DR. MARK WILLIAM SHORES (NPI# 1730212143) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730212143 |
| Entity Type | Individual |
| Full Name | DR. MARK WILLIAM SHORES |
| Credential | PHARMD |
| Practice Address |
204 Seneca Rd Rochester NY 14622-2043 |
| Practice Telephone | 5855442356 |
| Mailing Telephone | 5855442356 |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835G0303X |
Pharmacist Specialization: Geriatric |
30000 | NY | Pharmacy Service Providers |
| Street Address |
204 SENECA RD |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14622-2043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427525633 | Eric Thomas Mundt | Physician Assistant | 393 Pemberton Road, Rochester, NY 14622 | 2018-10-25 |
| 1124547823 | Lucas Polito | Physician Assistant | 1724 East Ridge Road, Rochester, NY 14622 | 2017-09-13 |
| 1730461534 | Rolonda Denise Johnson | Licensed Practical Nurse | 2409 Eastridge Rd, Apt162, Rochester, NY 14622 | 2011-09-16 |
| 1831489921 | Stephanie Lynn Cappotelli | Speech-Language Pathologist | 3284 Culver Road, Rochester, NY 14622 | 2011-04-11 |
| 1669609012 | Lavern Lorraine Sleugh-sharpe | Registered Nurse | 43 Rudman Road, Rochester, NY 14622 | 2009-06-12 |
| 1962645432 | Brandi Elizabeth Heberger | Massage Therapist | 1880 E. Ridge Rd., Suite 2, Rochester, NY 14622 | 2009-04-14 |
| 1952547879 | Deborah Lynn Joris | Licensed Practical Nurse | 2131 Titus Avenue, Rochester, NY 14622 | 2008-12-23 |
| 1073771929 | Jeanne A Lill | Pharmacist | 2200 Ridge Rd East, Wegmans Pharmacy, Rochester, NY 14622 | 2008-05-28 |
| 1306058433 | Internal Medicine On East Ridge, LLC | Internal Medicine | 1880 East Ridge Road, Suite 5, Rochester, NY 14622 | 2007-05-03 |
| 1720156987 | Thomas Robert Paonessa | Dentist | 4441 Culver Road, Rochester, NY 14622 | 2006-12-04 |
| Find all providers in zip 14622 | ||||
| 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 |
|---|---|---|---|---|
| 1891972535 | Cyrus Kloner | Pharmacist | 1880 Monroe Ave., Rochester, NY 14618-1844 | 2008-01-24 |
| 1730402470 | Diana Jermyn | Pharmacist | 150 Highland Ave, Rochester, NY 14620-3024 | 2010-03-09 |
| 1396877445 | Katherine Ann Thurheimer | Pharmacist | 50 Carlson Rd, Rochester, NY 14610-1021 | 2007-03-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265083935 | Joseph M Chionchio | Pharmacist | 79 Montgomery St, Goshen, NY 10924-1514 | 2019-09-24 |
| 1629629449 | Roma Pelizza-tichenor | Pharmacist | 1 Georgia Ln, Croton On Hudson, NY 10520-3405 | 2019-09-23 |
| 1396396206 | Golsa Zeiarati | Pharmacist | 19 Minkel Rd, Ossining, NY 10562-2127 | 2019-09-23 |
| 1447813159 | Saundra Seep | Pharmacist | 335 Parrish St Ste 1500, Canandaigua, NY 14424-1728 | 2019-04-18 |
| 1710301262 | Vincent J Wadcan | Pharmacist | 1 E Tremont Ave, Bronx, NY 10453-5838 | 2014-02-04 |
| 1497009542 | Robert George Wahler Jr. | Pharmacist | 234 Paradise Ln, Tonawanda, NY 14150-2813 | 2012-10-27 |
| 1992000814 | Anne Ettipio | Pharmacist | 28 Brookfield Ln, Unit 5, Cheektowaga, NY 14227-1971 | 2011-01-24 |
| 1063733509 | Donald Nicholas Vitello | Pharmacist | 2220 Clifton Park Rd, Schenectady, NY 12309-4002 | 2010-06-18 |
| 1275852030 | Ralph N. Comanzo | Pharmacist | 59 Hetchltown Rd, Scotia, NY 12309 | 2010-05-19 |
| 1578881496 | John Edward Palladino | Pharmacist | 18 Yardley Ct, Loudonville, NY 12211-2647 | 2010-05-17 |
| Find all providers with the same taxonomy | ||||
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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.