MS. DONA MARIE IDT (NPI# 1033509500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1033509500 |
Entity Type | Individual |
Full Name | MS. DONA MARIE IDT |
Credential | CPHT |
Practice Address |
1250 N Port Washington Rd Grafton WI 53024-9315 |
Practice Telephone | 2623756738 |
Practice Fax Number | 2626189138 |
Mailing Telephone | 2623756738 |
Mailing Fax Number | 2626189138 |
Enumeration Date | 2015-02-04 |
Last Update Date | 2015-02-04 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 183700000X | Pharmacy Technician | 590107010293680 | WI | Pharmacy Service Providers |
Street Address |
1250 N PORT WASHINGTON RD |
City | GRAFTON |
State | WI |
Zip Code | 53024-9315 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023304482 | Cathy Arndt | Pharmacist | 1250 N Port Washington Rd, Target T-1212, Grafton, WI 53024-9315 | 2011-06-23 |
1326674946 | Patricia Daidone | Pharmacist | 1250 N Port Washington Rd, Grafton, WI 53024-9315 | 2020-03-15 |
1366081945 | Nicholas S Kelly | Pharmacist | 1250 N Port Washington Rd, Grafton, WI 53024-9315 | 2019-12-31 |
1215338504 | Matthew Lucht | Pharmacist | 1250 N Port Washington Rd, Grafton, WI 53024-9315 | 2014-09-06 |
1598194003 | Rebecca Roche | Pharmacist | 1250 N Port Washington Rd, Grafton, WI 53024-9315 | 2013-11-05 |
1366790297 | Nicholas Walter Zare | Pharmacist | 1250 N Port Washington Rd, Grafton, WI 53024-9315 | 2012-08-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245739135 | Kathy Anne Herzog | Counselor | 101 Falls Rd Suite 210, Grafton, WI 53024 | 2018-02-06 |
1992215867 | Caroline Marie Brandt | Nurse Practitioner | 975 Port Washington Rd Ste 310, Grafton, WI 53024 | 2017-10-05 |
1124569181 | Quirt Family Dentistry, Sc | Dentist | 1580 Port Washington Road, Grafton, WI 53024 | 2017-03-10 |
1639626260 | Jennifer Pogodzinski | Physical Therapist | 975 N. Port Washington Avenue, Grafton, WI 53024 | 2016-09-01 |
1750790119 | Amanda K Olejniczak | Dentist | 1505 Wisconsin Ave, Ste 130, Grafton, WI 53024 | 2014-08-10 |
1992053680 | Liliya Lakshtanov | Registered Nurse | 910 E. Paradise Dr., West Bend, WI 53024 | 2012-08-28 |
1467708446 | Trevor Holwell | Pharmacist | 1600 N Port Washington Rd, Grafton, WI 53024 | 2012-07-27 |
1770838120 | Brian A. Vetterkind | Physical Therapist | 2225 Wisconsin Ave Ste 100, Grafton, WI 53024 | 2012-07-20 |
1366774689 | Tracy Lynn Doro-krueger | Counselor | 1814 Arapaho Court, Grafton, WI 53024 | 2010-02-11 |
1659507754 | Karen Marie Geschke | Physical Therapist | 2020 Cheyenne Ct., Grafton, WI 53024 | 2009-06-03 |
Find all providers in zip 53024 |
Taxonomy Code | 183700000X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacy Technician |
A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. |
Notes: Source: Pharmacy Technician Certification Board, www.ptcb.org [1/1/2006: modified definition, modified source] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578109062 | Jamie Ann Ver Hagen | Pharmacy Technician | 218800 Fawn Rd Lot 81, Mosinee, WI 54455-4352 | 2019-11-20 |
1861831810 | James Robert Mccormick | Pharmacy Technician | 2720 S 163rd St, New Berlin, WI 53151-3610 | 2013-06-21 |
1265777999 | Linda Joyce Lundberg | Pharmacy Technician | 11134n Hwy 77, Essentia Health Hayward Pharmacy, Hayward, WI 54843-5325 | 2012-12-06 |
1952335515 | Nicole L Halvorson | Pharmacy Technician | 1800 Robin Ave, S207, Oshkosh, WI 54902-8765 | 2006-07-10 |
1295356020 | Matthew Parish | Pharmacy Technician | 1969 W Hart Rd, Beloit, WI 53511-2230 | 2020-05-04 |
1255951448 | Hossam Ali | Pharmacy Technician | 2700 S 60th St, Milwaukee, WI 53219-3151 | 2020-04-17 |
1649816026 | James Allen Worthey | Pharmacy Technician | 2001 N Central Ave, Marshfield, WI 54449-8337 | 2019-11-20 |
1821651563 | Leighton A Becher | Pharmacy Technician | 1900 South Ave, La Crosse, WI 54601-5496 | 2019-04-18 |
1861902751 | Brandon Tyra | Pharmacy Technician | 5000 W National Ave, Milwaukee, WI 53295-0001 | 2017-10-05 |
1548714462 | Katrina Wellnitz | Pharmacy Technician | 160 Business Park Cir, Stoughton, WI 53589-3392 | 2016-08-09 |
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.