MRS. LINDA WIDSTRAND (NPI# 1134413073) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134413073 |
| Entity Type | Individual |
| Full Name | MRS. LINDA WIDSTRAND |
| Practice Address |
9885 Wicker Ave Saint John IN 46373-9413 |
| Practice Telephone | 2193658609 |
| Enumeration Date | 2011-06-08 |
| Last Update Date | 2011-06-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 26020103A | IN | Pharmacy Service Providers |
| Street Address |
9885 WICKER AVE |
| City | SAINT JOHN |
| State | IN |
| Zip Code | 46373-9413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407878135 | Hook-superx LLC | Durable Medical Equipment & Medical Supplies | 9885 Wicker Ave, Saint John, IN 46373-9413 | 2006-07-24 |
| 1407298219 | Stephanie Ann Baer | Pharmacist | 9885 Wicker Ave, T-2095, Saint John, IN 46373-9413 | 2013-07-22 |
| 1922393701 | Rebecca C Hopkins | Pharmacist | 9885 Wicker Ave, Saint John, IN 46373-9413 | 2011-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023641123 | Lisa A Arteaga | Occupational Therapy Assistant | 10700 Park Place of St John, St John, IN 46373 | 2020-02-17 |
| 1306493507 | Athletico Ltd | Physical Therapist | 10081 Wicker Ave #4, Saint John, IN 46373 | 2019-08-22 |
| 1083014971 | Courtney Olavarria | Registered Nurse | 8915 West 93rd Avenue, Clark Middle School, Saint John, IN 46373 | 2014-08-27 |
| 1316368111 | Tracy Lynn Wargo | Registered Nurse | 8801 Wicker Ave., Kolling Elementary, St. John, IN 46373 | 2013-12-20 |
| 1245587989 | Joshua Dejong | Physical Therapist | 10200 Wicker Ave Ste 1, Saint John, IN 46373 | 2012-08-13 |
| 1053406629 | Corlin Alden Stein | Chiropractor | 9161 Wicker Avenue (us 41), St. John, IN 46373 | 2006-10-03 |
| 1235190216 | Tarak R Chokshi | Internal Medicine | 10200 Wicker Avenue, St John, IN 46373 | 2006-03-30 |
| 1154397057 | Norbert A Matulis | Dentist | 9207 Wicker Avenue, St John, IN 46373 | 2006-02-28 |
| 1568462729 | Keith R. Pitchford | Orthopaedic Surgery | 9615 Keilman Street, Saint John, IN 46373 | 2005-07-28 |
| 1528483021 | Creating Smiles PC | Dentist | 8217 Wicker Ave, St John, IN 46373 | 2014-02-20 |
| Find all providers in zip 46373 | ||||
| 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 |
|---|---|---|---|---|
| 1710322284 | Michelle Swenson Welch | Pharmacist | 18 E Front St, Saint John, WA 99171-8775 | 2013-05-09 |
| 1346522471 | Michael Olenik | Pharmacist | 11461 W 78th Ct, Saint John, IN 46373-9717 | 2011-09-14 |
| 1174805782 | Aleksandar Galic | Pharmacist | 8627 Lake Hills Dr, Saint John, IN 46373-8731 | 2011-09-09 |
| 1558641027 | John J Hebda | Pharmacist | 11932 Homestead Heights Dr, Saint John, IN 46373-9214 | 2011-08-27 |
| 1699390500 | Donna Marie Rowell | Pharmacist | 9280 Wicker Ave, Saint John, IN 46373-9651 | 2020-06-16 |
| 1407298219 | Stephanie Ann Baer | Pharmacist | 9885 Wicker Ave, T-2095, Saint John, IN 46373-9413 | 2013-07-22 |
| 1609144401 | Katherine Underwood | Pharmacist | 9280 Wicker Ave, Saint John, IN 46373-9651 | 2011-12-07 |
| 1518235316 | Allison Difiore | Pharmacist | 9280 Wicker Ave, Saint John, IN 46373-9651 | 2011-12-07 |
| 1316229008 | Helen Cappas | Pharmacist | 9280 Wicker Ave, Saint John, IN 46373-9651 | 2011-09-19 |
| 1922393701 | Rebecca C Hopkins | Pharmacist | 9885 Wicker Ave, Saint John, IN 46373-9413 | 2011-06-09 |
| Find all providers in SAINT JOHN | ||||
| City | SAINT JOHN |
| Zip Code | 46373 |
Please comment or provide details below to improve the information on MRS. LINDA WIDSTRAND.
| 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.