MR. KENNETH T MANN (NPI# 1801187216) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801187216 |
| Entity Type | Individual |
| Full Name | MR. KENNETH T MANN |
| Credential | RPH |
| Practice Address |
2130 Marcola Rd Springfield OR 97477-2592 |
| Mailing Address |
2990 Camrose St Eugene OR 97404-1726 |
| Practice Telephone | 5417473361 |
| Mailing Telephone | 5416079554 |
| Enumeration Date | 2011-04-20 |
| Last Update Date | 2011-04-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RPH-0009590 | OR | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | STATE PHARMACY LICENSE | RPH-0009590 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851398713 | Kenneth E Mann | Radiology | 3937 Sherman Ave, Saint Joseph, MO 64506-3649 | 2005-07-06 |
| 1033343108 | Kenneth Mann | Psychologist | 141 N Central Ave, Hartsdale, NY 10530-1912 | 2009-05-05 |
| 1770543860 | Kenneth D Mann | Nurse Anesthetist, Certified Registered | 800 E 28th St, Minneapolis, MN 55407-3723 | 2006-03-24 |
| 1740252311 | Kenneth Ross Mann | Internal Medicine | 2700 Clay Edwards Dr, Suite 400, North Kansas City, MO 64116-3251 | 2006-02-07 |
| Street Address |
2130 MARCOLA RD |
| City | SPRINGFIELD |
| State | OR |
| Zip Code | 97477-2592 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629397856 | Atit Bharat Thakar | Pharmacist | 2130 Marcola Rd, Springfield, OR 97477-2592 | 2010-05-27 |
| 1629628342 | Kyle Thomas Dickens | Pharmacist | 2130 Marcola Rd, Springfield, OR 97477-2592 | 2019-09-14 |
| 1255819785 | Jakob Robert Friedrich | Pharmacist | 2130 Marcola Rd, Springfield, OR 97477-2592 | 2018-08-06 |
| 1497007835 | Angela M Seyler | Pharmacist | 2130 Marcola Rd, Springfield, OR 97477-2592 | 2012-10-09 |
| 1548552946 | Alan Christian Walker | Pharmacist | 2130 Marcola Rd, Springfield, OR 97477-2592 | 2011-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508416140 | Chase Michael Collings | Physician Assistant | 960 N 16th St Ste 303, Springfield, OR 97477 | 2019-09-16 |
| 1174079396 | Amie Flanagan | Occupational Therapy Assistant | 3152 Valentine Court, Springfield, OR 97477 | 2016-08-28 |
| 1609229590 | Kiernan Davis Snedigar | Counselor | 175 W B St Ste J, Springfield, OR 97477 | 2016-07-15 |
| 1578914206 | Ryan James Dixon | Counselor | 1923 Centennial Blvd, Springfield, OR 97477 | 2016-06-23 |
| 1902275464 | Jovonnie Bashaw | Counselor | 1157 5th St, Springfield, OR 97477 | 2015-09-15 |
| 1053759506 | Norco Inc | Durable Medical Equipment & Medical Supplies | 302 Shelley St Ste 7&8, Springfield, OR 97477 | 2013-06-06 |
| 1780931634 | Justin Morris | Pharmacist | 1891 Pioneer Parkway East, Springfield, OR 97477 | 2012-08-09 |
| 1194083105 | Mersedeh Bahr Hosseini | Psychiatry & Neurology | 3311 Riverbend Dr., Neurohospitalists, Springfield, OR 97477 | 2012-04-26 |
| 1962769679 | Hiro Kawata | Internal Medicine | 3311 Rierbend Dr., Springfield, OR 97477 | 2012-04-19 |
| 1659662823 | Wendy A Teigen | Counselor | 3995 Marcola Rd., Springfield, OR 97477 | 2011-04-22 |
| Find all providers in zip 97477 | ||||
| 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 |
|---|---|---|---|---|
| 1255946299 | Vy Dang | Pharmacist | 45 Willow St Apt 510, Springfield, MA 01103-1966 | 2020-09-15 |
| 1114539756 | Logan Meredith Haley | Pharmacist | 6039 New Chapel Rd, Springfield, TN 37172-1338 | 2020-08-17 |
| 1801413349 | Tung Tran | Pharmacist | 1028 Lincoln Ave, Springfield, PA 19064-3923 | 2020-07-01 |
| 1033739453 | John Frederick Endris | Pharmacist | 505 Colbrook Dr, Springfield, IL 62702-3384 | 2020-04-27 |
| 1770103889 | Seth Nelson | Pharmacist | 1150 N 5th St, Springfield, IL 62702-3800 | 2020-04-18 |
| 1952921074 | Edward John Oldfield | Pharmacist | 3441 Smythberry Ln Apt 7, Springfield, IL 62711-8210 | 2020-04-18 |
| 1255965240 | Matthew Sherriffs | Pharmacist | 2 Medical Center Dr Ste 204, Springfield, MA 01107-1271 | 2020-02-27 |
| 1023649134 | Kendra Yociss | Pharmacist | 201 E Madison St, Springfield, IL 62702-5131 | 2020-01-28 |
| 1861049397 | Laura A Kosiorek | Pharmacist | 242 Prentice St, Springfield, MA 01104-1525 | 2019-08-20 |
| 1144880048 | Akemi Nishida | Pharmacist | 520 Ethan Ct, Springfield, OR 97477-9407 | 2019-06-13 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 97477 |
Please comment or provide details below to improve the information on MR. KENNETH T MANN.
| 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.