Mandy Jo Collins, PHARMD
Individual provider Active NPI Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Madison, IN
NPI 1982243622 · NPPES record last updated Dec 28, 2019
Key facts
- NPI
- 1982243622
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X
- License
- 26020138A (IN)
- Practice address
- 525 E Clifty Dr
Madison, IN 47250-1672 - Phone
- (812) 273-3343
- NPI assigned
- Dec 28, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26020138A | IN | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kroger Limited Partnership I | Past |
Accepting new patients | |
| Kroger Limited Partnership I | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 26020138A | IN | Yes |
Addresses
Primary practice location
525 E Clifty Dr
Madison, IN 47250-1672
Mailing address
525 E Clifty Dr
Madison, IN 47250-1672
Phone (812) 273-3343
Other providers in Madison, IN
- Clifty Counseling LLC
- Clifty Falls Chiropractic Center, P.S.C.
- Devin Nicole Cline
- Brittany K. Cole
- Marci Ann Cole
- Megan Ellen Collins
- Mary Victoria Conners
- Elizabeth Michelle Cooper
- Amanda Nicole Corbin
- Faith Evelynn Couch
All providers in Madison, IN · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 28, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.