MR. JASON D EISERMANN (NPI# 1124017678) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124017678 |
| Entity Type | Individual |
| Full Name | MR. JASON D EISERMANN |
| Credential | RPH |
| Practice Address |
300 Superior Ave Tomah WI 54660-1636 |
| Practice Telephone | 6083722101 |
| Practice Fax Number | 6083727185 |
| Mailing Telephone | 6083722101 |
| Mailing Fax Number | 6083727185 |
| Enumeration Date | 2005-10-18 |
| Last Update Date | 2012-03-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 12371 | WI | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | STATE PHARMACIST LIC | 12371 | 01 |
| Street Address |
300 SUPERIOR AVE |
| City | TOMAH |
| State | WI |
| Zip Code | 54660-1636 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790879609 | Pharmacy Operations Inc | Pharmacy | 300 Superior Ave, Tomah, WI 54660 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255786281 | Jean Hinrichsen | Nurse Practitioner | 500 E Veterans Administration, Tomah, WI 54660 | 2016-04-27 |
| 1871994418 | Jennifer Annette Aeling | Psychologist | 500 E Veterans Street, Mh Admin, Tomah, WI 54660 | 2014-09-15 |
| 1003182346 | James Arthur Hennes | Psychiatric Unit | 515 Veterans St., Tomah, WI 54660 | 2012-03-30 |
| 1619114931 | Saint-mark Enterprises 1798 LLC | Durable Medical Equipment & Medical Supplies | 300 Superior Avenue, Tomah, WI 54660 | 2009-01-08 |
| 1629259163 | Mark Frederick Mueller | Counselor | 324 Butts Avenue, Tomah, WI 54660 | 2007-11-26 |
| 1073713293 | Sheetal Reddy Marri | Psychiatry & Neurology | 5000 Veterans St., Tomah, WI 54660 | 2007-07-25 |
| 1528144946 | Kevin Albert Stagman | Optometrist | 222 West Mccoy Blvd, Tomah, WI 54660 | 2006-10-27 |
| 1346320058 | Eugenia S Durst | Nurse Practitioner | 500 East Veterans St, Tomah, WI 54660 | 2006-10-17 |
| 1962596536 | Angela Kay Fuller | Nurse Practitioner | 321 Butts Ave., Tomah Memorial Hospital, Tomah, WI 54660 | 2006-10-03 |
| 1285737767 | James John Blado | Dentist | 1116 Superior Ave, Superior Suites, Tomah, WI 54660 | 2006-09-07 |
| Find all providers in zip 54660 | ||||
| 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 |
|---|---|---|---|---|
| 1518587104 | Mark Molter | Pharmacist | 701 E Clifton St, Tomah, WI 54660-2633 | 2020-04-23 |
| 1457828998 | Christian Owen | Pharmacist | 505 Gopher Dr Ste A, Tomah, WI 54660-4513 | 2018-11-01 |
| 1215191382 | David Alan Dettle | Pharmacist | 9816 Elan Rd, Tomah, WI 54660-4246 | 2008-07-17 |
| 1982203188 | Christiana Olamide Adegboye | Pharmacist | 222 W Mccoy Blvd, Tomah, WI 54660-3291 | 2020-10-20 |
| 1811595796 | Sweta Patel | Pharmacist | 222 W Mccoy Blvd, Tomah, WI 54660-3291 | 2020-10-13 |
| 1447858477 | Hardik R Patel | Pharmacist | 222 W Mccoy Blvd, Tomah, WI 54660-3291 | 2020-10-12 |
| 1598108086 | Ryan James Steele | Pharmacist | 500 E Veterans St, Tomah, WI 54660-3105 | 2013-04-15 |
| 1154678597 | Jed Williamson | Pharmacist | 222 W Mccoy Blvd, Tomah, WI 54660-3291 | 2012-08-03 |
| 1144582289 | Tanya L Hall | Pharmacist | 500 E Veterans St, #119, Tomah, WI 54660-3105 | 2012-06-14 |
| 1467755041 | Harry Johrt Ohrt | Pharmacist | 500 E Veterans St, Tomah, WI 54660-3105 | 2010-12-21 |
| Find all providers in TOMAH | ||||
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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.