ANDREA HANNEM (NPI# 1023373180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023373180 |
| Entity Type | Individual |
| Full Name | ANDREA HANNEM |
| Credential | PHARMD |
| Practice Address |
15560 Pilot Knob Rd T-2390 Apple Valley MN 55124-7286 |
| Practice Telephone | 9522363166 |
| Practice Fax Number | 9522363176 |
| Mailing Telephone | 9522363166 |
| Mailing Fax Number | 9522363176 |
| Enumeration Date | 2012-07-05 |
| Last Update Date | 2012-07-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 120802 | MN | Pharmacy Service Providers |
| Street Address |
15560 PILOT KNOB RD T-2390 |
| City | APPLE VALLEY |
| State | MN |
| Zip Code | 55124-7286 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538252119 | Miles Richard Lahr | Pharmacist | 15560 Pilot Knob Rd, Apple Valley, MN 55124-7286 | 2006-10-02 |
| 1093149262 | Dana Pauline Tonjum | Pharmacist | 15560 Pilot Knob Rd, Apple Valley, MN 55124-7286 | 2013-08-24 |
| 1366717472 | Jamie Kranz | Nurse Practitioner | 15560 Pilot Knob Rd, Apple Valley, MN 55124-7286 | 2012-03-21 |
| 1306132741 | Debra Rae Yndestad | Pharmacist | 15560 Pilot Knob Rd, Apple Valley, MN 55124-7286 | 2011-06-23 |
| 1033405550 | Teresa Clare Anderson | Pharmacist | 15560 Pilot Knob Rd, T-2390, Apple Valley, MN 55124-7286 | 2011-06-22 |
| 1114213022 | Krista Savian | Pharmacist | 15560 Pilot Knob Rd, Apple Valley, MN 55124-7286 | 2011-06-20 |
| 1952693905 | Joseph H Martin Od, P.a. & Associates | Optometrist | 15560 Pilot Knob Rd, Apple Valley, MN 55124-7286 | 2011-05-10 |
| 1669795365 | Renee Trombley Schwartz | Physician Assistant | 15560 Pilot Knob Rd, Apple Valley, MN 55124-7286 | 2010-03-09 |
| 1922285956 | Grand St Paul Cvs LLC | Durable Medical Equipment & Medical Supplies | 15560 Pilot Knob Rd, Apple Valley, MN 55124-7286 | 2008-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518574672 | Carol Susan Elstad | Counselor | Mn Mental Health Clinics, 15160 Foliage Ave Suite 140, Apple Valley, MN 55124 | 2020-09-23 |
| 1629612569 | Gadaa Care Transportation | Non-emergency Medical Transport (VAN) | 7296 157th St W, Apple Valley, MN 55124 | 2019-11-04 |
| 1356831515 | Dustin W Seabolt | Hearing Instrument Specialist | 15071 Dunwood Trl, Apple Valley, MN 55124 | 2018-05-14 |
| 1639687189 | Dentalign P.a. | Clinic/Center | 15875 Emperor Avenue, Apple Valley, MN 55124 | 2018-01-18 |
| 1982126926 | Apex Family Chiropractic LLC | Chiropractor | 15678 Pilot Knob Road, Suite 120, Apple Valley, MN 55124 | 2017-07-12 |
| 1821523028 | Robin Marie Parker | Nurse Practitioner | 14135 Cedar Avenue South, Suite 100, Apple Valley, MN 55124 | 2017-04-25 |
| 1134578826 | Ellen Denise Jacobson | Dentist | 14682 Pennock Avenue South, Apple Valley, MN 55124 | 2016-06-03 |
| 1831568708 | Clearriver Inc. | Home Health | 13790 Elkhart Rd, Apple Valley, MN 55124 | 2015-09-21 |
| 1265826879 | Next Level Fitness Co | Public Health or Welfare | 14645 Felton Ct, 104, Apple Valley, MN 55124 | 2015-03-20 |
| 1568872216 | Jon Butala | Marriage & Family Therapist | 4300 W 147th St., Suite 204, Apple Valley, MN 55124 | 2014-05-04 |
| Find all providers in zip 55124 | ||||
| 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 |
|---|---|---|---|---|
| 1659780534 | Relena Tran | Pharmacist | 20251 Highway 18, Apple Valley, CA 92307 | 2014-08-05 |
| 1508290644 | Nari Kim | Pharmacist | 21650 Outer Hwy 18, Apple Valley, CA 92307-3990 | 2013-08-26 |
| 1578847745 | Ahmed M Abou-el-seoud | Pharmacist | 21650 Outer Highway 18, Apple Valley, CA 92307-3990 | 2011-10-05 |
| 1205127123 | Quang Thien Nguyen | Pharmacist | 20250 Us Highway 18, Apple Valley, CA 92307-2937 | 2011-04-26 |
| 1962723221 | Dipakkumar B Shah | Pharmacist | 19035 Bear Valley Rd, Apple Valley, CA 92308-2712 | 2010-06-21 |
| 1053638056 | Phil Edward Whiting | Pharmacist | 12253 Apple Valley Rd, Apple Valley, CA 92308-1701 | 2010-04-29 |
| 1538252119 | Miles Richard Lahr | Pharmacist | 15560 Pilot Knob Rd, Apple Valley, MN 55124-7286 | 2006-10-02 |
| 1851359111 | Jonathan Hung Budge | Pharmacist | 19201 Bear Valley Rd, Apple Valley, CA 92308-6763 | 2006-05-03 |
| 1598364515 | Brett Stolberg | Pharmacist | 14940 Florence Trl, Apple Valley, MN 55124-4628 | 2020-10-21 |
| 1083213193 | Shawn Holm | Pharmacist | 7835 150th St W, Apple Valley, MN 55124-7181 | 2020-10-20 |
| Find all providers in APPLE VALLEY | ||||
| City | APPLE VALLEY |
| Zip Code | 55124 |
Please comment or provide details below to improve the information on ANDREA HANNEM.
| 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.