MANDY JO COLLINS (NPI# 1982243622) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982243622 |
| Entity Type | Individual |
| Full Name | MANDY JO COLLINS |
| Credential | PHARMD |
| Practice Address |
525 E Clifty Dr Madison IN 47250-1672 |
| Practice Telephone | 8122733343 |
| Mailing Telephone | 8122733343 |
| Enumeration Date | 2019-12-28 |
| Last Update Date | 2019-12-28 |
| 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 |
26020138A | IN | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801244116 | Mandy E Collins | Occupational Therapist | 15955 New Halls Ferry Rd, Florissant, MO 63031 | 2016-05-26 |
| 1538215496 | Mandy Leigh Collins | Nurse Anesthetist, Certified Registered | 4420 Lake Boone Trl, Raleigh, NC 27607-7505 | 2007-01-25 |
| Street Address |
525 E CLIFTY DR |
| City | MADISON |
| State | IN |
| Zip Code | 47250-1672 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497789200 | Kroger Limited Partnership I | Pharmacy | 525 E Clifty Dr, Madison, IN 47250-1672 | 2006-07-10 |
| 1083253272 | Susan Carol Storm | Pharmacist | 525 E Clifty Dr, Madison, IN 47250-1672 | 2020-01-06 |
| 1669011185 | Vanessa Wrightsman | Pharmacist | 525 E Clifty Dr, Madison, IN 47250-1672 | 2020-01-01 |
| 1205947975 | Gary Maas | Pharmacist | 525 E Clifty Dr, Madison, IN 47250-1672 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770196842 | Ariel C Breaux | Psychologist | 800 Bus Stop Dr, Madison, IN 47250 | 2020-08-28 |
| 1801314455 | Physicians Medical Center LLC | Nurse Practitioner | 311 E Clifty Drive, Madison, IN 47250 | 2017-09-05 |
| 1205201381 | Harrison County Hospital | Skilled Nursing Facility | 120 Presbyterian Avenue, Madison, IN 47250 | 2015-12-01 |
| 1720425796 | Kellie Robinson | Physical Therapist | 112 Holt Dr., Madison, IN 47250 | 2013-05-30 |
| 1568761575 | Linda Wehner D.m.d. LLC | Dentist | 1105 Clifty Drive, Madison, IN 47250 | 2011-03-17 |
| 1205142221 | Mary-caroline Peddie | Registered Nurse | 2003 Hycliff Ct, Madison, IN 47250 | 2010-08-27 |
| 1235376625 | Brian Edward Armbrecht | Pharmacist | One King's Daughters' Dr, Madison, IN 47250 | 2009-01-07 |
| 1902092661 | Assisted Living Concepts Inc | Assisted Living Facility | 607 Virginia Avenue, Madison, IN 47250 | 2007-09-17 |
| 1831218262 | Voca of Indiana LLC | Intermediate Care Facility, Mentally Retarded | 3004 Kentucky Ave, Madison, IN 47250 | 2007-03-28 |
| 1396877205 | Quinco Consulting Center Inc | Clinic/Center | 3100 N Bevcher Drive, Madison, IN 47250 | 2007-03-09 |
| Find all providers in zip 47250 | ||||
| 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 |
|---|---|---|---|---|
| 1508311028 | Koshy Mathew | Pharmacist | 122 Mcdill Cv, Madison, MS 39110-6562 | 2016-08-25 |
| 1245629716 | Donald Lee Michalski | Pharmacist | 1 Classic Cir, Madison, WI 53719-4437 | 2015-01-21 |
| 1467840801 | Pooja Arora | Pharmacist | 7545 Tree Ln Apt 102g, Madison, WI 53717-2185 | 2015-01-08 |
| 1962702399 | Connie Kroll Kraus | Pharmacist | 701 Dane St. Access Community Health Center, Wingra Family Medical Center, Madison, WI 53713-1900 | 2010-11-02 |
| 1861015174 | Donald Marlowe | Pharmacist | 4579 Wall Triana Hwy, Madison, AL 35758-9305 | 2020-05-20 |
| 1144850140 | Carol P Wisdom | Pharmacist | 4579 Wall Triana Hwy, Madison, AL 35758-9305 | 2020-01-19 |
| 1083253272 | Susan Carol Storm | Pharmacist | 525 E Clifty Dr, Madison, IN 47250-1672 | 2020-01-06 |
| 1669011185 | Vanessa Wrightsman | Pharmacist | 525 E Clifty Dr, Madison, IN 47250-1672 | 2020-01-01 |
| 1467090258 | Chad Franklin Stewart | Pharmacist | 115 Colony Crossing Way, Madison, MS 39110 | 2019-12-12 |
| 1225676190 | Anne Marie Simmons | Pharmacist | 1070 Highway 51, Madison, MS 39110-9084 | 2019-12-11 |
| Find all providers in MADISON | ||||
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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.