MALLORY LARSSON (NPI# 1710234596) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710234596 |
| Entity Type | Individual |
| Full Name | MALLORY LARSSON |
| Credential | PHARM.D. |
| Practice Address |
145 S Highway 101 Warrenton OR 97146-9314 |
| Mailing Address |
36278 Bartoldus Loop Astoria OR 97103-8558 |
| Practice Telephone | 5038611611 |
| Mailing Telephone | 7206291553 |
| Enumeration Date | 2012-08-10 |
| Last Update Date | 2019-01-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RPH-0017043 | OR | Pharmacy Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 124 W 2nd St, Mountain View, MO 655488590 | 4179342023 | 4179345109 |
| Street Address |
145 S HIGHWAY 101 |
| City | WARRENTON |
| State | OR |
| Zip Code | 97146-9314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396868303 | Maria Fe Cerdino Goyena | Pharmacist | 145 S Highway 101, Warrenton, OR 97146-9314 | 2007-04-06 |
| 1669988713 | Nai Burget | Pharmacist | 145 S Highway 101, Warrenton, OR 97146-9314 | 2017-12-26 |
| 1356855001 | Andrew Tran | Pharmacist | 145 S Highway 101, Warrenton, OR 97146-9314 | 2017-11-16 |
| 1952692972 | Felix Shu-keung Chow | Pharmacist | 145 S Highway 101, Warrenton, OR 97146-9314 | 2011-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629685920 | Alexandroff Dmd PC | Dentist | 1085 E Harbor Drive, Warrenton, OR 97146 | 2020-09-30 |
| 1265080758 | Emily Ann Brennan | Pharmacist | 145 South, Us-101, Warrenton, OR 97146 | 2019-08-28 |
| 1932643475 | Janice Coughlin | Dental Hygienist | 1630 Se Ensign Lane, Warrenton, OR 97146 | 2016-12-16 |
| 1568906477 | Radiant Care Afh 'llc' | Custodial Care Facility | 52 Nw Birch Ct, Warrenton, OR 97146 | 2016-12-12 |
| 1740634468 | Ron Arleigh Tamayo | Pharmacist | 145 Us-101, Attn: Rite Aid, Warrenton, OR 97146 | 2016-04-19 |
| 1053781864 | Kristopher Smith | Counselor | 65 North Highway 101, Suite 204, Warrenton, OR 97146 | 2015-10-06 |
| 1831577196 | Elizabeth Dietrich Erikson | Family Medicine | 1639 Se Ensign Ln Ste B103, Warrenton, OR 97146 | 2015-05-07 |
| 1164774592 | Tuan Anh Trinh | Pharmacist | 1625 E. Harbor Dr., Warrenton, OR 97146 | 2012-10-09 |
| 1366715054 | Suzanne Marie Jagger | Dental Hygienist | 181 Sw Kalmia Ave, Warrenton, OR 97146 | 2012-02-11 |
| 1669705992 | Costco Wholesale Corporation | Pharmacy | 1804 Se Ensign Ln, Warrenton, OR 97146 | 2009-09-18 |
| Find all providers in zip 97146 | ||||
| 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 |
|---|---|---|---|---|
| 1215544861 | Amanda Rae Miller | Pharmacist | 701 North Highway 47, Warrenton, MO 63383 | 2020-09-28 |
| 1265080758 | Emily Ann Brennan | Pharmacist | 145 South, Us-101, Warrenton, OR 97146 | 2019-08-28 |
| 1740634468 | Ron Arleigh Tamayo | Pharmacist | 145 Us-101, Attn: Rite Aid, Warrenton, OR 97146 | 2016-04-19 |
| 1740607597 | Xuan Huynh | Pharmacist | 478 Fletcher Dr, Warrenton, VA 20186-2185 | 2014-03-18 |
| 1164774592 | Tuan Anh Trinh | Pharmacist | 1625 E. Harbor Dr., Warrenton, OR 97146 | 2012-10-09 |
| 1215213939 | Bassim Mousa | Pharmacist | 276 Lee Hwy, Warrenton, VA 20186 | 2011-10-26 |
| 1770868721 | Denise Leanne Glasser | Pharmacist | 276 West Lee Highway, Warrenton, VA 20186 | 2011-10-20 |
| 1487939336 | Fawn Dianna Zobel | Pharmacist | 701 N Highway 47, Warrenton, MO 63383-1119 | 2011-10-11 |
| 1104118223 | Julie Mcdannel | Pharmacist | 530 Fletcher Dr, Warrenton, VA 20186-2183 | 2011-05-08 |
| 1861783268 | Havi Vo | Pharmacist | 294 W Lee Hwy Ste 101, Warrenton, VA 20186-2435 | 2011-04-20 |
| Find all providers in WARRENTON | ||||
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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.