MARK SLY (NPI# 1679848618) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1679848618 |
Entity Type | Individual |
Full Name | MARK SLY |
Credential | PHARMD |
Practice Address |
403 N Veterans Pkwy Bloomington IL 61704-7718 |
Practice Telephone | 3096638852 |
Mailing Telephone | 3096638852 |
Enumeration Date | 2012-03-08 |
Last Update Date | 2012-03-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1835G0303X |
Pharmacist Specialization: Geriatric |
051295174 | IL | Pharmacy Service Providers |
Street Address |
403 N VETERANS PKWY |
City | BLOOMINGTON |
State | IL |
Zip Code | 61704-7718 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518430859 | Visionpoint Eye Center LLC | Optometrist | 1107 Airport Road, Bloomington, IL 61704 | 2019-01-09 |
1922588235 | Geethu Sabu Makil | Speech-Language Pathologist | 1039 Blueheron Way, Apt#3, Bloomington, IL 61704 | 2018-08-16 |
1629596812 | Mental Wellness Center Inc | Counselor | 202 N Prospect Rd Ste 207, Bloomington, IL 61704 | 2017-09-07 |
1649798513 | Sarah Goodner | Psychologist | 1704 Royal Pointe Drive, Bloomington, IL 61704 | 2017-08-31 |
1346760253 | Elizabeth Devlin | Nurse Practitioner | 25 Long Cove Ct, Bloomington, IL 61704 | 2017-06-21 |
1396107918 | Darla Schwertfeger | Specialist/Technologist, Other | 2104 Hedgewood Dr, Bloomington, IL 61704 | 2016-03-23 |
1740662949 | Oncology Hematology Associates of Central Illinois | Pharmacy | 3105 Magory Drive, Bloomington, IL 61704 | 2015-06-24 |
1821478967 | Kelly R Andrews | Massage Therapist | 4101 Wicker Rd, Bloomington, IL 61704 | 2015-06-03 |
1235522582 | All Ways Caring Services, Inc. | In Home Supportive Care | 209 S Prospect Rd, Suite 3e, Bloomington, IL 61704 | 2015-03-11 |
1396093977 | Bhawna Gupta | Physical Therapist | 2200 East Washington Street, Bloomington, IL 61704 | 2012-08-29 |
Find all providers in zip 61704 |
Taxonomy Code | 1835G0303X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacist |
Specialization | Geriatric |
A pharmacist who is certified in geriatric pharmacy practice is designated as a "Certified Geriatric Pharmacist" (CGP). To become certified, candidates are expected to be knowledgeable about principles of geriatric pharmacotherapy and the provision of pharmaceutical care to the elderly. |
Notes: Source: Commission for Certification in Geriatric Pharmacy (www.ccgp.org) [7/1/2006: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104325075 | Patty Ann Doyle | Pharmacist | 8712 Sandro Rd, Bloomington, MN 55438-1229 | 2018-02-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336702125 | Edgar Auf Dem Graben | Pharmacist | 100 N River Rd Ste G122, Des Plaines, IL 60016-1209 | 2019-04-17 |
1467969402 | Hilda Dolapo Hassan | Pharmacist | 2937 Shetland Ln, Montgomery, IL 60538-4104 | 2017-12-29 |
1578999348 | Ihuoma C Ozoh | Pharmacist | 18331 Mulberry Terrace, Country Club Hills, IL 60478 | 2013-09-24 |
1649619016 | Joel Jay Meyers | Pharmacist | 3107 W Jerome St, Chicago, IL 60645-1142 | 2013-06-19 |
1902249790 | Alfredo Villasenor | Pharmacist | 233 Berkshire Dr, Lake Villa, IL 60046-5051 | 2013-04-10 |
1730446881 | Bhupendra S Vyas | Pharmacist | 8001 N. Lincoln Ave # 800, C/o Rph On The Go Suite 800, Skokie, IL 60077 | 2012-04-13 |
1346521333 | Chhaya Patel | Pharmacist | 728 S Taylor Ave, Oak Park, IL 60304-1624 | 2011-09-02 |
1780988535 | Mark Norman Gravdal | Pharmacist | 297 Cascade Dr, Crystal Lake, IL 60012-3345 | 2011-01-07 |
1972827293 | Cindy Sue Porter | Pharmacist | 2150 N Lincoln Park W, #1411, Chicago, IL 60614-4652 | 2010-03-15 |
1104073600 | Rubin B Shah | Pharmacist | 10631 Grandview Dr, Palos Park, IL 60464-2580 | 2008-08-26 |
Find all providers with the same taxonomy |
City | BLOOMINGTON |
Zip Code | 61704 |
Please comment or provide details below to improve the information on MARK SLY.
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.