MARTHA MOLLERSTROM (NPI# 1710587589) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710587589 |
| Entity Type | Individual |
| Full Name | MARTHA MOLLERSTROM |
| Credential | PHARMD |
| Practice Address |
8315 Fm 78 Converse TX 78109-1043 |
| Practice Telephone | 2106666507 |
| Practice Fax Number | 2106666524 |
| Mailing Telephone | 2106666507 |
| Mailing Fax Number | 2106666524 |
| Enumeration Date | 2020-10-29 |
| Last Update Date | 2020-10-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 43837 | TX | Pharmacy Service Providers |
| Street Address |
8315 FM 78 |
| City | CONVERSE |
| State | TX |
| Zip Code | 78109-1043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427075357 | Jodi Flanagan O.d. P.a. | Optometrist | 8315 Fm 78, Converse, TX 78109-1043 | 2006-07-16 |
| 1114553211 | Carolyn Lucia Herrera | Pharmacist | 8315 Fm 78, Converse, TX 78109-1043 | 2020-03-20 |
| 1134227341 | Wal-mart Stores Texas, Lp | Technician/Technologist | 8315 Fm 78, Converse, TX 78109-1043 | 2006-09-20 |
| 1659398709 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 8315 Fm 78, Converse, TX 78109-1043 | 2006-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417583642 | Jennifer E Blackmon | Nurse Practitioner | 10134 Rush Canyon, Converse, TX 78109 | 2020-03-19 |
| 1962913830 | Yvette Marie Martinez | Nurse Practitioner | 7585 Kitty Hawk Ste 201, Converse, TX 78109 | 2017-10-19 |
| 1184144966 | Norma Irene Ayala | Driver | 7460 Kitty Hawk Rd Site 430, Converse, TX 78109 | 2017-06-22 |
| 1497285753 | Miguel Antonio Solis | Social Worker | 8818 Olmstead Park, Converse, TX 78109 | 2017-06-19 |
| 1417482324 | Converse Dentistry | Dentist | 6643 Binz Engleman Road, 6643 Binz Engleman Road, San Antonio, TX 78109 | 2017-04-28 |
| 1417305806 | Kashi Dental LLC | Clinic/Center | 9163 Fm 78, Suite # 1, Converse, TX 78109 | 2016-05-26 |
| 1427499953 | Hardik A Bhadeshiya | Dentist | 8455 Crestway Road Suite 101, Converse, TX 78109 | 2013-07-12 |
| 1548515075 | Soumava Sen, Dds, P.C. | Dentist | 8455 Crestway Road, Suite 101, Converse, TX 78109 | 2012-07-20 |
| 1427326131 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 8027 Kitty Hawk Rd, Converse, TX 78109 | 2011-12-08 |
| 1891925491 | Thaddeus R Tregeagle | Dentist | 9135 Schaefer Rd, 3, Converse, TX 78109 | 2009-07-17 |
| Find all providers in zip 78109 | ||||
| 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 |
|---|---|---|---|---|
| 1508334616 | Kiri Rolek | Pharmacist | 7566 Copper Kettle, Converse, TX 78109-3936 | 2018-11-06 |
| 1558880039 | Germesia Kwame | Pharmacist | 4518 Gambels Quail, Converse, TX 78109-3671 | 2017-09-15 |
| 1548860695 | Bao Thai Nguyen | Pharmacist | 10781 Toepperwein Rd, Converse, TX 78109-2561 | 2020-10-28 |
| 1699386268 | Jessica Reyes | Pharmacist | 10650 Toepperwein Rd, Converse, TX 78109-2476 | 2020-08-16 |
| 1154939932 | John Ray Acosta | Pharmacist | 8530 Fm 78, Converse, TX 78109-1032 | 2020-07-17 |
| 1114553211 | Carolyn Lucia Herrera | Pharmacist | 8315 Fm 78, Converse, TX 78109-1043 | 2020-03-20 |
| 1366982654 | Courtney Moe | Pharmacist | 10650 Toepperwein Rd, Converse, TX 78109-2476 | 2017-03-06 |
| 1720452097 | Fidel G Huerta Jr. | Pharmacist | 8530 Fm 78, Converse, TX 78109-1032 | 2015-11-24 |
| 1164896429 | James T Flink | Pharmacist | 8530 Fm 78, Converse, TX 78109-1032 | 2015-11-23 |
| 1760751838 | Juanita R Falco | Pharmacist | 10650 Toepperwein Rd, Converse, TX 78109-2476 | 2011-12-20 |
| Find all providers in CONVERSE | ||||
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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.