Individual provider Active NPI

Mary Ann Planey, PHARM D

  • Pharmacist
  • Bridgeport, OH
National Provider Identifier
1053662684
Registry record updated Sep 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
03225172 Issued in OH
Practice address
56130 National Rd
Bridgeport, OH 43912-1529
Phone
(740) 633-3368
Fax
(740) 633-3438
NPI assigned
Sep 22, 2012
Last updated
Sep 22, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP0006831 WV
Pharmacist 183500000X 03225172 OH Primary

Addresses

Primary practice location

56130 National Rd
Bridgeport, OH 43912-1529

Mailing address

56130 National Rd
Bridgeport, OH 43912-1529
Phone (740) 633-3368

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
03225172OHMDPharmacist
RP0006831WVMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Riesbeck Food Markets, Inc. Past Accepting new patients
Riesbeck Food Markets, Inc. Pharmacist Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1348272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348272000000",
    "number": "1053662684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56130 NATIONAL RD",
            "city": "BRIDGEPORT",
            "state": "OH",
            "postal_code": "439121529",
            "telephone_number": "740-633-3368",
            "fax_number": "740-633-3438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56130 NATIONAL RD",
            "city": "BRIDGEPORT",
            "state": "OH",
            "postal_code": "439121529",
            "telephone_number": "740-633-3368",
            "fax_number": "740-633-3438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLANEY",
        "first_name": "MARY",
        "middle_name": "ANN",
        "credential": "PHARM D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-22",
        "last_updated": "2012-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WV",
            "license": "RP0006831",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03225172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeport, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2012; 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.