Jane Elizabeth Maclellan, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

2004031566 Issued in MO

Practice address

700 N Providence Rd
Columbia, MO 65203-4373

Phone

(573) 442-0194

Fax

(573) 443-8253

NPI assigned

Jun 10, 2021

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

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1623283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623283200000",
    "number": "1033786652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 W COVERED BRIDGE RD",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652039562",
            "telephone_number": "573-239-0078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 N PROVIDENCE RD",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652034373",
            "telephone_number": "573-442-0194",
            "fax_number": "573-443-8253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACLELLAN",
        "first_name": "JANE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-10",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "2004031566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Aubrey Macdonald, MD
• Kenneth C. Mace, PH.D.
• Richard Curtis Mace, M.D.
• Steven M Mackay, D.O.
• Gavin Christopher Mackie, MD
• Markandeya Madabattula
• Nicholas Madaffer, D.O.
• Grace Maddox
• Katheryn Kelly Maddox, OTR L
• Andres Madrid, MD

• Pharmacist in Columbia, MO
• Providers in Columbia, MO by specialty
• Pharmacist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2021; 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.