DR. SARAH EMBJORG NELSON (NPI# 1144731290) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1144731290 |
Entity Type | Individual |
Full Name | DR. SARAH EMBJORG NELSON |
Credential | PHARMD |
Practice Address |
208 S West St Waupun WI 53963-1681 |
Mailing Address |
N4836 Lake Dr Hustisford WI 53034-9753 |
Practice Telephone | 9203241600 |
Mailing Telephone | 9202120780 |
Enumeration Date | 2017-10-17 |
Last Update Date | 2017-10-17 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
18538-40 | WI | Pharmacy Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376179358 | Sarah Nelson | Student in an Organized Health Care Education/Training Program | 6061 Tchoupitoulas St, New Orleans, LA 70118-5742 | 2020-03-21 |
1376190496 | Sarah Marie Nelson | Physical Therapist | 500 Lighthouse Ave # B, Monterey, CA 93940-1423 | 2019-08-22 |
1891213559 | Sarah Nelson | Acupuncturist | 910 W San Marcos Blvd Ste 109, San Marcos, CA 92078-1116 | 2017-09-01 |
1730565623 | Sarah Colleen Nelson | Specialist | 162a Riverside Ave, Orofino, ID 83544-9066 | 2015-08-03 |
1457765992 | Sarah M. Y. Nelson | Counselor | 700 South Ave W Ste D, Missoula, MT 59801-8011 | 2014-06-12 |
1386071751 | Sarah Elizabeth Nelson | Occupational Therapy Assistant | 3100 Northside Pkwy Nw, Atlanta, GA 30327-1563 | 2013-10-01 |
1629321658 | Sarah Ann Nelson | Physical Therapist | 1905 W. Hart Road, Beloit, WI 53511 | 2012-10-15 |
1619283231 | Sarah K. D. Nelson | Speech-Language Pathologist | 6405 Boydton Plank Rd, Petersburg, VA 23803-7401 | 2010-08-19 |
1578765079 | Sarah W Nelson | Psychiatry & Neurology | 300 Wright Avenue, Marcy, NY 13404 | 2007-06-05 |
1881672848 | Sarah Nelson | Audiologist | 14275 Golf Course Dr Ste 220, Baxter, MN 56425-8691 | 2006-01-09 |
Street Address |
208 S WEST ST |
City | WAUPUN |
State | WI |
Zip Code | 53963-1681 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336394717 | Bhs Central Pharmacy | Pharmacy | 208 S West St, Waupun, WI 53963-1629 | 2008-11-26 |
1477078004 | Robert Steven Schreiber | Pharmacist | 208 S West St, Waupun, WI 53963-1681 | 2017-08-04 |
1164971743 | Larry Edwards | Pharmacist | 208 S West St, Waupun, WI 53963-1681 | 2016-09-23 |
1942575246 | Eric Knox | Pharmacist | 208 S West St, Waupun, WI 53963-1681 | 2012-03-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487195772 | Ryan Schmitt | Specialist/Technologist | 411 Edgewood Drive, Waupun, WI 53963 | 2017-03-20 |
1154727758 | Above and Beyond Care Solutions LLC | In Home Supportive Care | 1013 Church Street, Waupun, WI 53963 | 2014-11-08 |
1629374780 | Beaver Dam Community Hospitals, Inc | Family Medicine | 180 Gateway Dr, Waupun, WI 53963 | 2011-02-07 |
1699904680 | Olson Eye Care LLC | Optometrist | 537 E Main Street, Waupu, WI 53963 | 2009-07-10 |
1588817365 | Senior Community Center Management of Waupun, LLC | Assisted Living Facility | 450 E Franklin Street, Waupun, WI 53963 | 2008-10-24 |
1013178367 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 999 E Main St, Waupun, WI 53963 | 2008-06-19 |
1568582807 | Todd Richard Callister | Psychiatry & Neurology | 200 South Madison St, Waupun, WI 53963 | 2007-03-30 |
1043352990 | Consultants Laboratory of Wi, LLC | Clinical Medical Laboratory | 620 Brown St, Waupun, WI 53963 | 2007-02-13 |
1457312209 | Christian Home and Rehabilitation Center, Inc. | Assisted Living Facility | 331 Bly St, Waupun, WI 53963 | 2006-03-31 |
1477537249 | Brooks Ambulance Inc | Ambulance | 426 E Main St, Waupun, WI 53963 | 2005-12-05 |
Find all providers in zip 53963 |
Taxonomy Code | 1835P0018X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacist |
Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316560311 | Sarah Seward | Pharmacist | 6737 W Washington St Ste 4300, West Allis, WI 53214-5651 | 2020-05-26 |
1861025371 | Addie Marie Littrell | Pharmacist | 624 S Church Street, Pharmacy Department, Watertown, WI 53094 | 2020-02-13 |
1528544798 | Sarah A Abraham | Pharmacist | 3801 N Richmond St, Appleton, WI 54913-9631 | 2018-07-11 |
1497280218 | Dennis Alfred Malone Jr. | Pharmacist | 211 Ramsland St, Westby, WI 54667-1031 | 2017-04-30 |
1871980193 | Alan R Rosenthal | Pharmacist | 6930 N Beech Tree Dr, Milwaukee, WI 53209 | 2015-04-24 |
1831586700 | Erika Aldag | Pharmacist | 235 E Pittsburgh Ave Apt 310, Milwaukee, WI 53204-4335 | 2015-04-18 |
1245629716 | Donald Lee Michalski | Pharmacist | 1 Classic Cir, Madison, WI 53719-4437 | 2015-01-21 |
1467840801 | Pooja Arora | Pharmacist | 7545 Tree Ln Apt 102g, Madison, WI 53717-2185 | 2015-01-08 |
1750650453 | Patricia Fowler | Pharmacist | 5054 Valley Heights Rd, Oshkosh, WI 54904-9354 | 2011-12-26 |
1740565217 | Tracy Ann Junker | Pharmacist | 2717 E Denton Ave, Saint Francis, WI 53235-5447 | 2011-10-17 |
Find all providers with the same taxonomy |
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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.