, NY 14904-1231 | 2007-05-01 |
| 1891392320 | Arin Reid Schlott | Pharmacist | 130 S Main St, Elmira, NY 14904-1309 | 2020-10-07 |
| Find all providers in ELMIRA | ||||
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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.