DR. MARY LYNN DRISCOLL (NPI# 1275131898) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275131898 |
| Entity Type | Individual |
| Full Name | DR. MARY LYNN DRISCOLL |
| Credential | PHARMD |
| Practice Address |
2600 Hwy 138 Stoughton WI 53589 |
| Mailing Address |
197 Dixon St Madison WI 53704-5815 |
| Practice Telephone | 6088739262 |
| Practice Fax Number | 6088735496 |
| Mailing Telephone | 6087323368 |
| Enumeration Date | 2020-10-15 |
| Last Update Date | 2020-10-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 16646-40 | WI | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871103291 | Mary Driscoll | Nurse Practitioner | 800 Austin St Ste 207, Evanston, IL 60202-3442 | 2020-08-01 |
| 1538123880 | Mary S Driscoll | Psychologist | 1701 Ne 42nd Ave, Suite 102, Ocala, FL 34470-5018 | 2006-04-13 |
| 1346618006 | Mary Driscoll | Occupational Therapist | 2 Coolidge St, Hudson, MA 01749-1321 | 2015-09-10 |
| 1942520986 | Mary A Driscoll | Psychologist | 950 Campbell Ave, West Haven, CT 06516-2770 | 2010-06-01 |
| 1891997805 | Mary Josephine Driscoll | Community/Behavioral Health | 3550 Se Woodward St, Portland, OR 97202-1552 | 2007-06-01 |
| 1073633145 | Mary Driscoll | Marriage & Family Therapist | 14277 Road 28, Madera, CA 93638-5715 | 2007-03-30 |
| 1083658215 | Mary Teresa Driscoll | Nurse Anesthetist, Certified Registered | 1201 Broad Rock Blvd, Richmond, VA 23249 | 2006-06-16 |
| Street Address |
2600 HWY 138 |
| City | STOUGHTON |
| State | WI |
| Zip Code | 53589 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467936138 | Michael R Mccann | Pharmacist | 2600 Hwy 138, Stoughton, WI 53589 | 2018-09-19 |
| 1104361500 | Wal-mart Stores East, Lp | Technician/Technologist | 2600 Hwy 138, Stoughton, WI 53589 | 2016-12-21 |
| 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 |
| 1114203296 | Marilyn Mary Mackinnon | Pharmacist | 1705 Highway Fifty One, Stoughton, WI 53589 | 2011-11-02 |
| 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 |
| Find all providers in zip 53589 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1114203296 | Marilyn Mary Mackinnon | Pharmacist | 1705 Highway Fifty One, Stoughton, WI 53589 | 2011-11-02 |
| 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 |
| Find all providers in STOUGHTON | ||||
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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.