Latanya Lynn Modd

Primary specialty

PharmacistTaxonomy code 183500000X

License

03122375 Issued in OH

Practice address

2017 Broad Ave
Findlay, OH 45840-2749

Phone

(567) 251-3900

NPI assigned

May 31, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Great Scot Inc

  • Community/Retail Pharmacy
  • Findlay, OH
  • NPI 1972077030
  NPD (past)

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

{
    "created_epoch": "1559260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559260800000",
    "number": "1972161479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2017 BROAD AVE",
            "city": "FINDLAY",
            "state": "OH",
            "postal_code": "458402749",
            "telephone_number": "567-251-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2017 BROAD AVE",
            "city": "FINDLAY",
            "state": "OH",
            "postal_code": "458402749",
            "telephone_number": "567-251-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MODD",
        "first_name": "LATANYA",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-31",
        "last_updated": "2019-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03122375",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL",
            "identifier": "7274",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7274",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vicki Miracle
• Linda Teresa Miranda
• April Misamore, RD, LD
• Erin E Mitchell, LPCC
• Patricia Mitchell
• Deana Mohamed
• Ma Florence Veneracion Mojica, P.T.
• Jeffrey E Molter, C.R.N.A.
• Emily Momberg
• Amanda Jean Montgomery

• Pharmacist in Findlay, OH
• Providers in Findlay, OH by specialty
• Pharmacist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2019; 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.