Mallory Sansom, PHARMD

Pharmacist · Ainsworth, NE

Individual Active NPI

NPI number 1356173645

Practice location

255 N Main St
Ainsworth, NE 69210-1300
Phone
(402) 387-1403

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NPI record

NPI
1356173645
Entity type
Individual (Type 1)
Enumeration date
August 15, 2024
Last updated
August 15, 2024
Certified
August 15, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 16581 NE

Mailing address

251 N Merten St
Ainsworth, NE 69210-1564
Phone
(785) 760-7046

About Dr. Sansom

Mallory Sansom, PHARMD is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 255 N Main St, Ainsworth, NE 69210-1300. The NPI number 1356173645 was assigned on August 15, 2024 and the record was last updated on August 15, 2024.

Dr. Sansom lists a license in the registry: #16581 (NE) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mallory Sansom, PHARMD?

The NPI number is 1356173645.

What is the phone number of Dr. Sansom?

The phone number listed for the practice location is (402) 387-1403.

Where is Dr. Sansom located?

255 N Main St, Ainsworth, NE 69210-1300.

What is the taxonomy code for Dr. Sansom?

The primary taxonomy code is 183500000X – Pharmacist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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