DEIDRA J VANGILDER (NPI# 1023054848) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023054848 |
| Entity Type | Individual |
| Full Name | DEIDRA J VANGILDER |
| Credential | PHARMD |
| Practice Address |
506 1st Ave Se Watertown SD 57201-4402 |
| Practice Telephone | 6058868482 |
| Practice Fax Number | 6058844300 |
| Mailing Telephone | 6058868482 |
| Mailing Fax Number | 6058844300 |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2020-08-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 5217 | SD | Pharmacy Service Providers |
| Street Address |
506 1ST AVE SE |
| City | WATERTOWN |
| State | SD |
| Zip Code | 57201-4402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275522732 | Brown Pharmacy LLC | Pharmacy | 506 1st Ave Se, Watertown, SD 57201-4402 | 2005-10-18 |
| 1831709369 | Heidi Maurine Barber | Nurse Practitioner | 506 1st Ave Se, Watertown, SD 57201-4499 | 2020-08-10 |
| 1497363113 | Allison Judeen Decurtins | Nurse Practitioner | 506 1st Ave Se, Watertown, SD 57201-4499 | 2020-07-20 |
| 1457903833 | Abby Lynne Simon | Physician Assistant | 506 1st Ave Se, Watertown, SD 57201-4499 | 2019-07-15 |
| 1699327262 | Rachel Leiseth | Physician Assistant | 506 1st Ave Se, Watertown, SD 57201-4499 | 2019-07-12 |
| 1336617604 | Jennifer Guest | Health Educator | 506 1st Ave Se, Watertown, SD 57201-4499 | 2018-11-05 |
| 1184192650 | Kristina R Boetel | Nurse Practitioner | 506 1st Ave Se, Watertown, SD 57201-4499 | 2018-11-02 |
| 1942775713 | Rebekah Ruth Storm | Nurse Practitioner | 506 1st Ave Se, Watertown, SD 57201-4499 | 2018-10-09 |
| 1205225661 | Abby M Gietzen | Physician Assistant | 506 1st Ave Se, Watertown, SD 57201-4402 | 2015-01-22 |
| 1205230414 | Eric L. Woolley | Podiatrist | 506 1st Ave Se, Watertown, SD 57201 | 2014-10-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245878032 | Samantha Kay Kratovil | Dietitian, Registered | 4 19th St Ne, Watertown, SD 57201 | 2019-12-12 |
| 1326516501 | Edgewood Watertown Mc 2 LLC | Assisted Living Facility | 225 14 Ave Ne, Watertown, SD 57201 | 2018-11-06 |
| 1023503406 | Rhonda Jean Cyre | Occupational Therapy Assistant | 613 B 1st Ave Se, Watertown, SD 57201 | 2018-06-27 |
| 1083160717 | Joyce Anderson | Psychologist | 1124 Konrady Dr. Ne, Watertown, SD 57201 | 2016-09-01 |
| 1336584630 | Jeffrey Alan Dorrity | Otolaryngology | 1201 Mickelson Dr, Watertown, SD 57201 | 2013-05-01 |
| 1427397389 | Vickie Lynn Burchatz | Occupational Therapy Assistant | 415 Fourth Avenue Ne, Golden Living Center, Watertown, SD 57201 | 2013-02-12 |
| 1215292560 | Eagle Vision | Eyewear Supplier (Equipment, not the service) | 906 1/2 9th Ave Se, Watertown, SD 57201 | 2012-07-11 |
| 1669777462 | Eve Lynn Hensler | Audiologist | 405 18th Ave. Ne, Professional Hearing Services, Inc., Watertown, SD 57201 | 2011-01-26 |
| 1760792261 | Maria Redmond | Physical Therapist | 810 South Maple, Watertown, SD 57201 | 2010-10-18 |
| 1194918995 | Colette Wheeler | Occupational Therapist | 17330, 458th Ave, Watertown, SD 57201 | 2007-08-24 |
| Find all providers in zip 57201 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| 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. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033646732 | David Allan Vangeersdaele | Pharmacist | 763 Straits Tpke Stop & Shop #657, Watertown, CT 06795-3318 | 2017-05-12 |
| 1730538844 | Kathleen S. Lepine | Pharmacist | 747 Ball Ave, Watertown, NY 13601-9900 | 2016-06-09 |
| 1770875270 | Laura Blair | Pharmacist | 1271 Main St, Watertown, CT 06795-3107 | 2011-05-03 |
| 1316262447 | Brandy Barniak | Pharmacist | 27772 Middle Rd, Watertown, NY 13601-5766 | 2010-03-31 |
| 1043533862 | Stephen Louis St. Joseph | Pharmacist | 20823 Nys Rt #3, Watertown, NY 13601 | 2010-03-08 |
| 1790008894 | Karen Mary Flick | Pharmacist | 22056 Us Rt 11, Watertown, NY 13601 | 2010-03-04 |
| 1417187816 | Lynn M Odett | Pharmacist | 1655 State Street, Watertown, NY 13601-3106 | 2009-07-20 |
| 1417127747 | Ira Roger Siegel | Pharmacist | 315 Arscenal St, Watertown, NY 13601 | 2008-03-03 |
| 1831373190 | Jack Kriesick | Pharmacist | 22056 Us Rte 11, Watertown, NY 13601 | 2007-12-21 |
| 1396927547 | Megan Whitney | Pharmacist | 1328 Washington St, Watertown, NY 13601-4532 | 2007-11-29 |
| Find all providers in WATERTOWN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.