Active NPI
Laura Jean Morris
- Pharmacist
- Mansfield, OH
National Provider Identifier
1487257176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03116248
- Practice address
- 755 Ashland Rd
Mansfield, OH 44905-2075 - Phone
- (419) 589-2030
- Fax
- (419) 589-2659
- NPI assigned
- Nov 17, 2020
- Last updated
- Nov 17, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 03116248 | OH | Primary |
Addresses
Primary practice location
755 Ashland Rd
Mansfield, OH 44905-2075
Mailing address
1577 Lucas Rd
Mansfield, OH 44903-8577
Phone (419) 545-0827
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03116248 | OH | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohio CVS Stores LLC | Past | Accepting new patients | |
| Ohio CVS Stores, L.L.C. | 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": "1605571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605571200000",
"number": "1487257176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1577 LUCAS RD",
"city": "MANSFIELD",
"state": "OH",
"postal_code": "449038577",
"telephone_number": "419-545-0827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "755 ASHLAND RD",
"city": "MANSFIELD",
"state": "OH",
"postal_code": "449052075",
"telephone_number": "419-589-2030",
"fax_number": "419-589-2659"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORRIS",
"first_name": "LAURA",
"middle_name": "JEAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-17",
"last_updated": "2020-11-17",
"certification_date": "2020-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03116248",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mansfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.