Mr Prescription Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

02731100 Issued in OH

Legal business name

MR PRESCRIPTION INC

Practice address

6149 Far Hills Ave
Centerville, OH 45459-1925

Phone

(937) 433-6669

Fax

(937) 433-6659

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

• CLARK'S RX PHARMACY 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)
• Jennifer Dawn Harrison, PHARM D

  • Pharmacist
  • West Carrollton, OH
  • NPI 1750367272
  NPD (past)
• Sharon K Kelly

  • Pharmacist
  • West Carrollton, OH
  • NPI 1366427155
  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": "1922107481",
    "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": "6149 FAR HILLS AVE",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454591925",
            "telephone_number": "937-433-6669",
            "fax_number": "937-433-6659"
        }
    ],
    "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": "02731100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0908647",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3657939",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CLARK'S RX PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shawn Dale Morgan, OTR/L, CEAS
• Vivian R Morrison
• Melodie K Morrow, MSW, LISW-S
• Mosaic Psychological Services, LLC
• Krista Erin Mowell
• Abdullahi Isa Mubarak, M.D.
• Ethan Hugh Muckerheide
• Baylee Jaye Mueller
• Jared Mueller, LISW
• Desire Muhoza

• Community/Retail Pharmacy in Centerville, OH
• Providers in Centerville, 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.