DR. MARY LAUREN ELIZABETH WILLIS (NPI# 1043760465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043760465 |
| Entity Type | Individual |
| Full Name | DR. MARY LAUREN ELIZABETH WILLIS |
| Credential | PHARMD, BCOP |
| Practice Address |
4251 Mooncoin Way Lexington KY 40515 |
| Mailing Address |
4251 Mooncoin Way Lexington KY 40515-6045 |
| Practice Telephone | 8598068420 |
| Mailing Telephone | 8598068420 |
| Enumeration Date | 2016-10-10 |
| Last Update Date | 2019-05-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835X0200X |
Pharmacist Specialization: Oncology |
015909 | KY | Pharmacy Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 744 Rose St, Combs Cancer Research Center Room 304, Lexington, KY 405360096 | 8592186190 |
| Street Address |
4251 MOONCOIN WAY |
| City | LEXINGTON |
| State | KY |
| Zip Code | 40515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730699620 | Cassandra Grace Reynolds | Occupational Therapy Assistant | 3900 Crosby Dr Apt 102, Lexington, KY 40515 | 2017-10-04 |
| 1447793401 | Audrey Mccall Logan | Counselor | 3479 Buckhorn Drive, Ste 106, Lexington, KY 40515 | 2016-11-23 |
| 1417334103 | William Douglas Hacker | Pediatrics | 4856 Pleasant Grove Road, Lexington, KY 40515 | 2015-05-01 |
| 1528480340 | Frances Ann Cook | Psychologist | 4105 Heartwood Rd, Lexington, KY 40515 | 2014-01-14 |
| 1245574532 | Patricia H Woodruff | Nurse Practitioner | 3030 Brookmonte Ln, Lexington, KY 40515 | 2012-11-27 |
| 1225381064 | Tiffany Kruger | Physical Therapist | 1092 Duval St Ste 210, Lexington, KY 40515 | 2012-10-17 |
| 1356698203 | Jessika Cordell Vance-morgan | Behavioral Analyst | 945 Darda Ct, Lexington, KY 40515 | 2012-08-09 |
| 1285915363 | Southern Office Solutions | Specialist | 5060 Ivybridge Dr., Lexington, KY 40515 | 2011-09-02 |
| 1578794426 | Emilie Carter | Social Worker | 1096 Duval St Ste 140, Lexington, KY 40515 | 2009-07-27 |
| 1881828002 | Duval Surgical Services Inc | Nurse Practitioner | 3768 Kencsaw Drive, Lexington, KY 40515 | 2009-05-04 |
| Find all providers in zip 40515 | ||||
| Taxonomy Code | 1835X0200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Oncology |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in developing, recommending, implementing, monitoring, and modifying pharmacotherapeutic plans to optimize outcomes in patients with malignant diseases. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265984538 | Alissa Karr | Pharmacist | 800 Rose St # Wh330, Lexington, KY 40536-4224 | 2016-11-02 |
| 1134334923 | Stephanie Dixon Sutphin | Pharmacist | 800 Rose St H110, Lexington, KY 40536-0001 | 2007-05-14 |
| 1427589282 | Danielle Corbett | Pharmacist | University of Kentucky 800 Rose St, Lexington, KY 40536-0293 | 2017-03-23 |
| 1164974309 | Emily Eastman | Pharmacist | 800 Rose St, Lexington, KY 40536-7001 | 2016-11-03 |
| 1962818708 | Allison Butts | Pharmacist | 800 Rose St Rm H110, Lexington, KY 40536-0001 | 2014-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003364597 | Joseph Michael Senay | Pharmacist | 521 Robinbrooke Dr., Cancer Care Center of Hardin Memorial Hospital, Elizabethtown, KY 42701 | 2016-09-14 |
| 1487728689 | Jeffrey Michael Allen | Pharmacist | 10505 Hobbs Station Rd, Louisville, Louisville, KY 40223-2670 | 2006-11-20 |
| 1982205142 | Stacey Rankin | Pharmacist | 13410 Eastpoint Centre Dr Ste 101, Louisville, KY 40223-4160 | 2020-11-04 |
| 1639445513 | John Perpich | Pharmacist | 3991 Dutchmans Ln, Louisville, KY 40207-4700 | 2012-03-26 |
| 1710293543 | Victor Lee Whalen | Pharmacist | 131 Stonecrest Rd, Shelbyville, KY 40065-8162 | 2010-08-31 |
| 1770745473 | Amanda M Yarberry | Pharmacist | 2355 Poplar Level Rd, Ste 302, Louisville, KY 40217-1395 | 2008-06-25 |
| 1629230255 | Kelly Anne Mcdonald | Pharmacist | 2355 Poplar Level Rd, Ste 302, Louisville, KY 40217-1395 | 2008-06-25 |
| 1639398720 | Timothy Baize | Pharmacist | 530 S Jackson St, Pharmacy, Louisville, KY 40202-1675 | 2007-04-25 |
| 1346387651 | Jill R Rhodes | Pharmacist | 530 S Jackson St, Louisville, KY 40202-1675 | 2007-01-30 |
| 1144308404 | Leslie B Mudd | Pharmacist | 530 S Jackson St, Louisville, KY 40202-1675 | 2006-11-02 |
| 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.