Colleen A Mobley, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

051.291132 Issued in IL

Practice address

505 W Raab Rd
Normal, IL 61761-1007

Phone

(309) 454-7347

Fax

(309) 454-3915

NPI assigned

Aug 30, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Walgreen Co

  • Pharmacy
  • Normal, IL
  • NPI 1235144478
  NPD
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1598745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598745600000",
    "number": "1013520865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3305 CASTLEMAIN DR",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617044844",
            "telephone_number": "309-287-5835",
            "fax_number": "309-454-3915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 W RAAB RD",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617611007",
            "telephone_number": "309-454-7347",
            "fax_number": "309-454-3915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOBLEY",
        "first_name": "COLLEEN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-30",
        "last_updated": "2020-08-30",
        "certification_date": "2020-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051.291132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawn M Miller, SPEECH THERAPIST
• Fredrica Sonia Miller
• Kapila Miller, CRNA
• Marlon Minor, RSA, CSA
• Jacquelyn A Mitra, LCPC
• Angela Mochel, CST
• Margaret Kathleen Modglin, MS CCC-SLP/L
• Bilal Ali Mohamed, D.O
• Nassim Mokraoui, MD
• Isabelle Molina, MS, LDN

• Pharmacist in Normal, IL
• Providers in Normal, IL by specialty
• Pharmacist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.