Mr Prescription Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

02181350 Issued in OH

Legal business name

MR PRESCRIPTION INC

Doing business as

Clarks Mr Prescription

Practice address

2601 S Smithville Rd
Dayton, OH 45420-2641

Phone

(937) 253-3166

Fax

(937) 253-3165

NPI assigned

Sep 21, 2006

Organization subpart

No

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

Authorized official

Name

Tim Clark

Title

President

Phone

(937) 428-7970

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• CLARKS MR PRESCRIPTION Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark Aaron Bondurant, RPH

  • Pharmacist
  • Dayton, OH
  • NPI 1619953122
  NPD (past)
• Marjorie A. Niederkohr, R.PH.

  • Pharmacist
  • Dayton, OH
  • NPI 1508843350
  NPD (past)
• Amy L Fessler, PHARMD

  • Pharmacist
  • Indianapolis, IN
  • NPI 1790760528
  NPD (past)

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314576000000",
    "number": "1649379108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7044 SOLUTION CTR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606770001",
            "telephone_number": "937-428-7970",
            "fax_number": "937-428-7978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 S SMITHVILLE RD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454202641",
            "telephone_number": "937-253-3166",
            "fax_number": "937-253-3165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MR PRESCRIPTION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2011-08-29",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "937-428-7970"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OH",
            "license": "02181350",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0477041",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3638422",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CLARKS MR PRESCRIPTION",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Misty Michelle Mowery
• Amber Moyer
• Mia Ronshalynn Moyer
• Paul Moyer, MD
• Chelsea Marie Mozel, A.T.
• Carolyn Mraz, LSW
• Jennifer Mroczka
• Raymond Mrozek, MD
• Jodi Lynn Mrozinski, DDS
• Jessica Anne Muchmore, O.T.

• Community/Retail Pharmacy in Dayton, OH
• Providers in Dayton, OH by specialty
• Community/Retail Pharmacy in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2011; 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.