BONNY KIMBALL (NPI# 1154752988) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154752988 |
| Entity Type | Individual |
| Full Name | BONNY KIMBALL |
| Practice Address |
5152 Anton Dr 213 Fitchburg WI 53719-1772 |
| Practice Telephone | 6082174551 |
| Mailing Telephone | 6082174551 |
| Enumeration Date | 2013-12-04 |
| Last Update Date | 2013-12-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 14533-040 | WI | Pharmacy Service Providers |
| Street Address |
5152 ANTON DR 213 |
| City | FITCHBURG |
| State | WI |
| Zip Code | 53719-1772 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689271801 | Jessica Seidel | Registered Nurse | 1015 Gammon Lane, Madison, WI 53719 | 2020-10-01 |
| 1376168989 | 360 Wellness LLC | Physical Therapist | 504 S Yellowstone Lane, Madison, WI 53719 | 2020-06-09 |
| 1932744067 | Sara Ruiz | Marriage & Family Therapist | Clock Tower Office Park, 6333 Odana Rd, #20, Madison, WI 53719 | 2019-11-13 |
| 1700436466 | David R. Gosling | Counselor | 702 South High Point Road #209, Madison, WI 53719 | 2019-09-16 |
| 1285289587 | Clifton Leo Davis Jr. | Counselor | 6417 O Dana Rd #5, Madison, WI 53719 | 2019-08-05 |
| 1679127278 | Akillah Jamillah Wali | Psychologist | 6417 Odana Rd Suite 5, Madison, WI 53719 | 2019-07-31 |
| 1689230211 | Brandy Georgecopeland | Marriage & Family Therapist | 6417 Odana Rd. Ste 5, Madison, WI 53719 | 2019-05-20 |
| 1275016826 | Kelsey Andersen | Physical Therapist | 504 S. Yellowstone Lane, Madison, WI 53719 | 2018-09-10 |
| 1740797190 | Catelyn Schwerke | Social Worker | 3848 Maple Grove Dr, Apt 307, Madison, WI 53719 | 2018-01-08 |
| 1922519008 | Mary Jane Cruz Delorme | Registered Nurse | 6831 Mader Dr. #210, #210, Madison, WI 53719 | 2017-10-17 |
| Find all providers in zip 53719 | ||||
| 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 |
|---|---|---|---|---|
| 1912569476 | Erica Guetzlaff | Pharmacist | 5510 Research Park Dr Ste 150, Fitchburg, WI 53711-5380 | 2019-07-05 |
| 1609385202 | Taylor Lee Watterson | Pharmacist | 3000 Cahill Main # 114, Fitchburg, WI 53711-7132 | 2017-09-26 |
| 1205248473 | Daniel Ricci | Pharmacist | 3000 Cahill Main Ste 114, Fitchburg, WI 53711-7133 | 2014-05-22 |
| 1902220841 | Pooja Amin | Pharmacist | 81 Shawna St, Fitchburg, MA 01420-3683 | 2014-02-12 |
| 1245508464 | Richard Ottmer | Pharmacist | 2960 Cahill Main, Fitchburg, WI 53711 | 2011-12-02 |
| 1922384536 | Lauren Mcquiston | Pharmacist | 2920 Fitchrona Rd, Fitchburg, WI 53719-1802 | 2011-10-26 |
| 1568748531 | Kelly Nest | Pharmacist | 3000 Cahill Main, Apt 7, Fitchburg, WI 53711-7132 | 2011-10-22 |
| 1710269568 | Leslie Hartman | Pharmacist | 478 Kimball St # 1, Fitchburg, MA 01420-7646 | 2011-09-16 |
| 1689906919 | Tim K Chin | Pharmacist | 140 Whalon St, Fitchburg, MA 01420-7158 | 2010-02-11 |
| 1437203254 | Bergmanns Inc. | Pharmacist | 2960 Cahill Main # 2, Fitchburg, WI 53711-7157 | 2007-01-22 |
| Find all providers in FITCHBURG | ||||
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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.