MARK SLY


Address: 403 N Veterans Pkwy, Bloomington, IL 61704-7718
Phone: 3096638852

MARK SLY (NPI# 1679848618) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1835G0303X Pharmacist
Specialization: Geriatric
051295174 IL Pharmacy Service Providers

Office Location

Street Address 403 N VETERANS PKWY
City BLOOMINGTON
State IL
Zip Code 61704-7718

Providers in the same zip code

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 Information

Taxonomy Code 1835G0303X
Grouping Pharmacy Service Providers
Classification Pharmacist
Specialization Geriatric

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1104325075 Patty Ann Doyle Pharmacist 8712 Sandro Rd, Bloomington, MN 55438-1229 2018-02-06

Providers in the same taxonomy and state

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

Competitor

Search similar providers

City BLOOMINGTON
Zip Code 61704

Improve Information

Please comment or provide details below to improve the information on MARK SLY.

Dataset Information

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.

Trending Searches