MALLORY PARADIS (NPI# 1780086744) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780086744 |
| Entity Type | Individual |
| Full Name | MALLORY PARADIS |
| Credential | PHARMD |
| Practice Address |
509 State St Augusta KS 67010-1107 |
| Practice Telephone | 3167752289 |
| Practice Fax Number | 3167752280 |
| Mailing Telephone | 3167752289 |
| Mailing Fax Number | 3167752280 |
| Enumeration Date | 2014-09-22 |
| Last Update Date | 2014-09-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 116109 | KS | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 100434400A | 05 |
| Street Address |
509 STATE ST |
| City | AUGUSTA |
| State | KS |
| Zip Code | 67010-1107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104919943 | Cooper Drug Inc. | Durable Medical Equipment & Medical Supplies | 509 State St, Augusta, KS 67010-1107 | 2006-10-02 |
| 1982202354 | Brett M Kappelmann | Pharmacist | 509 State St, Augusta, KS 67010-1107 | 2020-10-16 |
| 1598363988 | Heather Allison O'gorman | Pharmacist | 509 State St, Augusta, KS 67010-1107 | 2020-10-16 |
| 1568060911 | Erica J Severson | Pharmacy Technician | 509 State St, Augusta, KS 67010-1107 | 2020-10-16 |
| 1750819041 | Makenna Lynn Greenfield | Pharmacist | 509 State St, Augusta, KS 67010-1107 | 2017-05-31 |
| 1396284527 | Rachel Henman | Pharmacist | 509 State St, Augusta, KS 67010-1107 | 2017-02-21 |
| 1063957058 | Jeremy Todd Mcdonald | Pharmacist | 509 State St, Augusta, KS 67010-1107 | 2016-12-29 |
| 1780040535 | Nellie Gillies | Pharmacist | 509 State St, Augusta, KS 67010-1107 | 2016-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407372444 | Kali Lauren Taylor | Pharmacist | 509 State Street, Augusta, KS 67010 | 2017-08-22 |
| 1952703068 | Connie Patten | Case Manager/Care Coordinator | 2821 Brookside Dr., Augusta, KS 67010 | 2014-09-19 |
| 1427461011 | Abby Bryan | Contractor | 6 Flanigan, Augusta, KS 67010 | 2014-06-11 |
| 1811252919 | Vicky T Kramer | Nurse Practitioner | 15707 Sw Us Hwy 77, Augusta, KS 67010 | 2012-07-05 |
| 1982816732 | Grene Vision Group LLC | Ophthalmology | 706 E Smiles, Augusta, KS 67010 | 2007-05-04 |
| 1205935384 | Patrick J Carman | Chiropractor | 517 State St, Augusta, KS 67010 | 2006-09-22 |
| 1114968047 | Dillon Companies LLC | Durable Medical Equipment & Medical Supplies | 1510 Ohio St, Augusta, KS 67010 | 2006-06-10 |
| 1154806552 | Hilary Alexandra Clark | Psychologist | 2821 Brookside Dr., Augusta, KS 67010 | 2018-10-01 |
| 1366845885 | Karly Klarisse Ross | Case Manager/Care Coordinator | 2821 Brookside Ct, Augusta, KS 67010 | 2014-09-29 |
| 1013319649 | Carla Morrow | Counselor | 2821 Brookside Ct, Augusta, KS 67010 | 2014-09-26 |
| Find all providers in zip 67010 | ||||
| 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 |
|---|---|---|---|---|
| 1114534203 | Hyun Kim | Pharmacist | 1504 Bowdoin Dr, Augusta, GA 30909-4510 | 2020-09-23 |
| 1902363385 | Mary D Jodon | Pharmacist | 3338 Wrightsboro Rd., Augusta, GA 30909 | 2019-02-21 |
| 1760958300 | Keith Aloysius Wagner | Pharmacist | 950 15th St Rm 1c-104c, Augusta, GA 30901-2608 | 2018-10-22 |
| 1134600075 | Judah David Abernathy | Pharmacist | 2505 Windsor Spring Rd, Augusta, GA 30906-4642 | 2018-08-28 |
| 1336627785 | Tiffany M Bricker | Pharmacist | 165 Capitol St, Augusta, ME 04330-6232 | 2018-07-29 |
| 1457851842 | Heba Ahmed | Pharmacist | 912 15th Street, Augusta, GA 30904 | 2018-02-13 |
| 1407372444 | Kali Lauren Taylor | Pharmacist | 509 State Street, Augusta, KS 67010 | 2017-08-22 |
| 1851829345 | Christopher Hearon | Pharmacist | 2803 Wrightsboro Rd Ste 17, Augusta, GA 30909-3917 | 2017-05-26 |
| 1669914032 | Brandon Michael Williams | Pharmacist | 2206 Brechin Ln, Augusta, GA 30909-6910 | 2016-11-16 |
| 1073068755 | Seoyeon Lee | Pharmacist | 536 Walden Hills Ct, Augusta, GA 30909-0225 | 2016-08-23 |
| Find all providers in AUGUSTA | ||||
Please comment or provide details below to improve the information on MALLORY PARADIS.
| 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.