MALLORY JO COOMBS (NPI# 1407472954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407472954 |
| Entity Type | Individual |
| Full Name | MALLORY JO COOMBS |
| Practice Address |
8060 S Mason Montgomery Rd Mason OH 45040-9597 |
| Practice Telephone | 5137705587 |
| Mailing Telephone | 5137705587 |
| Enumeration Date | 2020-06-21 |
| Last Update Date | 2020-06-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 019611 | KY | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | 03236977 | OH | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | KENTUCKY BOARD OF PHARMACY | 019611 | 01 |
| OH | OHIO BOARD OF PHARMACY | 03236977 | 01 |
| Street Address |
8060 S MASON MONTGOMERY RD |
| City | MASON |
| State | OH |
| Zip Code | 45040-9597 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821124108 | Walgreen Co | Pharmacy | 8060 S Mason Montgomery Rd, Mason, OH 45040-9597 | 2007-02-23 |
| 1750906905 | Martha Morgan Allen | Pharmacist | 8060 S Mason Montgomery Rd, Mason, OH 45040-9597 | 2020-06-13 |
| 1396005500 | Peggy L Barsan | Pharmacist | 8060 S Mason Montgomery Rd, Mason, OH 45040-9597 | 2012-05-22 |
| 1962762088 | Nicholas J Barsan | Pharmacist | 8060 S Mason Montgomery Rd, Mason, OH 45040-9597 | 2012-05-22 |
| 1306122379 | Amy Lynn Pennetti | Pharmacist | 8060 S Mason Montgomery Rd, Mason, OH 45040-9597 | 2011-10-22 |
| 1356624787 | Lisa Michelle Brown | Pharmacist | 8060 S Mason Montgomery Rd, Mason, OH 45040-9597 | 2011-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336633882 | Jarek Beegan | Specialist/Technologist, Other | 8188 Corporate Way, Mason, OH 45040 | 2018-06-19 |
| 1548771439 | Jeanene Gibson | Registered Nurse | 9945 Coventry Court, Mason, OH 45040 | 2017-10-18 |
| 1093249898 | Peace of Mind Care Services, Inc. | Community/Behavioral Health | 5180 Cedar Village Drive, Suite A, Mason, OH 45040 | 2017-04-18 |
| 1477938736 | Justin William Florek | Chiropractor | 6213 Snider Road, Mason, OH 45040 | 2015-07-28 |
| 1730562729 | Alexandra Courts | Physical Therapist | 5267 Joseph Ln, Mason, OH 45040 | 2015-07-08 |
| 1982083531 | Nicole Roether | Specialist/Technologist | 5236 Socialville-foster Road, Mason, OH 45040 | 2015-05-28 |
| 1568849123 | Alissa Marie Conde | Pediatrics | 9560 Children's Drive, Mason, OH 45040 | 2015-05-04 |
| 1205220696 | Elizabeth Barnes | Pain Medicine | 3611 Socialville-foster Rd, Suite 101, Mason, OH 45040 | 2015-03-24 |
| 1669864807 | Lang Truong | Pharmacist | 5542 Red Fox Ct, Mason, OH 45040 | 2015-02-25 |
| 1295133668 | Gregory Carr | Psychologist | 4569 Wesley Ct, Mason, OH 45040 | 2014-12-16 |
| Find all providers in zip 45040 | ||||
| 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 |
|---|---|---|---|---|
| 1184247991 | Noor Ayman Amara | Pharmacist | 6687 Heritage Woods Dr, Mason, OH 45040-4848 | 2020-05-27 |
| 1669864807 | Lang Truong | Pharmacist | 5542 Red Fox Ct, Mason, OH 45040 | 2015-02-25 |
| 1417355512 | Peter Adly | Pharmacist | 7496 Alexandra Dr, Mason, OH 45040-8550 | 2014-12-05 |
| 1154695989 | Rebeka H Row | Pharmacist | 9032 Nottingham Way, Mason, OH 45040-1288 | 2012-02-24 |
| 1598047516 | Tricia Knight | Pharmacist | 8060 S Mason Montgomery Rd # Rc, Mason, OH 45040-9597 | 2011-09-15 |
| 1063701936 | Janis Lynn Haynes | Pharmacist | 610 N Cedar St, Mason, MI 48854-1017 | 2011-03-31 |
| 1356658892 | Todd Jay Mcfarland | Pharmacist | 9600 S Mason Montgomery Rd, Mason, OH 45040-9338 | 2010-09-03 |
| 1841434891 | Ayman F Yahya | Pharmacist | 3769 Wild Cherry Way, Mason, OH 45040 | 2009-04-21 |
| 1902095714 | Sharon Butler | Pharmacist | 4361 Irwin Simpson Rd, Mason, OH 45040-9479 | 2007-10-17 |
| 1073636981 | Jodi Lynn Hoffman | Pharmacist | 6175 Hi-tek Ct., Mason, OH 45040-2603 | 2007-04-06 |
| Find all providers in MASON | ||||
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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.