ELIZABETH R STUBENVOLL (NPI# 1063913929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063913929 |
| Entity Type | Individual |
| Full Name | ELIZABETH R STUBENVOLL |
| Credential | PHARMD |
| Practice Address |
808 S Duluth Ave Sturgeon Bay WI 54235 |
| Practice Telephone | 9207465245 |
| Enumeration Date | 2018-02-26 |
| Last Update Date | 2020-02-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 18938-40 | WI | Pharmacy Service Providers |
| Street Address |
808 S DULUTH AVE |
| City | STURGEON BAY |
| State | WI |
| Zip Code | 54235 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073528147 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 808 S Duluth Ave, Sturgeon Bay, WI 54235-3807 | 2006-07-29 |
| 1609485234 | Jalen Evan Mcmartin | Pharmacist | 808 S Duluth Ave, Sturgeon Bay, WI 54235-3807 | 2020-07-29 |
| 1386911063 | Gareth Erwin Gridley | Pharmacist | 808 S Duluth Ave, Sturgeon Bay, WI 54235-3807 | 2011-11-22 |
| 1689950644 | Gregory Potts | Pharmacist | 808 S Duluth Ave, Sturgeon Bay, WI 54235-3807 | 2011-10-21 |
| 1902181027 | Amanda R Maynard | Pharmacist | 808 S Duluth Ave, Sturgeon Bay, WI 54235-3807 | 2011-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811406648 | Door County Young Men's Christian Association Inc | Health Educator | 1900 Michigan Street, Sturgeon Bay, WI 54235 | 2017-09-25 |
| 1386900918 | Ministry Door County | Clinic/Center | 323 S 16th Pl, Sturgeon Bay, WI 54235 | 2012-04-09 |
| 1578797684 | Rejuvenate Life Chiropractic, LLC | Chiropractor | 44 S 2nd Ave, Sturgeon Bay, WI 54235 | 2009-05-05 |
| 1316198765 | Sheryl Faye Flores | Social Worker | 421 Nebraska Street, Door County Community Programs, Sturgeon Bay, WI 54235 | 2008-10-03 |
| 1609023084 | Leah Rose Wiegand | Licensed Practical Nurse | 925 S. Oxford Ave, Apt 142, Sturgeon Bay, WI 54235 | 2008-08-27 |
| 1609034297 | Laurie T Hoffman | Speech-Language Pathologist | 447 No 6th Ave, Sturgeon Bay, WI 54235 | 2008-05-30 |
| 1841477908 | Randall C Rasmussen | Chiropractor | 5867 Timber Ridge Road, Sturgeon Bay, WI 54235 | 2008-01-30 |
| 1558542910 | Katherine Ann Sperber | Hearing Instrument Specialist | 611d Jefferson, Sturgeon Bay, WI 54235 | 2007-11-14 |
| 1750572913 | Kristine M Matysiak | Physician Assistant | 323 S. 18th Avenue, Sturgeon Bay, WI 54235 | 2007-08-05 |
| 1215141841 | Eyes for You Inc | Technician/Technologist | 160 Cherry Point Mall, Sturgeon Bay, WI 54235 | 2007-05-10 |
| Find all providers in zip 54235 | ||||
| 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 |
|---|---|---|---|---|
| 1679797328 | Tanapong Chairin | Pharmacist | 1300 Egg Harbor Rd Ste 112, Sturgeon Bay, WI 54235-1248 | 2007-04-12 |
| 1114527751 | Ryan Popelka | Pharmacist | 1536 Egg Harbor Rd, Sturgeon Bay, WI 54235-1257 | 2020-10-30 |
| 1295334233 | Angela Peterson | Pharmacist | 1536 Egg Harbor Rd, Sturgeon Bay, WI 54235-1257 | 2020-10-21 |
| 1427657436 | Megan Marie Recupero | Pharmacist | 1536 Egg Harbor Rd, Sturgeon Bay, WI 54235-1257 | 2020-10-21 |
| 1114526126 | Eric J Lardinois | Pharmacist | 1536 Egg Harbor Rd, Sturgeon Bay, WI 54235-1257 | 2020-10-21 |
| 1609485234 | Jalen Evan Mcmartin | Pharmacist | 808 S Duluth Ave, Sturgeon Bay, WI 54235-3807 | 2020-07-29 |
| 1922437045 | Michael Draize | Pharmacist | 1910 Alabama St, Sturgeon Bay, WI 54235-3532 | 2013-11-08 |
| 1770834350 | Nancy Sue Tong | Pharmacist | 323 S 18th Ave, Sturgeon Bay, WI 54235-1401 | 2012-09-24 |
| 1386911063 | Gareth Erwin Gridley | Pharmacist | 808 S Duluth Ave, Sturgeon Bay, WI 54235-3807 | 2011-11-22 |
| 1689950644 | Gregory Potts | Pharmacist | 808 S Duluth Ave, Sturgeon Bay, WI 54235-3807 | 2011-10-21 |
| Find all providers in STURGEON BAY | ||||
| City | STURGEON BAY |
| Zip Code | 54235 |
Please comment or provide details below to improve the information on ELIZABETH R STUBENVOLL.
| 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.