Mary Ann Coffey, R.PH

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

18176 Issued in NC

Practice address

2511 Neudorf Rd Ste F
Clemmons, NC 27012-8922

Phone

(336) 703-8738

NPI assigned

Jul 17, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

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.

• Manolos Pharmacy

  • Pharmacist
  • Winston Salem, NC
  • NPI 1821953878
  NPD Authorized official

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

{
    "created_epoch": "1500249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1346762846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2511 NEUDORF RD STE F",
            "city": "CLEMMONS",
            "state": "NC",
            "postal_code": "270128922",
            "telephone_number": "336-703-8738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2511 NEUDORF RD STE F",
            "city": "CLEMMONS",
            "state": "NC",
            "postal_code": "270128922",
            "telephone_number": "336-703-8738"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "291 Ivy Circle",
            "address_purpose": "LOCATION",
            "city": "Advance",
            "state": "NC",
            "postal_code": "27006",
            "country_code": "US",
            "telephone_number": "336-703-8738",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COFFEY",
        "first_name": "MARY ANN",
        "credential": "R.PH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-17",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835N1003X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Nutrition Support",
            "state": "NC",
            "license": "18176",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "NC",
            "license": "18176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clemmons Urgent and Primary Care, PA
• Clemmons Village Chiropractic PLLC
• Clemmons Village I LLC (Clemmons Village I)
• Cmba LLC (Brookstone Terrace)
• Phyllis Patricia Coconis, NP
• Rachel Anne Bostic Collins
• Glen Edward Combs, P.A.
• Complete Rehab
• Cornerstone Health Care PA (Mothershed Mothershed Arne Cates & Cane)
• Dylan William Cortese, BS, MSPAS, PA-C

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Clemmons, NC
• Providers in Clemmons, NC by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.