Mallory Sansom, PHARMD is a
Pharmacist based in Ainsworth, Nebraska. Mallory Sansom is licensed to practice in Nebraska (license number 16581) and her current practice location is
255 N Main St, Ainsworth, Nebraska. She can be reached at her office (for appointments etc.) via phone at
(402) 387-1403.
NPI number for Mallory Sansom is 1356173645 and her current mailing address is 251 N Merten St, Ainsworth, Nebraska. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1356173645.
Healthcare Provider's Profile
Full Name | Mallory Sansom |
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Gender | Female |
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Speciality | Pharmacist |
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Location | 255 N Main St, Ainsworth, Nebraska |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1356173645
- Provider Enumeration Date: 08/15/2024
- Last Update Date: 08/15/2024
Medical Identifiers
Medical identifiers for Mallory Sansom such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1356173645 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
183500000X | Pharmacist | 16581 (Nebraska) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mallory Sansom is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mallory Sansom, PHARMD 251 N Merten St, Ainsworth, NE 69210-1564 Ph: (785) 760-7046 | Mallory Sansom, PHARMD 255 N Main St, Ainsworth, NE 69210-1300 Ph: (402) 387-1403 |
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