DR. MICHAEL JEROME BUKSTEIN JR. (NPI# 1023514767) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023514767 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL JEROME BUKSTEIN JR. |
| Credential | PHARM.D. |
| Practice Address |
250 Se Gateway Dr Grimes IA 50111-2045 |
| Mailing Address |
16841 Winston Cir Clive IA 50325-2522 |
| Practice Telephone | 5159860101 |
| Practice Fax Number | 5159863382 |
| Mailing Telephone | 3092613839 |
| Enumeration Date | 2018-04-02 |
| Last Update Date | 2018-04-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 2003024792 | MO | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | 21800 | IA | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | 051287243 | IL | Pharmacy Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 16841 Winston Cir, Clive, IA 503252522 | 3092613839 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912986688 | Michael J Bukstein | Surgery | 100 Medical Dr, Hannibal, MO 63401-6877 | 2006-01-11 |
| Street Address |
250 SE GATEWAY DR |
| City | GRIMES |
| State | IA |
| Zip Code | 50111-2045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609803964 | Grx Holdings LLC | Durable Medical Equipment & Medical Supplies | 250 Se Gateway Dr, Grimes, IA 50111-2045 | 2006-06-26 |
| 1770921488 | Andrew Ryan Funk | Pharmacist | 250 Se Gateway Dr, Grimes, IA 50111-2045 | 2013-06-05 |
| 1700166857 | Kathryn Elizabeth Starbuck | Pharmacist | 250 Se Gateway Dr, Grimes, IA 50111-2045 | 2011-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013200914 | Ccrc of Grimes, LLC | Skilled Nursing Facility | 200 Sw Brookside Drive, Grimes, IA 50111 | 2011-05-25 |
| 1891000147 | Wal-mart Stores Inc | Technician/Technologist | 2150 East 1st St., Grimes, IA 50111 | 2010-08-11 |
| 1134364573 | Tram Quach | Pharmacist | 608 South 18th Street, Grimes, IA 50111 | 2008-12-15 |
| 1730338625 | Ann Marie Miller | Pharmacist | 5700 Glenstone Dr, Unit 701, Grimes, IA 50111 | 2008-09-16 |
| 1548481591 | Siebert Mobility, Inc. | Contractor | 3450 Se Miehe Drive, Suite 1, Grimes, IA 50111 | 2007-05-01 |
| 1275691867 | Nicholas John Nerem | Chiropractor | 925 Gateway Dr., Suite 200, Grimes, IA 50111 | 2006-12-05 |
| 1932275252 | Holly Marie Crowson | Chiropractor | 3000 Se Grimes Blvd, Suite 500, Grimes, IA 50111 | 2006-11-28 |
| 1235158452 | Amanda Jorgensen | Dentist | 100 Sw Brookside Dr, Grimes, IA 50111 | 2006-07-19 |
| 1922065903 | Curtis R Waddingham | Specialist/Technologist | 270 Sw 1st St, Ste H, Grimes, IA 50111 | 2006-04-26 |
| 1326011578 | Grove and Platt Dental Associates Plc | Dentist | 1541 S Third Street, Suite 300, Grimes, IA 50111 | 2006-02-08 |
| Find all providers in zip 50111 | ||||
| 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 |
|---|---|---|---|---|
| 1093354615 | Alicia Modlin | Pharmacist | 1541 Se 3rd St Ste 100, Grimes, IA 50111-8878 | 2019-12-30 |
| 1083002505 | Jennifer Kiepke | Pharmacist | 302 Se 13th St, Grimes, IA 50111-4800 | 2015-01-06 |
| 1134364573 | Tram Quach | Pharmacist | 608 South 18th Street, Grimes, IA 50111 | 2008-12-15 |
| 1730338625 | Ann Marie Miller | Pharmacist | 5700 Glenstone Dr, Unit 701, Grimes, IA 50111 | 2008-09-16 |
| 1841413309 | Lena Marie Mullins | Pharmacist | 1541 S 3rd St Ste 100, Grimes, IA 50111-8878 | 2007-04-11 |
| 1366003261 | Kimberly Ann Sadewasser | Pharmacist | 2150 E 1st St, Grimes, IA 50111-7606 | 2019-06-22 |
| 1902369192 | Gregory Ramsay | Pharmacist | 2150 E 1st St, Grimes, IA 50111-7606 | 2019-04-13 |
| 1770921488 | Andrew Ryan Funk | Pharmacist | 250 Se Gateway Dr, Grimes, IA 50111-2045 | 2013-06-05 |
| 1700166857 | Kathryn Elizabeth Starbuck | Pharmacist | 250 Se Gateway Dr, Grimes, IA 50111-2045 | 2011-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932708070 | Bethany Vogts | Pharmacist | 1825 29th St Ne Ste E, Cedar Rapids, IA 52402-3452 | 2020-10-20 |
| 1356948103 | Kate Elizabeth Kurt | Pharmacist | 1605 Associates Dr Ste 101, Dubuque, IA 52002-2270 | 2020-10-05 |
| 1295348605 | Bret Kinne | Pharmacist | 120 S Story St Ste C, Boone, IA 50036-4739 | 2020-08-25 |
| 1770191611 | Andrea Dawn Mccartney | Pharmacist | 3056 River Crossing Ct Ste A, Riverside, IA 52327-4733 | 2020-07-16 |
| 1669080842 | Darby A Messerschmitt | Pharmacist | 118-120 North 1st Avenue, Winterset, IA 50273 | 2020-07-14 |
| 1558989194 | Joy C Tinnes | Pharmacist | 3056 River Crossing Ct, Riverside, IA 52327-4733 | 2020-07-09 |
| 1124645270 | David John Thomsen | Pharmacist | 133 Green Mountain Dr, Iowa City, IA 52245-3817 | 2020-07-05 |
| 1578180790 | Emily Brynn Vahary | Pharmacist | 200 Hawkins Dr # Cc101gh, Iowa City, IA 52242-1009 | 2020-07-03 |
| 1902422108 | Shanrael Stoner | Pharmacist | 2255 John F Kennedy Rd Ste 16, Dubuque, IA 52002-2883 | 2020-06-23 |
| 1235755000 | Casey Villhauer | Pharmacist | 4105 Nw 5th St, Ankeny, IA 50023-8710 | 2020-06-17 |
| Find all providers with the same taxonomy | ||||
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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.