MS. MARILYN MARY MACKINNON


Address: 1705 Highway Fifty One, Stoughton, WI 53589
Phone: 6088737612

MS. MARILYN MARY MACKINNON (NPI# 1114203296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114203296
Entity Type Individual
Full Name MS. MARILYN MARY MACKINNON
Practice Address 1705 Highway Fifty One
Stoughton
WI 53589
Mailing Address 1705 Highway 51
Stoughton
WI 53589
Practice Telephone 6088737612
Practice Fax Number 6088737894
Mailing Telephone 6088737612
Mailing Fax Number 6088737894
Enumeration Date 2011-11-02
Last Update Date 2011-11-02
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 183500000X Pharmacist 14888-040 WI Pharmacy Service Providers

Office Location

Street Address 1705 HIGHWAY FIFTY ONE
City STOUGHTON
State WI
Zip Code 53589

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1467971507 Linda Kay Balthazor Registered Nurse 900 Truman, Stoughton, WI 53589 2017-09-10
1801342464 Lorchid Lanoway Licensed Practical Nurse 1817 Cedarbrook Ln, Unit 9, Stoughton, WI 53589 2016-09-01
1053693028 Alfred Bennin Pharmacist 1705 Us Hwy 51/138, Stoughton, WI 53589 2011-09-15
1447531892 Tina Ann Ferguson Pharmacist 1705 Us Highway 51, Stoughton, WI 53589 2011-08-30
1285926972 Jenifer Lee Stokstad Registered Nurse 3496 Hwy 138, Stoughton, WI 53589 2011-05-12
1447583018 Stephanie Marie Kind Licensed Practical Nurse 608 W South St, Stoughton, WI 53589 2009-09-14
1386885721 Scott Tauferner Physical Therapist 2300 Us Hwy 51-138, Stoughton, WI 53589 2009-03-16
1245495480 Roundy's Supermarkets Inc Pharmacy 1750 Hwy 51 W, Stoughton, WI 53589 2008-07-28
1720278005 Judith Davis Clinical Neuropsychologist 716 Roby Rd, Stoughton, WI 53589 2007-08-01
1346459609 Susan Elizabeth Cole Allfrey Occupational Therapist 400 North Morris St, Skaalen Sunset Home Inc, Stoughton, WI 53589 2007-05-22
Find all providers in zip 53589

Taxonomy Information

Taxonomy Code 183500000X
Grouping Pharmacy Service Providers
Classification Pharmacist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1265093660 Hinal Sharma Pharmacist 100 Technology Center Dr Ste 600, Stoughton, MA 02072-4749 2019-06-26
1679020259 Youssef Wahba Pharmacist 638 Washigton St, Stoughton, MA 02072 2016-09-01
1326317793 Ayesha S Ahmed Pharmacist 1 Hawes Way Stoughton, Stoughton, MA 02072 2011-12-14
1053693028 Alfred Bennin Pharmacist 1705 Us Hwy 51/138, Stoughton, WI 53589 2011-09-15
1447531892 Tina Ann Ferguson Pharmacist 1705 Us Highway 51, Stoughton, WI 53589 2011-08-30
1750694980 Thut Thai Pharmacist 638 Washington Street, Stoughton, MA 02072 2010-07-16
1902071178 Paul G Rosowski Pharmacist 924 Kings Lynn Rd, Stoughton, WI 53589-4926 2008-04-28
1902022981 Terry David Johnson Pharmacist 1705 Us Highway 51 and 138, Stoughton, WI 53589-1907 2007-04-18
1114092640 Jason Douglas Walker-crawford Pharmacist 160 Business Park Cir, Stoughton, WI 53589-3392 2006-11-21
1275131898 Mary Lynn Driscoll Pharmacist 2600 Hwy 138, Stoughton, WI 53589 2020-10-15
Find all providers in STOUGHTON

Competitor

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City STOUGHTON
Zip Code 53589

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Dataset Information

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.

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