MALLORY TRACY (NPI# 1710513098) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710513098 |
| Entity Type | Individual |
| Full Name | MALLORY TRACY |
| Credential | PHARMD, BCPS |
| Practice Address |
3535 Olentangy River Rd Columbus OH 43214-3908 |
| Mailing Address |
2731 Chester Rd Upper Arlington OH 43221-3327 |
| Practice Telephone | 6145665000 |
| Enumeration Date | 2020-03-18 |
| Last Update Date | 2020-03-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
03230074 | OH | Pharmacy Service Providers |
| Street Address |
3535 OLENTANGY RIVER RD |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43214-3908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710980891 | Amy D Miracle | Advanced Practice Midwife | 3535 Olentangy River Rd, Columbus, OH 43214-3908 | 2005-05-23 |
| 1295333102 | Amanda Rupert | Student in an Organized Health Care Education/Training Program | 3535 Olentangy River Rd, Columbus, OH 43214-3908 | 2020-10-13 |
| 1083228159 | Laura Rae Skirtich | Student in an Organized Health Care Education/Training Program | 3535 Olentangy River Rd, Columbus, OH 43214-3908 | 2020-09-04 |
| 1285247460 | Brittany Nicole Bourne | Student in an Organized Health Care Education/Training Program | 3535 Olentangy River Rd, Columbus, OH 43214-3908 | 2020-08-26 |
| 1356954614 | Patrick Christopher Hartnett | Nurse Practitioner | 3535 Olentangy River Rd, Columbus, OH 43214-3998 | 2020-08-26 |
| 1235741380 | Kathryn E Mckinnon | Student in an Organized Health Care Education/Training Program | 3535 Olentangy River Rd, Columbus, OH 43214-3908 | 2020-08-20 |
| 1083226393 | Brittany Vonau | Student in an Organized Health Care Education/Training Program | 3535 Olentangy River Rd, Columbus, OH 43214-3908 | 2020-08-18 |
| 1487279196 | Joseph Gene Lucas | Nurse Practitioner | 3535 Olentangy River Rd, Columbus, OH 43214-3908 | 2020-06-09 |
| 1639793961 | Jordan Vance Dewitt | Pharmacist | 3535 Olentangy River Rd, Columbus, OH 43214-3908 | 2020-06-02 |
| 1154944239 | Javahn Lamar Iverson | Specialist/Technologist, Other | 3535 Olentangy River Rd, Columbus, OH 43214-3908 | 2020-05-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275145070 | The Smile Method LLC | Dentist | 3545 Olentangy River Rd., Suite 128, Columbus, OH 43214 | 2020-08-21 |
| 1083175681 | Mahima Venkatesh Prasad | Student in an Organized Health Care Education/Training Program | 3535 Olentangy River Road Ground/yellow, Columbus, OH 43214 | 2019-03-27 |
| 1346737988 | Julie Jackson | Occupational Therapist | 214 Westwood Rd, Columbus, OH 43214 | 2018-04-19 |
| 1942703830 | A1 Nursing Solution,llc | Nursing Care | 4770 Indianola Ave Ste Ll-j, Columbus, OH 43214 | 2018-03-16 |
| 1699280024 | Darlene R Britford | Social Worker | 3770 N. High Street, Columbus, OH 43214 | 2017-12-07 |
| 1194235739 | Molly Luckner | Social Worker | 3763 N High St., Ste A, Columbus, OH 43214 | 2017-10-10 |
| 1700395357 | Deidre Monique Radford | Peer Specialist | 3770 North High St., Columbus, OH 43214 | 2017-09-27 |
| 1154844884 | Beth Balog | Pharmacist | 513 Arden Rd, Columbus, OH 43214 | 2017-07-25 |
| 1164951430 | Raad Bin Zakir Chowdhury | Student in an Organized Health Care Education/Training Program | 3595 Olentangy River Road, Columbus, OH 43214 | 2017-06-08 |
| 1841734787 | Joel Franck | Counselor | 3620 High Street, Suite 107, Columbus, OH 43214 | 2016-12-12 |
| Find all providers in zip 43214 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649767955 | Sean Meador | Pharmacist | 3630 31st Street, Columbus, IN 47203 | 2018-04-23 |
| 1629595715 | Filiz Yucebay | Pharmacist | 460 W 10th Ave # C150c, Columbus, OH 43210-1240 | 2017-08-29 |
| 1659744142 | Holli Winters | Pharmacist | 410 W 10th Avenue, 368 Doan Hall, Columbus, OH 43210 | 2015-11-05 |
| 1063811123 | Kerry P Pierce | Pharmacist | 410 W 10th Ave Rm 368, Columbus, OH 43210-1240 | 2014-08-14 |
| 1073865374 | David R Schoech | Pharmacist | 922 W Country Rd, Columbus, KS 66725-3003 | 2012-10-10 |
| 1023618816 | Kim Volland Littrell | Pharmacist | 2025 Merchant Mile, Columbus, IN 47201-1572 | 2020-10-29 |
| 1558969246 | Megan Utz | Pharmacist | 199 Graceland Blvd, Columbus, OH 43214-1529 | 2020-10-14 |
| 1659988061 | Lauren Haunani Peck | Pharmacist | 700 Childrens Dr, Columbus, OH 43205-2639 | 2020-09-29 |
| 1255944062 | Pooja Ojha | Pharmacist | 710 Center St, Columbus, GA 31901-1527 | 2020-08-31 |
| 1881207991 | Emilie Jean Bergsma | Pharmacist | 700 Childrens Dr, Columbus, OH 43205-2639 | 2020-08-28 |
| Find all providers in COLUMBUS | ||||
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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.