DR. POLLY BHAMRA MALLINGA


Address: 3564 Ridge Rd, Lansing, IL 60438
Phone: 7088957937

DR. POLLY BHAMRA MALLINGA (NPI# 1114295599) 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) 1114295599
Entity Type Individual
Full Name DR. POLLY BHAMRA MALLINGA
Credential DOCTOR OF PHARMACY
Practice Address 3564 Ridge Rd
Lansing
IL 60438
Mailing Address 2934 Imperial Ct
Flossmoor
IL 60422-2210
Practice Telephone 7088957937
Mailing Telephone 7089573505
Enumeration Date 2011-12-13
Last Update Date 2011-12-13
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 183500000X Pharmacist 051.287846 IL Pharmacy Service Providers

Office Location

Street Address 3564 RIDGE RD
City LANSING
State IL
Zip Code 60438

Providers in the same location

NPI Name Taxonomy Address Enumeration
1184639304 Walgreen Co Durable Medical Equipment & Medical Supplies 3564 Ridge Rd, Lansing, IL 60438-3315 2006-07-29
1306457239 Nicole Walsh Pharmacist 3564 Ridge Rd, Lansing, IL 60438-3315 2020-08-13
1073883245 Teresa Wedryk Pharmacist 3564 Ridge Rd, Lansing, IL 60438-3315 2012-01-05
1407124027 Ollie T Thomas IIi Pharmacist 3564 Ridge Rd, Lansing, IL 60438-3315 2011-12-09
1184907669 Luval Crystal Jones Pharmacist 3564 Ridge Rd, Lansing, IL 60438-3315 2011-09-21
1003198532 Wing-yan Lee Pharmacist 3564 Ridge Rd, Lansing, IL 60438-3315 2011-09-10

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013429984 Gentle Touch Healthcare Services In Home Supportive Care 18236 Ridgewood, Lansing, IL 60438 2017-10-31
1336658699 Elizabeth M Cichocki Speech-Language Pathologist Memorial Jr. High School, 2721 Ridge Rd., Lansing, IL 60438 2017-09-29
1023527595 Sue Hecht Speech-Language Pathologist 18300 Greenbay, Lansing, IL 60438 2017-09-27
1275960130 Senegal Enterprises Medical, Inc Durable Medical Equipment & Medical Supplies 3330 181st Place, Suite 103, Lansing, IL 60438 2013-10-08
1295062404 Dominion Home Health Care Inc. Home Health 2521 Ridge Road, Suite 4, Lansing, IL 60438 2009-11-09
1013076348 Wayne M Mrjenovich Dds PC Dentist 19111 Burnham Ave, Lansing, IL 60438 2006-12-06
1124198247 Jennifer Meyer Counselor 17041 Chicago Ave, Lansing, IL 60438 2006-11-08
1821171182 Nurse Coordinators & Home Health Home Health 1955 Bernice Rd, Suite 1sw, Lansing, IL 60438 2006-10-23
1275633133 Hoovers Home Health Inc Durable Medical Equipment & Medical Supplies 3326 Ridge Rd, Lansing, IL 60438 2006-09-22
1942307053 Brant T Molenaar Optometrist 3546 Ridge Road, Lansing, IL 60438 2006-09-20
Find all providers in zip 60438

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
1053945055 Ali Mchawrab Pharmacist 5118 S Mlk Blvd, Lansing, MI 48911-3536 2020-02-27
1093348195 Snehal Patel Pharmacist 5118 S Martin Luther King Jr Blvd, Lansing, MI 48911-3536 2020-02-17
1356857296 Robert P Ross Pharmacist 1601 E Michigan Ave Ste 2, Lansing, MI 48912-2894 2017-12-14
1205382249 Mohammed Zohair Vaid Pharmacist 3106 E Saginaw St, Lansing, MI 48912-4712 2016-08-30
1215367149 Thomas Ball Pharmacist 5125 W Saginaw, Lansing, MI 48917 2013-11-13
1730513862 Eric D Roath Pharmacist 408 Kalamazoo Plz, Lansing, MI 48933-1901 2013-08-26
1619301090 C Arla Avis Vinson Pharmacist 17355 Torrence Ave, Lansing, IL 60438-1018 2013-08-21
1164774659 Bona Birki Gada Pharmacist 2410 W. Willow St, Apt A203, Lansing, MI 48917 2012-10-08
1699037515 Sandra Angela Campbell Pharmacist 7006 Captiva Dr, Lansing, MI 48917-5821 2012-06-15
1801160551 Marshall Gordon Pharmacist 1121 Pacific Ave, Lansing, MI 48910-3564 2012-02-28
Find all providers in LANSING

Competitor

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City LANSING
Zip Code 60438

Improve Information

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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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