Molly M Bloom, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

0011319 Issued in OR

Practice address

3333 W 11TH Ave
Eugene, OR 97402-3038

Phone

(541) 484-3013

Fax

(541) 484-3023

NPI assigned

Jan 21, 2010

Sex

Female

Sole proprietor

Yes

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

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1264032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493078400000",
    "number": "1578894150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 W 11TH AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974023038",
            "telephone_number": "541-484-3013",
            "fax_number": "541-484-3023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 W 11TH AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974023038",
            "telephone_number": "541-484-3013",
            "fax_number": "541-484-3023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOOM",
        "first_name": "MOLLY",
        "middle_name": "M",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-21",
        "last_updated": "2017-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OR",
            "license": "0011319",
            "primary": true
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "OR",
            "license": "0011319",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelby Blondeaux, RN
• Janelle Christine Blondin, RDH
• Bloom Health and Wellness Promotion
• Colton Bloom
• Jordyn Lynn Bloom, LPN
• Paula J. Bloom, MA, LPC, NCC
• Bloomwell Care LLC
• Nikki Jean Blossom
• Blossomingbalancebodywork
• Blue Feather LLC

• Pharmacist in Eugene, OR
• Providers in Eugene, OR by specialty
• Pharmacist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2017; 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.