GERALD FRANCIS JENNINGS (NPI# 1134693161) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134693161 |
| Entity Type | Individual |
| Full Name | GERALD FRANCIS JENNINGS |
| Practice Address |
16812 S Main St Galesville WI 54630-7704 |
| Mailing Address |
7235 Birchwood Dr Sauk City WI 53583-9563 |
| Practice Telephone | 6085822446 |
| Practice Fax Number | 6085824321 |
| Mailing Telephone | 6085128275 |
| Enumeration Date | 2019-01-12 |
| Last Update Date | 2020-08-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 10919 | WI | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417176371 | Gerald D. Jennings | Counselor | 308 Shorter Ave Nw, Rome, GA 30165-4268 | 2007-04-25 |
| Street Address |
16812 S MAIN ST |
| City | GALESVILLE |
| State | WI |
| Zip Code | 54630-7704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356323950 | Christopher E Petersen | Physician Assistant | 16812 S Main St, Galesville, WI 54630-7704 | 2005-11-18 |
| 1083964969 | Gundersen Clinic, Ltd | Clinic/Center | 16812 S Main St, Galesville, WI 54630 | 2012-09-18 |
| 1346524923 | Leslie Ann Atkinson | Pharmacist | 16812 S Main St, Galesville, WI 54630-7704 | 2011-09-30 |
| 1134235682 | Jennifer E Sorenson | Physician Assistant | 16812 S Main St, Galesville, WI 54630 | 2006-08-21 |
| 1801873112 | Pharmacare Ltd | Durable Medical Equipment & Medical Supplies | 16812 S Main St, Galesville, WI 54630-7704 | 2005-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174505770 | Lillian J Nordin | Nurse Practitioner | 16812 S Main Street, Galesville, WI 54630 | 2005-11-18 |
| 1669597928 | Galen Roy Koxlien | Dentist | 19815 East Gale Ave, Galesville, WI 54630-0715 | 2007-03-19 |
| 1750374609 | Bethany St. Joseph Corporation | Skilled Nursing Facility | 19475 Silver Creek Rd, Galesville, WI 54630-6400 | 2005-08-25 |
| 1851958508 | Kelly Wolf | Physical Therapy Assistant | 19475 Silver Creek Rd, Galesville, WI 54630-6400 | 2019-05-28 |
| 1063698298 | Molly Mae Flynn | Chiropractor | 16853 S 1st St, Galesville, WI 54630-7191 | 2008-01-17 |
| 1881790202 | Joseph J Antonie | Chiropractor | 16812 S 2nd St, Ste 120, Galesville, WI 54630-7295 | 2006-09-15 |
| 1184971095 | Garet R Koxlien | Dentist | 19815 E Gale Ave, Galesville, WI 54630-7313 | 2012-08-09 |
| 1750739082 | Alisha Kay Koxlien | Dentist | 19815 E Gale Ave, Galesville, WI 54630-7313 | 2016-05-26 |
| 1275939308 | Galesville Chiropractic LLC | Chiropractor | 16812 S 2nd St, Suite 120, Galesville, WI 54630-7320 | 2014-11-17 |
| 1407291917 | Galesville Ltc Pharmay LLC | Pharmacy | 16814 S Main St, Galesville, WI 54630-7704 | 2013-05-10 |
| Find all providers in zip 54630 | ||||
| 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 |
|---|---|---|---|---|
| 1346524923 | Leslie Ann Atkinson | Pharmacist | 16812 S Main St, Galesville, WI 54630-7704 | 2011-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578164349 | Lynn Huynh | Pharmacist | 5695 Washington Ave, Racine, WI 53406 | 2020-11-06 |
| 1346841822 | Tam Dinh | Pharmacist | 7480 Karth Ct, Franklin, WI 53132-8509 | 2020-11-02 |
| 1356940845 | Colette A. Probasco | Pharmacist | N1021 Blues Ln, Hortonville, WI 54944-9265 | 2020-10-26 |
| 1104425784 | Seang Foo | Pharmacist | 875 E Wisconsin Ave # Ms 2870, Milwaukee, WI 53202-5404 | 2020-10-23 |
| 1053910067 | Mary Ellen F Pumper | Pharmacist | 861 County Rd F, Berlin, WI 54923 | 2020-10-21 |
| 1609475607 | Suchart Thammahong | Pharmacist | 734 Mclean Drive, Madison, Wi, WI 53718 | 2020-10-21 |
| 1427657493 | Sarah R. Kozikowski | Pharmacist | 226100 Rib Mountain Dr, Wausau, WI 54401-3346 | 2020-10-21 |
| 1063011252 | Kelsey Eickstaedt | Pharmacist | 15594 State Hwy 77, Hayward, WI 54843 | 2020-10-20 |
| 1295334373 | James Michael Branning | Pharmacist | 226200 Rib Mountain Dr, Wausau, WI 54401-3347 | 2020-10-20 |
| 1174122576 | Paul Suiven Mbinglo | Pharmacist | 6237 94th Ct, Kenosha, WI 53142-8225 | 2020-10-19 |
| Find all providers with the same taxonomy | ||||
| City | GALESVILLE |
| Zip Code | 54630 |
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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.