Active NPI
Molly McConville, PHARMD
- Pharmacist
- Wells, MN
National Provider Identifier
1952706483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 121659
- Practice address
- 36 S Broadway
Wells, MN 56097-1633 - Phone
- (507) 553-3161
- NPI assigned
- Oct 27, 2014
- Last updated
- Oct 27, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 121659 | MN | Primary |
| Pharmacist | 183500000X | 5582 | ND |
Addresses
Primary practice location
36 S Broadway
Wells, MN 56097-1633
Mailing address
36 S Broadway
Wells, MN 56097-1633
Phone (507) 553-3161
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 121659 | MN | MD | Pharmacist |
| 5582 | ND | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414368000000",
"number": "1952706483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36 S BROADWAY",
"city": "WELLS",
"state": "MN",
"postal_code": "560971633",
"telephone_number": "507-553-3161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36 S BROADWAY",
"city": "WELLS",
"state": "MN",
"postal_code": "560971633",
"telephone_number": "507-553-3161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCONVILLE",
"first_name": "MOLLY",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-27",
"last_updated": "2014-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "121659",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ND",
"license": "5582",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wells, MN
- Independent Therapy Services, Inc
- Jennifer Kimpton, LICSW
- Dawn Lutteke, OTR/L
- Magnuson Chiropractic Center Inc
- Darin J Magnuson, DC
- Nicole Meyer, CPM
- Rolan Milutinovic, DDS
- Modern Dental Professionals Minnesota PC (Midwest Dental - Wells)
- Richard Alan Mueller
- Parkview Care Center - Albert Lea Medical Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.