Mary Ann Planey, PHARM D
Individual provider Active NPI Pharmacist · Bridgeport, OH
NPI 1053662684 · NPPES record last updated Sep 22, 2012
Key facts
- NPI
- 1053662684
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 03225172 (OH)
- Practice address
- 56130 National Rd
Bridgeport, OH 43912-1529 - Phone
- (740) 633-3368
- Fax
- (740) 633-3438
- NPI assigned
- Sep 22, 2012
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03225172 | OH | MD | Pharmacist |
| RP0006831 | WV | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riesbeck Food Markets, Inc. | Pharmacist | Past | Accepting new patients |
| Riesbeck Food Markets, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP0006831 | WV | |
| Pharmacist | 183500000X | 03225172 | OH | Yes |
Addresses
Primary practice location
56130 National Rd
Bridgeport, OH 43912-1529
Mailing address
56130 National Rd
Bridgeport, OH 43912-1529
Phone (740) 633-3368
Other providers in Bridgeport, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 22, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.