STACEY J WEISE (NPI# 1033494109) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033494109 |
| Entity Type | Individual |
| Full Name | STACEY J WEISE |
| Credential | PHARMD |
| Practice Address |
1470 Larkspur Ln Oneida WI 54155-8616 |
| Practice Telephone | 9206608153 |
| Mailing Telephone | 9206608153 |
| Enumeration Date | 2011-10-19 |
| Last Update Date | 2011-10-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 14742-40 | WI | Pharmacy Service Providers |
| Street Address |
1470 LARKSPUR LN |
| City | ONEIDA |
| State | WI |
| Zip Code | 54155-8616 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225317795 | Ann Marie Wells | Nurse Practitioner | 525 Airport Dr., Oneida, WI 54155 | 2011-08-15 |
| 1255363156 | Edward S Polzin | Dentist | 525 Airport Rd, Oneida, WI 54155 | 2006-07-07 |
| 1316979248 | Megan Hotchkiss | Physician Assistant | 2500 E Capitol Drive, Suite 3700, Appleton, WI 54155 | 2006-07-07 |
| 1215911706 | Oneida Community Health Center | Durable Medical Equipment & Medical Supplies | 525 Airprort Rd, Oneida, WI 54155 | 2005-11-30 |
| 1528322849 | Dianna Langner | Nurse Practitioner | 525 Airport Dr, Oneida, WI 54155 | 2012-07-02 |
| 1841556446 | Alyssa J Hudak | Dietitian, Registered | 525 Airport Rd, Oneida, WI 54155 | 2012-04-09 |
| 1780633669 | Ravinder Vir | Internal Medicine | 525 Airport Dr, Oneida, WI 54155 | 2006-05-09 |
| 1891165635 | Elizabeth Kelley | Counselor | Po Box 365, Oneida, WI 54155-0365 | 2015-10-06 |
| 1417488289 | Kimberly Damrow | Dietitian, Registered | 525 Airport Drive, Oneida, WI 54155-0935 | 2017-03-23 |
| 1891192803 | Yvonne White | Dentist | 525 Airport Rd, Oneida, WI 54155-0935 | 2014-11-20 |
| Find all providers in zip 54155 | ||||
| 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 |
|---|---|---|---|---|
| 1437583432 | Sarah Megan Mastrolia | Pharmacist | 335 Elizabeth St, Oneida, NY 13421-2119 | 2013-08-26 |
| 1700142619 | Stephen Daniel Cross | Pharmacist | 20029 Alberta St., Oneida, TN 37841 | 2012-04-04 |
| 1720301377 | James M. Breeding | Pharmacist | 2018 Glenwood Shopping Plz, Oneida, NY 13421-2715 | 2010-03-10 |
| 1649454745 | Marylourdes Laramee | Pharmacist | 25 Glenwood Ave, Oneida, NY 13421 | 2007-12-26 |
| 1861674020 | Susan M Vanvranken | Pharmacist | 449 North Main St, Oneida, NY 13421 | 2007-11-29 |
| 1205035185 | James Wyatt Denzler | Pharmacist | 19856 Alberta St, Oneida, TN 37841 | 2007-07-12 |
| 1356557821 | Andrea Suzanne Stanton | Pharmacist | 2024 Genesee Street, Oneida, NY 13421 | 2007-05-14 |
| 1992874382 | Terry Roark | Pharmacist | 19118 Alberta St, Oneida, TN 37841-6003 | 2006-11-07 |
| 1649244153 | Dustin T Douglas | Pharmacist | 19740 Alberta St, Oneida, TN 37841-3305 | 2006-02-14 |
| 1194799767 | Kevin Dwaine Sexton | Pharmacist | 20029 Alberta St, Oneida, TN 37841-3501 | 2006-02-13 |
| Find all providers in ONEIDA | ||||
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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.