REBECCA AUGUSTINE (NPI# 1063821890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063821890 |
| Entity Type | Individual |
| Full Name | REBECCA AUGUSTINE |
| Credential | RPH, PHARMD |
| Practice Address |
1028 Wisconsin Ave. Boscobel WI 53805 |
| Practice Telephone | 6083754466 |
| Practice Fax Number | 6083752383 |
| Mailing Telephone | 6083754466 |
| Mailing Fax Number | 6083752383 |
| Enumeration Date | 2014-08-06 |
| Last Update Date | 2014-08-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 17573-40 | WI | Pharmacy Service Providers |
| Street Address |
1028 WISCONSIN AVE. |
| City | BOSCOBEL |
| State | WI |
| Zip Code | 53805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841746450 | Boscobel Family Dental, LLC | Dentist | 105 E. Bluff Street, Boscobel, WI 53805 | 2016-09-01 |
| 1164487856 | Richard A Graf | Urology | 200 W Bluff St, Boscobel, WI 53805 | 2006-04-18 |
| 1932136181 | Marija Zakarija | Emergency Medicine | 205 Parker St, Boscobel, WI 53805 | 2006-06-26 |
| 1386727972 | Dr Michael S Mecikalski Sc | Dentist | 310 Parker Street, Boscobel, WI 53805-0188 | 2006-10-24 |
| 1770873440 | Michael S. Mecikalski | Dentist | 310 Parker Street, Boscobel, WI 53805-0188 | 2011-04-14 |
| 1821458852 | Tammy Shepherd | Licensed Practical Nurse | 501 Chestnut St, Boscobel, WI 53805-1130 | 2016-03-03 |
| 1144382011 | Burton Dale Cox Jr. | Family Medicine | 1101 Morrison Dr, Hsu, Boscobel, WI 53805-1180 | 2006-12-15 |
| 1013490101 | Rebecca Miller LLC | Counselor | 406 Elm St, Boscobel, WI 53805-1216 | 2018-09-13 |
| 1306323803 | Ashley Hady, LLC | Community/Behavioral Health | 406 Elm St, Boscobel, WI 53805-1216 | 2018-07-26 |
| 1720470354 | Rebecca Miller | Counselor | 406 Elm St, Boscobel, WI 53805-1216 | 2015-02-18 |
| Find all providers in zip 53805 | ||||
| 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 |
|---|---|---|---|---|
| 1043212335 | Michelle Ellen Farrell | Pharmacist | 1028 Wisconsin Ave, Boscobel, WI 53805-1532 | 2005-06-01 |
| 1447861687 | Johnathan Grady Easterling | Pharmacist | 1028 Wisconsin Ave, Boscobel, WI 53805-1532 | 2020-08-12 |
| 1235757873 | Allyson Cooley | Pharmacist | 1028 Wisconsin Ave, Boscobel, WI 53805-1532 | 2020-07-09 |
| 1033762000 | Chase Kooyman | Pharmacist | 1028 Wisconsin Ave, Boscobel, WI 53805-1532 | 2019-07-18 |
| 1174182489 | Ryan Fan | Pharmacist | 1028 Wisconsin Ave, Boscobel, WI 53805-1532 | 2019-06-10 |
| 1457836629 | Brekk Feeley | Pharmacist | 1028 Wisconsin Ave, Boscobel, WI 53805-1532 | 2018-10-03 |
| 1720460504 | Jared Snyder | Pharmacist | 1028 Wisconsin Ave, Boscobel, WI 53805-1532 | 2015-06-29 |
| 1649576802 | Sarah L Gerber Hubbard | Pharmacist | 205 Parker St, Boscobel, WI 53805-1642 | 2011-02-07 |
| 1063682508 | Tara Lee Wood | Pharmacist | 205 Parker St, Boscobel, WI 53805-1642 | 2008-03-11 |
| 1144436502 | Lisa Mary Witter | Pharmacist | 1028 Wisconsin Ave, Boscobel, WI 53805-1532 | 2007-05-15 |
| Find all providers in BOSCOBEL | ||||
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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.