JACK THOMAS MOHR (NPI# 1053432203) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053432203 |
| Entity Type | Individual |
| Full Name | JACK THOMAS MOHR |
| Credential | PHARMD |
| Practice Address |
Phs Indian Health Service 40520 Co. Hwy 34 Ogema MN 56569 |
| Mailing Address |
15374 Sunset Hill Dr Detroit Lakes MN 56501-7125 |
| Practice Telephone | 2189836375 |
| Practice Fax Number | 2189836384 |
| Mailing Telephone | 2188479183 |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2007-11-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 4822 | ND | Pharmacy Service Providers |
| Street Address |
PHS INDIAN HEALTH SERVICE 40520 CO. HWY 34 |
| City | OGEMA |
| State | MN |
| Zip Code | 56569 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871144030 | Leah Celeste Bakken | Registered Nurse | 407 East Main St, Ogema, MN 56569 | 2019-09-27 |
| 1427399237 | Kathleen Elizabeth Morris Laswell | Nurse Practitioner | 40502 Cty Hwy 34, Ogema, MN 56569 | 2013-03-05 |
| 1457639551 | White Earth Band of Ojibwe - Indian Child Welfare | Social Worker | 301 Feather Street, Ogema, MN 56569 | 2011-07-25 |
| 1154372050 | Patricia Ann Sniezek | Nurse Practitioner | 40520 County Hwy 34, White Earth Health Center, Ogema, MN 56569 | 2006-05-15 |
| 1609833607 | Joanne Mittet | Registered Nurse | 40520 Co Hwy 34, White Earth Health Center, Ogema, MN 56569 | 2006-04-26 |
| 1568952752 | Jordyn Kathleen Steffes | Radiologic Technologist | 40520 Cty. Hwy. 34, Ogema, MN 56569 | 2018-05-14 |
| 1942790118 | Mary Beth Simon | Radiologic Technologist | 40520 Cty Hwy 34, Ogema, MN 56569 | 2018-05-14 |
| 1780174979 | Jacqueline Lois Zortman | Radiologic Technologist | 40520 Cty. Hwy. 34, Ogema, MN 56569 | 2018-05-14 |
| 1720597933 | Stephanie Lynn Tilton | Physical Therapist | 40520 County Highway 34, Ogema, MN 56569 | 2017-09-20 |
| 1053677062 | Sandra J. Holmgren | Nurse Practitioner | 40520 County Highway 34, Ogema, MN 56569 | 2012-04-03 |
| Find all providers in zip 56569 | ||||
| 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 |
|---|---|---|---|---|
| 1770850463 | Trigg N Thielke | Pharmacist | N994 Hultman Rd, Ogema, WI 54459-0000 | 2011-11-23 |
| 1447243118 | Melissa Lyn Wentz Opsahl | Pharmacist | 40520 County Highway 34, Ogema, MN 56569-9612 | 2005-08-26 |
| 1295728129 | Cheryl Ann Namtvedt | Pharmacist | 25519 State Highway 224, Ogema, MN 56569-9506 | 2005-08-25 |
| 1235641101 | Daniel Cox | Pharmacist | 40520 County Highway 34, Ogema, MN 56569-9612 | 2017-10-31 |
| 1588189641 | Ashley Jean Piehl | Pharmacist | 40520 County Highway 34, Ogema, MN 56569-9612 | 2017-08-10 |
| 1255852026 | Lynette Willeto Wasson | Pharmacist | 40520 County Highway 34, Ogema, MN 56569-9612 | 2017-07-03 |
| 1427450436 | Greg Berg | Pharmacist | 40520 County Highway 34, Ogema, MN 56569-9612 | 2014-09-22 |
| 1013240282 | Dena Kay Smith | Pharmacist | 40520 County Highway 34, Ogema, MN 56569-9612 | 2009-09-04 |
| 1346475324 | Philip Thomas Gorz | Pharmacist | 40520 County Highway 34, Ogema, MN 56569-9612 | 2009-05-20 |
| 1114110178 | Jessica Anderson | Pharmacist | 40520 County Highway 34, Ogema, MN 56569-9612 | 2007-08-23 |
| Find all providers in OGEMA | ||||
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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.