JESSICA ANN BEBENSEE (NPI# 1164947644) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164947644 |
| Entity Type | Individual |
| Full Name | JESSICA ANN BEBENSEE |
| Credential | PHARMD |
| Practice Address |
116 E Holly Blvd Brandon SD 57005-1114 |
| Mailing Address |
224 E Tabor Ct Brandon SD 57005-1080 |
| Practice Telephone | 6055826000 |
| Mailing Telephone | 6055828544 |
| Enumeration Date | 2017-08-07 |
| Last Update Date | 2017-08-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 5141 | SD | Pharmacy Service Providers |
| Street Address |
116 E HOLLY BLVD |
| City | BRANDON |
| State | SD |
| Zip Code | 57005-1114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033437223 | Wullstein Pharmacy Inc. | Pharmacy | 116 E Holly Blvd, Brandon, SD 57005-1114 | 2010-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144794926 | Sarah Hewitt | Counselor | 316 E Holly Blvd, Brandon, SD 57005 | 2019-01-15 |
| 1790175388 | Cody Lee Kruckenberg | Chiropractor | 312 E Holly Blvd, Brandon, SD 57005 | 2015-02-03 |
| 1356577159 | Matthew Krivarchka | Dentist | 1511 W. Holly Boulevard, Brandon, SD 57005 | 2009-06-08 |
| 1851546253 | Karla Karrin Jorgenson | Occupational Therapist | 103 North Splitrock Blvd, Brandon, SD 57005 | 2008-11-26 |
| 1598954364 | David Fitzgerald Ward Dc | Chiropractor | 1302 E Rushmore, Brandon, SD 57005 | 2007-10-17 |
| 1477675437 | Kara Lynn Baas | Counselor | 1320 E Rushmore Drive, Suite 107, Brandon, SD 57005 | 2007-04-03 |
| 1124161773 | Michael R Juba | Dentist | 704 N Splitrock Blvd, Brandon, SD 57005 | 2007-02-14 |
| 1548334246 | Med Star Paramedic Inc | Non-emergency Medical Transport (VAN) | 922 E Redwood Blvd, Brandon, SD 57005 | 2006-11-17 |
| 1386723468 | Prairie Rehabilitation Services, Inc. | Durable Medical Equipment & Medical Supplies | 1220 E. Holly Blvd, Brandon, SD 57005 | 2006-11-02 |
| 1396780698 | Barbara Harvison | Physician Assistant | 1101 E Holly Blvd, Brandon, SD 57005 | 2006-06-19 |
| Find all providers in zip 57005 | ||||
| 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 |
|---|---|---|---|---|
| 1306460886 | Amanda Nicole Cox | Pharmacist | 103 Langford Dr, Brandon, MS 39047-8304 | 2020-06-01 |
| 1942831144 | Uyen Vo | Pharmacist | 1611 Ledgestone Dr, Brandon, FL 33511-8321 | 2020-01-28 |
| 1962915405 | Kimsey O'neal | Pharmacist | 608 Marquette Rd, Brandon, MS 39042-3037 | 2017-11-07 |
| 1740792563 | Andrew Ort | Pharmacist | 1726 Wakefield Dr, Brandon, FL 33511-2312 | 2017-11-02 |
| 1194266262 | Cierra Jessica Harden | Pharmacist | 105 S Moon Ave, Brandon, FL 33511-5109 | 2017-03-09 |
| 1487011979 | Daliana Vazquez-nieves | Pharmacist | 808 Milano Cir Apt 103, Brandon, FL 33511-7026 | 2016-01-28 |
| 1598130791 | Larry Bowman | Pharmacist | 1002 Hollyberry Ct, Brandon, FL 33511-7650 | 2015-12-14 |
| 1306211958 | Deepak Gupta | Pharmacist | 1035 Professional Park Dr, Brandon, FL 33511-4886 | 2015-12-08 |
| 1164808861 | Derek Fluty | Pharmacist | 3427 Forest Bridge Cir, Brandon, FL 33511-8120 | 2015-08-04 |
| 1801272786 | Nancy Ann Striker | Pharmacist | 517 N Parsons Ave, Brandon, FL 33510-3611 | 2015-08-03 |
| Find all providers in BRANDON | ||||
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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.