MARY ELLIOTT (NPI# 1912517368) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912517368 |
| Entity Type | Individual |
| Full Name | MARY ELLIOTT |
| Credential | PHARMD |
| Practice Address |
200 Emily Dr Clarksburg WV 26301-5500 |
| Mailing Address |
11 Overlook Dr Bridgeport WV 26330-1021 |
| Practice Telephone | 3049186056 |
| Mailing Telephone | 3043650921 |
| Enumeration Date | 2020-07-31 |
| Last Update Date | 2020-07-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RPH0007700 | WV | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | BOARD OF PHARMACY | RP0007700 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710594403 | Mary Josephine Elliott | Physician Assistant | 50 Beechwood Dr, Madison, CT 06443-1847 | 2020-09-26 |
| 1417277831 | Mary Catherine Elliott | Physical Medicine & Rehabilitation | 3613 Quail Ct, Melbourne, FL 32904-9517 | 2010-06-08 |
| 1700082914 | Mary Elizabeth Elliott | Licensed Practical Nurse | 160 Pacific St, Copiague, NY 11726-1222 | 2007-06-25 |
| 1073610937 | Mary Crane Elliott | Occupational Therapist | 5501 Tioga Rd Nw, Albuquerque, NM 87120-2350 | 2006-09-20 |
| 1700805405 | Mary Catherine Elliott | Family Medicine | 17050 Medical Center Dr Ste 400, Baton Rouge, LA 70816-3251 | 2006-07-19 |
| 1932101862 | Mary Rachel Elliott | Nurse Practitioner | 503 Muir St, Cambridge, MD 21613-1848 | 2005-08-11 |
| 1598766388 | Mary Beth Elliott | Nurse Anesthetist, Certified Registered | Country Club Road, Monongahela, PA 15063 | 2005-08-03 |
| 1184224503 | Mary E Elliott | Pharmacist | 6660 Godfrey Rd, Godfrey, IL 62035-2219 | 2020-10-26 |
| 1285245142 | Mary Frances Elliott | Homemaker | 103 W 5th Ave, Ranson, WV 25438-1405 | 2020-08-13 |
| 1316395312 | Mary June Elliott | Dentist | 3400 W Truman Blvd, Jefferson City, MO 65109-5712 | 2016-05-31 |
| Street Address |
200 EMILY DR |
| City | CLARKSBURG |
| State | WV |
| Zip Code | 26301-5500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316330624 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 200 Emily Dr, Clarksburg, WV 26301-5500 | 2015-03-11 |
| 1669089090 | Patrick Moore | Pharmacist | 200 Emily Dr, Clarksburg, WV 26301-5500 | 2020-09-29 |
| 1902299746 | Sam's East, Inc. | Technician/Technologist | 200 Emily Dr, Clarksburg, WV 26301-5500 | 2015-03-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114539525 | Christina Burnside | Technician | 89 Green Acres, Clarksburg, WV 26301 | 2020-08-18 |
| 1447764907 | Jonathan Moore | Nurse Practitioner | 1 Medical Ctr. Drive, Clarksburg, WV 26301 | 2017-11-20 |
| 1003241936 | Jennifer Destito | Occupational Therapist | 308 E B Saunders Way, Clarksburg, WV 26301 | 2013-09-11 |
| 1215290481 | Dustin James Getz | Dentist | 200 Route 98 Medwood Plaza, Suite 302, Nutter Fort, WV 26301 | 2012-06-21 |
| 1326339987 | Debra Amos | Counselor | 200 Route 98, Nutter Fort, WV 26301 | 2011-04-29 |
| 1649572140 | Amanda Wilfong | Pharmacist | W Pike and Smith St, Clarksburg, WV 26301 | 2010-12-03 |
| 1265661060 | Jaclyn Elsey Rominger | Dentist | 2017 East Pike St, All Smiles Dental LLC, Clarksburg, WV 26301 | 2009-07-14 |
| 1588815732 | Kimberly Sue Waggy | Psychologist | 408 Eb Saunders Way, Clarksburg, WV 26301 | 2008-10-07 |
| 1659521862 | Eyemart Express, Ltd. | Durable Medical Equipment & Medical Supplies | 538 Emily Dr., Space 20, Clarksburg, WV 26301 | 2008-09-24 |
| 1477715753 | Roxanna L Rinehart | Registered Nurse | 1 Med Ctr Dr, Louis A Johnson Vamc, Clarksburg, WV 26301 | 2008-06-27 |
| Find all providers in zip 26301 | ||||
| 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 |
|---|---|---|---|---|
| 1184149486 | Tom Ching | Pharmacist | 22700 Sweet Shrub Dr, Clarksburg, MD 20871-3328 | 2017-08-08 |
| 1518498104 | Duong Nhu | Pharmacist | 23403 Arora Hills Dr, Clarksburg, MD 20871-3305 | 2017-03-24 |
| 1003215625 | Elena Learner | Pharmacist | 23304 Brewers Tavern Way, Clarksburg, MD 20871-4355 | 2014-08-20 |
| 1275831679 | Eric J Schneider | Pharmacist | 505 Rosebud Plz, Clarksburg, WV 26301-9380 | 2011-03-09 |
| 1649572140 | Amanda Wilfong | Pharmacist | W Pike and Smith St, Clarksburg, WV 26301 | 2010-12-03 |
| 1558663229 | John F Dolan II | Pharmacist | 770 W Pike St, Clarksburg, WV 26301-2649 | 2010-12-01 |
| 1710219951 | Bradford D Lawson | Pharmacist | 102 Emily Dr, Clarksburg, WV 26301-5501 | 2010-02-12 |
| 1265609044 | Perry Grossi | Pharmacist | 411 Millstone Rd, Clarksburg, NJ 08510-1521 | 2008-05-12 |
| 1669089090 | Patrick Moore | Pharmacist | 200 Emily Dr, Clarksburg, WV 26301-5500 | 2020-09-29 |
| 1609483130 | Shaina Kopelov | Pharmacist | 701 E Main St, Clarksburg, WV 26301-3225 | 2020-09-29 |
| Find all providers in CLARKSBURG | ||||
| City | CLARKSBURG |
| Zip Code | 26301 |
Please comment or provide details below to improve the information on MARY ELLIOTT.
| 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.