NYS DOCCS MOHAWK CORRECTIONAL FACILITY PHARMACY (NPI# 1770135246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1770135246 |
Entity Type | Organization |
Organization Name | NYS DOCCS MOHAWK CORRECTIONAL FACILITY PHARMACY |
Practice Address |
6514 Rt. 26 Building 55 Rome NY 13442 |
Practice Telephone | 3153395232 |
Practice Fax Number | 3153396894 |
Mailing Telephone | 3153395232 |
Mailing Fax Number | 3153396894 |
Enumeration Date | 2019-07-15 |
Last Update Date | 2019-07-15 |
Authorized Official Name | LISA MARIE WELLER (SUPERVISING PHARMACIST) |
Authorized Official Telephone | 3153395232 |
Authorized Official Credential | RPH |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 183500000X | Pharmacist | Pharmacy Service Providers |
Other Name | Type Code |
---|---|
NYS DOCCS Oneida Regional Pharmacy | Former Legal Business Name - Organization |
Street Address |
6514 RT. 26 BUILDING 55 |
City | ROME |
State | NY |
Zip Code | 13442 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164021796 | Vida Lynn Martin | Respite Care | 5969 Us Highway 6, Rome, OH 44085-9672 | 2020-10-24 |
1871190561 | Brian Tye | Speech-Language Pathologist | 1168 Chulio Rd Se, Rome, GA 30161-4084 | 2020-10-06 |
1821605551 | Hannah Joy Hopkins | Physical Therapy Assistant | 600 Redmond Rd Nw Apt B6, Rome, GA 30165-1434 | 2020-09-27 |
1366059396 | Cedar Dental Clinical I, LLC | Dentist | 18 Riverbend Dr Sw Ste 230, Rome, GA 30161-6019 | 2020-09-24 |
1801402888 | Meredith Gaines | Physician Assistant | 603 W 1st St Unit 1, Rome, GA 30161-3067 | 2020-09-16 |
1124633268 | Lavender Mountain Senior Living Inc | Skilled Nursing Facility | 600 Eagle Lake Trl, Rome, GA 30165-2207 | 2020-09-15 |
1952916207 | Nitza Chea Bishop | Technician | 151 Chulio Rd Se, Rome, GA 30161-8496 | 2020-09-14 |
1255946976 | Lisa Kaelin | Social Worker | 1513 Craig St, Rome, NY 13440-2305 | 2020-09-10 |
1801409966 | Jamie Marcinkowski | Nurse Practitioner | 1617 N James Street, Suite 100, Rome, NY 13440 | 2020-08-28 |
1508478389 | Damion A Myers Dds Pllc | Dentist | 103 W Dominick St Ste 20, Rome, NY 13440-5809 | 2020-08-21 |
Find all providers in ROME |
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 |
---|---|---|---|---|
1891170650 | Colleen Foose | Pharmacist | 7695 Kilbourn Rd, Rome, NY 13440-6332 | 2015-07-22 |
1104201169 | Zachery Yates | Pharmacist | 6437 Monument Rd, Rome, NY 13440-7209 | 2015-07-20 |
1205210259 | Alex Gelfand | Pharmacist | 2006 Maple Ave Sw, Rome, GA 30161-6739 | 2015-07-18 |
1487049383 | Christopher Ryan Coker | Pharmacist | 681 Ervin Coker Rd Ne, Rome, GA 30161-3939 | 2015-03-30 |
1902299530 | Michael Thomas Phillips | Pharmacist | 2005 Maple Street, Rome, GA 30161 | 2015-03-06 |
1760888689 | Ashley Elizabeth Bloomquist | Pharmacist | 808 West Chestnut Street, Rome, NY 13440 | 2014-11-05 |
1891196416 | Kyle David Giczkowski | Pharmacist | 6408 Edgewood Dr, Rome, NY 13440-1938 | 2014-09-15 |
1669899100 | Kevin Hoehn | Pharmacist | 7576 Watson Hollow Rd, Rome, NY 13440-1524 | 2014-03-22 |
1871929422 | Amanda Elyse Zell | Pharmacist | 435 Turner Mccall Blvd Ne, Rome, GA 30165-2735 | 2013-09-15 |
1942584420 | John Harrison Havron | Pharmacist | 11 Turnbull Dr Se, Rome, GA 30161-6476 | 2011-10-03 |
Find all providers in ROME |
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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.