DR. MINA ATHANASIUS (NPI# 1760094825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760094825 |
| Entity Type | Individual |
| Full Name | DR. MINA ATHANASIUS |
| Credential | PHARMD |
| Practice Address |
14280 Marsh Ln Addison TX 75001-3857 |
| Practice Telephone | 9722414532 |
| Mailing Telephone | 9722414532 |
| Mailing Fax Number | 9722414136 |
| Enumeration Date | 2020-08-20 |
| Last Update Date | 2020-08-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
61377 | TX | Pharmacy Service Providers |
| Street Address |
14280 MARSH LN |
| City | ADDISON |
| State | TX |
| Zip Code | 75001-3857 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043249006 | Randalls Food & Drugs Lp | Durable Medical Equipment & Medical Supplies | 14280 Marsh Ln, Addison, TX 75001-3857 | 2006-07-02 |
| 1245530039 | Tasana Scales | Pharmacist | 14280 Marsh Ln, Addison, TX 75001-3857 | 2010-10-26 |
| 1912210998 | Hannah Kang | Pharmacist | 14280 Marsh Ln, Addison, TX 75001-3857 | 2010-07-20 |
| 1699088674 | Rodney Franks | Pharmacist | 14280 Marsh Ln, Addison, TX 75001-3857 | 2010-07-20 |
| 1922311901 | Eugene Pearson | Pharmacist | 14280 Marsh Ln, Addison, TX 75001-3857 | 2010-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073143772 | Naomi Grace Moats | Speech-Language Pathologist | 5820 Addison Rd, Addison, TX 75001 | 2020-01-22 |
| 1669020467 | Us Med, LLC | Durable Medical Equipment & Medical Supplies | 15455 Dallas Parkway, Suite 600; Office #6015, Addision, TX 75001 | 2019-08-27 |
| 1316592215 | Sunny Boy Pharmacy, LLC | Pharmacy | 4388 Sunbelt Dr, Addision, TX 75001 | 2019-08-07 |
| 1538714779 | Tarpon Pllc | Physical Medicine & Rehabilitation | 17051 N. Dallas Parkway, Suite 320, Addison, TX 75001 | 2019-08-05 |
| 1235782251 | Aliah T Green | Speech-Language Pathologist | 15820 Addison Road, Addison, TX 75001 | 2019-07-18 |
| 1902376254 | Kendall Leann Chambers | Counselor | 15851 Dallas Parkway, Suite 600, Addison, TX 75001 | 2018-11-29 |
| 1053800391 | U S Anesthesia Partners of Texas, Pa | Physician Assistant | 17051 Dallas Pkwy Ste 310, Addison, TX 75001 | 2018-05-02 |
| 1528561719 | Relinda Lee Longan | Licensed Vocational Nurse | 4820 Westgrove Dr, # 903, Addison, TX 75001 | 2018-03-14 |
| 1306363338 | Margaret Weiss | Social Worker | Steven A Cohen Military Family Clinic At Metrocare, 16160 Midway Rd, Suite 218, Addison, TX 75001 | 2017-08-30 |
| 1508380759 | Dallas Sci Recovery Inc | Clinic/Center | 15046 Beltway Dr, Addison, TX 75001 | 2017-07-31 |
| Find all providers in zip 75001 | ||||
| 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 |
|---|---|---|---|---|
| 1609475045 | Amy Tan | Pharmacist | 3770 Belt Line Rd, Addison, TX 75001-4301 | 2020-10-17 |
| 1831721752 | Chi-kit Francis Lau | Pharmacist | 3770 Belt Line Rd, Addison, TX 75001-4301 | 2020-02-08 |
| 1043869209 | Mark Waldrop | Pharmacist | 16750 Westgrove Dr, Addison, TX 75001-5688 | 2019-09-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801497813 | Cindy Layton Potter | Pharmacist | 400 Myrtle St, Nacogdoches, TX 75965-2652 | 2020-11-05 |
| 1306446398 | Claud Cameron | Pharmacist | 23552 Nameless Rd, Leander, TX 78641-9022 | 2020-10-28 |
| 1306445234 | Chloe Lee | Pharmacist | 4620 Sh 121, Lewisville, TX 75056-4530 | 2020-10-21 |
| 1205435195 | Scott Sadlowski | Pharmacist | 12605 I-45 N, Willis, TX 77318 | 2020-10-21 |
| 1891394102 | Shaunda Lynn Jackson | Pharmacist | 19250 W Lake Houston Pkwy, Humble, TX 77346-2279 | 2020-10-19 |
| 1841898251 | Pablo Reyna Castro | Pharmacist | 3100 S Gordon St, Alvin, TX 77511-4790 | 2020-10-16 |
| 1659979078 | Tina Teresa Cherian | Pharmacist | 341 S Loop 336 W, Conroe, TX 77304-3309 | 2020-10-16 |
| 1316545742 | Travis Jones | Pharmacist | 6767 Spencer Highway, Pasadena, TX 77505 | 2020-10-16 |
| 1396350666 | Patient Care Services Pharmacy Consulting, LLC | Pharmacist | 2000 N Central Expy Ste 214, Plano, TX 75074-5487 | 2020-09-13 |
| 1942813209 | Mountaineer Consultants LLC | Pharmacist | 933 Pellegrino Ave, El Paso, TX 79932-2063 | 2020-08-26 |
| Find all providers with the same taxonomy | ||||
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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.