MARY A DUVALL (NPI# 1053616060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053616060 |
| Entity Type | Individual |
| Full Name | MARY A DUVALL |
| Credential | RPH |
| Practice Address |
15005 State Road 23 Granger IN 46530-9666 |
| Practice Telephone | 5742712553 |
| Practice Fax Number | 5742712563 |
| Mailing Telephone | 5742712553 |
| Mailing Fax Number | 5742712563 |
| Enumeration Date | 2011-01-21 |
| Last Update Date | 2011-01-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 26017237A | IN | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982881231 | Mary M Duvall | Speech-Language Pathologist | 6140 Old State Rd, Philpot, KY 42366-8802 | 2008-01-29 |
| 1437368073 | Mary M Duvall | Internal Medicine | 3360 Highway 411 North, Englewood, TN 37329 | 2007-05-21 |
| 1972616696 | Mary Lynn Duvall | Physical Therapist | 2200 Fort Roots Dr #117/nlr, North Little Rock, AR 72114 | 2006-08-16 |
| 1013159805 | Mary Elizabeth Duvall | Physical Therapist | 4747 Mission Blvd, Suite 4, San Diego, CA 92109-2541 | 2009-03-25 |
| Street Address |
15005 STATE ROAD 23 |
| City | GRANGER |
| State | IN |
| Zip Code | 46530-9666 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063427102 | Walgreen Co | Pharmacy | 15005 State Road 23, Granger, IN 46530-9666 | 2006-07-29 |
| 1225420730 | Christine Kwan | Pharmacist | 15005 State Road 23, Granger, IN 46530-9666 | 2015-02-21 |
| 1386068765 | Augustine Ehimen Iriogbe | Pharmacist | 15005 State Road 23, Granger, IN 46530-9666 | 2014-02-06 |
| 1861740656 | Woganee Mimi Dires | Pharmacist | 15005 State Road 23, Granger, IN 46530-9666 | 2012-08-27 |
| 1194009126 | Anthony Carl Acito | Pharmacist | 15005 State Road 23, Granger, IN 46530 | 2011-10-10 |
| 1043594708 | Adaora Ezenekwe | Pharmacist | 15005 State Road 23, Granger, IN 46530-9666 | 2011-09-29 |
| 1104109578 | Michael Ross Futa | Pharmacist | 15005 State Road 23, Granger, IN 46530-9666 | 2011-09-22 |
| 1477858314 | Jason Mclean Young | Pharmacist | 15005 State Road 23, Granger, IN 46530-9666 | 2011-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821610783 | Michiana Weight Loss and Wellness Clinic LLC | Internal Medicine | 14304 Sr 23, Granger, IN 46530 | 2020-05-14 |
| 1609427921 | Stephen J Armet | Physical Therapist | 16733 Saratoga Ct, Granger, IN 46530 | 2019-09-27 |
| 1881177756 | Memorial Hospital of South Bend | General Acute Care Hospital | 3220 Beacon Parkway, Granger, IN 46530 | 2018-09-07 |
| 1922483635 | Kiley Ramer | Behavioral Analyst | 6910 N Main St Bldg 13c51, Granger, IN 46530 | 2015-07-23 |
| 1326439415 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 625 E University Dr., Granger, IN 46530 | 2015-02-10 |
| 1811302094 | Costco Wholesale Corporation | Pharmacy | 625 E. University Drive, Granger, IN 46530 | 2014-06-25 |
| 1255773255 | Tracy Joyce Abel | Behavioral Analyst | 12042 Covered Wagon Court, Granger, IN 46530 | 2013-07-19 |
| 1225376304 | George Youssef | Internal Medicine | 5610 Town Center Drive #14, Granger, IN 46530 | 2013-01-23 |
| 1033489596 | Rene Raul Arce Guarnaluse | Homeopath | Emilio Bayarri 50, Puzol, VALENCIA 46530 | 2011-12-30 |
| 1568747368 | Ranya Bouzou-kadi | Pharmacist | 13060 Adams, Granger, IN 46530 | 2011-10-13 |
| Find all providers in zip 46530 | ||||
| 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 |
|---|---|---|---|---|
| 1700232113 | Michele Wilbrandt Lehmann | Pharmacist | 14592 Stonington Ct, Granger, IN 46530-8229 | 2016-05-05 |
| 1700273778 | Harry Francis Tucker | Pharmacist | 17195 Arthur St, Granger, IN 46530-7482 | 2015-04-16 |
| 1396136701 | Jennifer Burton | Pharmacist | 5630 Town Center Dr Apt 6, Granger, IN 46530-4439 | 2015-02-08 |
| 1477952554 | Jamie Gyann | Pharmacist | 314 Milan St, Granger, IN 46530-8052 | 2014-08-14 |
| 1255686879 | Brian Joseph Heckman | Pharmacist | 155 West University Drive, Granger, IN 46530-4418 | 2012-07-19 |
| 1568747368 | Ranya Bouzou-kadi | Pharmacist | 13060 Adams, Granger, IN 46530 | 2011-10-13 |
| 1003199548 | Laura Garries | Pharmacist | 51550 Field Pointe Ln, Granger, IN 46530-8208 | 2011-09-21 |
| 1629373758 | Kevin Patel | Pharmacist | 51567 W Park Dr, Granger, IN 46530-6899 | 2011-01-20 |
| 1568087567 | Alysha Marie Vardell | Pharmacist | 13060 Adams Rd, Granger, IN 46530-8787 | 2020-06-15 |
| 1427608322 | Jennifer Schrock | Pharmacist | 625 E University Dr, Granger, IN 46530-7381 | 2019-09-13 |
| Find all providers in GRANGER | ||||
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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.