Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1871876953 Individual Practitioner Female Practitioner

Mary Margaret Ellison , RPH

Pharmacist • O Fallon, MO

Professional Overview & Biography Verified Profile Summary

Mary Ellison, RPH is a registered healthcare professional specializing in Pharmacist in O Fallon, MO. Practice services are available at 1490 MEXICO LOOP RD E under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1490 Mexico Loop Rd E

O Fallon, MO 633666015

Telephone 6369781602
Associated Practice Facility / Clinic
🏢 Walgreen Co Facility NPI 1922013176

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in O Fallon, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.7 Yrs
Regional Practice Density
87 Specialists

Practicing in O Fallon, MO (5469 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License MO 042428

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1922013176 (MO)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
NPI 1003198318

Doctor of Pharmacy (Pharm.D.)

NPI 1043823891

Doctor of Pharmacy (Pharm.D.)

NPI 1366725350

Registered Pharmacist

NPI 1487930061

Registered Pharmacist

Aditya Thaker

Pharmacist

NPI 1598157810
NPI 1801179569

Registered Pharmacist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active September 24, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location September 24, 2011

Registered at 1490 MEXICO LOOP RD E, O FALLON, MO 633666015 (Tel: 6369781602)

📍
Updated Business Mailing Address September 24, 2011

Registered at 400 MASON RIDGE DR, SAINT CHARLES, MO 633047283 (Tel: 6364475977)

👤
Provider Name / Credentials Updated September 24, 2011

Recorded as MARY ELLISON, RPH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 24, 2011

Pharmacist (License #042428 in MO)

🟢
Initial NPI Registration & Enumeration September 24, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Mary Ellison. Be the first to share your experience!

Sign in to leave a review for Mary Ellison

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1871876953
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 24, 2011
Last Update: September 24, 2011
Sole Proprietor: No

Mailing Address

400 Mason Ridge Dr

Saint Charles, MO 633047283

Phone: 6364475977

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.