MALLORY MCKENZIE (NPI# 1922661263) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922661263 |
| Entity Type | Individual |
| Full Name | MALLORY MCKENZIE |
| Practice Address |
8613 N 30th St Omaha NE 68112-1852 |
| Practice Telephone | 4024512125 |
| Practice Fax Number | 4024512401 |
| Mailing Telephone | 4024512125 |
| Mailing Fax Number | 4024512401 |
| Enumeration Date | 2019-04-22 |
| Last Update Date | 2019-04-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 23519 | IA | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | 13668 | NE | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215460126 | Mallory Mckenzie | Occupational Therapist | 1201 Broad Rock Blvd, Richmond, VA 23224-4915 | 2017-04-07 |
| Street Address |
8613 N 30TH ST |
| City | OMAHA |
| State | NE |
| Zip Code | 68112-1852 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447207584 | Michael Patrick Grace | Family Medicine | 8613 N 30th St, Omaha, NE 68112-1852 | 2006-05-27 |
| 1578979696 | Jennifer Collins | Registered Nurse | 8613 N 30th St, Omaha, NE 68112-1852 | 2014-07-09 |
| 1598988214 | Gerald Arthur Sievers | Pharmacist | 8613 N 30th St, Omaha, NE 68112-1852 | 2007-04-11 |
| 1043365109 | Laura Lindauer | Physician Assistant | 8613 N 30th St, Omaha, NE 68112-1852 | 2007-01-25 |
| 1922158922 | C. Mcminn | Family Medicine | 8613 N 30th St, Omaha, NE 68112-1852 | 2007-01-11 |
| 1831249838 | Charles Mcminn | Family Medicine | 8613 N 30th St, Omaha, NE 68112-1852 | 2007-01-11 |
| 1033207857 | Stephen Lee Gillespie | Dentist | 8613 N 30th St, Suite 103, Omaha, NE 68112-1852 | 2006-10-10 |
| 1023104999 | Alegent Creighton Health | Durable Medical Equipment & Medical Supplies | 8613 N 30th St, Omaha, NE 68112-1852 | 2006-10-05 |
| 1740229384 | Jeffery Jacobs | Emergency Medicine | 8613 N 30th St, Omaha, NE 68112-1852 | 2006-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881844017 | Ltc Healthcare At Florence, Inc. | Skilled Nursing Facility | 3110 Scott Circle, Omaha, NE 68112 | 2008-09-24 |
| 1780614156 | Shirley Lynn Miller | Pediatrics | 55 Mdg, 2501 Capehart Rd, Offutt Afb, NE 68112 | 2006-07-03 |
| 1083655435 | Dillon Companies LLC | Durable Medical Equipment & Medical Supplies | 7312 N 30th St, Omaha, NE 68112 | 2006-06-09 |
| 1841798477 | Hinners Geriatric Medicine, LLC | Internal Medicine | 7915 N 30th St, Omaha, NE 68112 | 2018-01-29 |
| 1619143591 | Kimberly Gene Krajewski Clark | Counselor | 6720 N 30th St, Heartland Family Service, Omaha, NE 68112 | 2008-05-01 |
| 1992864045 | Heartland Family Service | Clinic/Center | 6720 N 30th St, Omaha, NE 68112 | 2006-12-06 |
| 1073927885 | Jordan Hodges | Physical Therapy Assistant | 12502 Ponca Rd, Omaha, NE 68112-1028 | 2014-06-19 |
| 1962589762 | Ponca Hills Volunteer Fire Department | Ambulance | 12919 Ponca Rd, Omaha, NE 68112-1056 | 2006-11-01 |
| 1942676648 | Ponca Hills Fire District | Ambulance | 12919 Ponca Rd, Omaha, NE 68112-1056 | 2015-08-17 |
| 1043851926 | Home Speech LLC | Speech-Language Pathologist | 11317 N Post Rd, Omaha, NE 68112-1218 | 2019-10-02 |
| Find all providers in zip 68112 | ||||
| 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 |
|---|---|---|---|---|
| 1598365249 | Kenneth Fuchtman | Pharmacist | 4969 S 174th Ave, Omaha, NE 68135-3463 | 2020-10-30 |
| 1073120796 | Derek Eugene Popken | Pharmacist | Nebraska Medicine, 987400 Nebraska Medical Center, Omaha, NE 68198-7400 | 2020-09-27 |
| 1003441874 | Riddhi Prakashbhai | Pharmacist | 4578 S 60th St, Omaha, NE 68117-1217 | 2020-03-11 |
| 1083249569 | Katrina Johanna Keebler | Pharmacist | 8315 W Center Rd, Omaha, NE 68124-3111 | 2020-03-05 |
| 1578103644 | Nathan L Suck | Pharmacist | 2115 S 61st St, Omaha, NE 68106-2129 | 2020-01-07 |
| 1427696152 | Suzanne Dee Anderson | Pharmacist | 16101 Evans St Ste 101, Omaha, NE 68116-6447 | 2019-12-12 |
| 1073078713 | Brooke Dee Hayes | Pharmacist | 10802 Farnam Dr Ste 100, Omaha, NE 68154-3200 | 2019-02-06 |
| 1124596812 | Neveen Eed | Pharmacist | 4216 N 146th Plz Apt 307, Omaha, NE 68116-4397 | 2018-11-11 |
| 1619450293 | James Robert Mcclane | Pharmacist | 17461 O St, Omaha, NE 68135-3445 | 2018-09-10 |
| 1578054482 | Michael G Heskin | Pharmacist | 4509 S 143rd St Ste 4, Omaha, NE 68137-4521 | 2018-05-25 |
| Find all providers in OMAHA | ||||
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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.