Provider Demographics
NPI:1043444706
Name:MCNAMARA, JOANNE E (RPH;MBA)
Entity Type:Individual
Prefix:MRS
First Name:JOANNE
Middle Name:E
Last Name:MCNAMARA
Suffix:
Gender:F
Credentials:RPH;MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:46 NASSAU RD
Mailing Address - Street 2:
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11021-4051
Mailing Address - Country:US
Mailing Address - Phone:516-487-5338
Mailing Address - Fax:
Practice Address - Street 1:46 NASSAU RD
Practice Address - Street 2:
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11021-4051
Practice Address - Country:US
Practice Address - Phone:516-487-5338
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-11
Last Update Date:2009-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYI037426183500000X, 1835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist