MOLLY M BLOOM (NPI# 1578894150) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1578894150 |
Entity Type | Individual |
Full Name | MOLLY M BLOOM |
Credential | PHARMD |
Practice Address |
3333 W 11th Ave Eugene OR 97402-3038 |
Practice Telephone | 5414843013 |
Practice Fax Number | 5414843023 |
Mailing Telephone | 5414843013 |
Mailing Fax Number | 5414843023 |
Enumeration Date | 2010-01-21 |
Last Update Date | 2017-04-25 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 183500000X | Pharmacist | 0011319 | OR | Pharmacy Service Providers |
N | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
0011319 | OR | Pharmacy Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972143691 | Molly Bloom | Clinic/Center | 310 N Loomis St, Chicago, IL 60607-1147 | 2020-01-10 |
1447784665 | Molly J Bloom | Family Medicine | 111 Brewster St, Pawtucket, RI 02860-4400 | 2017-04-13 |
Street Address |
3333 W 11TH AVE |
City | EUGENE |
State | OR |
Zip Code | 97402-3038 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114953320 | Fred Meyer Stores Inc | Pharmacy | 3333 W 11th Ave, Eugene, OR 97402-3053 | 2006-06-23 |
1366810582 | Kim-giau Tran | Pharmacist | 3333 W 11th Ave, Eugene, OR 97402-3053 | 2015-09-03 |
1962741652 | David Leger-jeffrey | Pharmacist | 3333 W 11th Ave, Eugene, OR 97402-3053 | 2013-01-31 |
1679810618 | Gerald Francis Ziegler | Pharmacist | 3333 W 11th Ave, Eugene, OR 97402-3053 | 2013-01-10 |
1912244211 | George Nash Khier | Pharmacist | 3333 W 11th Ave, Eugene, OR 97402-3053 | 2013-01-08 |
1588794077 | Lora Alene Lebow | Pharmacist | 3333 W 11th Ave, Eugene, OR 97402-3053 | 2007-03-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538709704 | Jordan Charles Smith | Massage Therapist | 775 Menroe St., Eugene, OR 97402 | 2020-01-15 |
1104462134 | Cerridwen Laurel Martin | Massage Therapist | 775 Monroe St., Eugene, OR 97402 | 2019-11-25 |
1720556368 | Valerie Jeanne Charles | Massage Therapist | 989 Throne Dr., Eugene, OR 97402 | 2018-11-12 |
1407324189 | Laura Angulo | Massage Therapist | 1247 W 8th Ave Apt 10, Eugene, OR 97402 | 2018-11-11 |
1932687472 | Karl Alan Porter | Counselor | 1195 City View St Ste B, Eugene, OR 97402 | 2018-08-06 |
1992283170 | Fresenius Medical Care Dialysis Services - Oregon, LLC | Clinic/Center | 3747 W 11th Ave, Eugene, OR 97402 | 2018-07-31 |
1699251744 | Isabella Arlo Jane Silver | Counselor | 970 W 7th Ave., Eugene, OR 97402 | 2018-07-12 |
1447740527 | Shasta Tobi Cooke | Behavioral Analyst | 677 1/2 W 12th Ave, Eugene, OR 97402 | 2018-05-15 |
1497205306 | Jenna Bracco | Social Worker | 1274 W. 7th Avenue Suite 201, Eugene, OR 97402 | 2016-10-04 |
1871041392 | Jeremy Powers | Massage Therapist | 882 Van Buren St, Eugene, OR 97402 | 2016-09-13 |
Find all providers in zip 97402 |
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 |
---|---|---|---|---|
1326551169 | Chanelle Ajimura | Pharmacist | 2919 Kipling Way, Eugene, OR 97408-7458 | 2017-11-15 |
1982156162 | Heather Frey | Pharmacist | 311 Coburg Road, Eugene, OR 97401 | 2016-11-04 |
1790155927 | Kathleen Malekzadeh | Pharmacist | 1950 Buck St, Eugene, OR 97405-1311 | 2015-09-30 |
1598161960 | Gregg Wendland | Pharmacist | 1590 E, 13th Ave., Eugene, OR 97403 | 2014-11-13 |
1255765780 | Natalie Lynn Gillespie | Pharmacist | 1580 Valley River Dr Ste 120, Eugene, OR 97401-2179 | 2013-09-03 |
1386996460 | Pamela Susan Floyd | Pharmacist | 28046 Crossley Ln, Eugene, OR 97402-9431 | 2012-10-12 |
1922355833 | David L Fairbanks | Pharmacist | 2860 Baker Blvd, Eugene, OR 97403-1628 | 2012-08-09 |
1346504222 | Kiranjit Kaur Maroke | Pharmacist | 57 W 29th Ave, Eugene, OR 97405-3242 | 2012-06-26 |
1851650741 | Gerard P Glasso | Pharmacist | 881 Throne Dr, Eugene, OR 97402-1411 | 2012-05-11 |
1902172448 | Vestalee Shrader | Pharmacist | 1188 Van Buren St, Eugene, OR 97402-4734 | 2012-03-29 |
Find all providers in EUGENE |
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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.