ROBERT REESE (NPI# 1174924849) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174924849 |
| Entity Type | Individual |
| Full Name | ROBERT REESE |
| Practice Address |
6800 Bass Lake Rd Crystal MN 55428-3935 |
| Practice Telephone | 7635335804 |
| Enumeration Date | 2014-09-11 |
| Last Update Date | 2014-09-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 121629 | MN | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073740718 | Robert J Reese | Psychologist | 7 Ayers Ct, Metuchen, NJ 08840-1171 | 2009-06-21 |
| 1114070679 | Robert A Reese | Chiropractor | 401 E. Main Street, Bldg. 4 Suite B, Middletown, DE 19709 | 2007-01-19 |
| 1962577197 | Robert Ralph Reese | Dentist | 6022 Taylor Dr, Burlington, KY 41005-7840 | 2006-11-22 |
| 1205921012 | Robert Richard Reese | Dentist | 29473 Lorain Rd, North Olmsted, OH 44070-3908 | 2006-10-04 |
| 1659364040 | Robert Vernon Reese | Family Medicine | 201 W Pine St, Fitzgerald, GA 31750-2863 | 2005-08-31 |
| 1619103231 | Robert William Reese | Psychologist | 5111 Auto Club Dr, # 120, Dearborn, MI 48126-2749 | 2009-06-10 |
| 1174537252 | Robert Jeffrey Reese | Psychologist | 1049 N 3rd St, Suite 505, Abilene, TX 79601-5833 | 2006-07-27 |
| 1134152085 | Robert Joseph Reese | Surgery | 6525 France Ave S, Suite, Edina, MN 55435-2148 | 2006-07-07 |
| Street Address |
6800 BASS LAKE RD |
| City | CRYSTAL |
| State | MN |
| Zip Code | 55428-3935 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619983087 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 6800 Bass Lake Rd, Crystal, MN 55428-3935 | 2006-07-31 |
| 1285246330 | Jennifer Ann Liane | Pharmacist | 6800 Bass Lake Rd, Crystal, MN 55428-3935 | 2020-08-20 |
| 1407241151 | Julie Mcdevitt | Pharmacist | 6800 Bass Lake Rd, Crystal, MN 55428-3935 | 2015-03-31 |
| 1619377538 | Tyler Morrell | Pharmacist | 6800 Bass Lake Rd, Crystal, MN 55428-3935 | 2014-08-28 |
| 1821498874 | Delina Carpenter | Pharmacist | 6800 Bass Lake Rd, Crystal, MN 55428-3935 | 2014-08-27 |
| 1770853673 | Sadiq Datoo | Pharmacist | 6800 Bass Lake Rd, Crystal, MN 55428-3935 | 2012-01-09 |
| 1598042897 | Kaveke Mualuko | Pharmacist | 6800 Bass Lake Rd, Crystal, MN 55428-3935 | 2011-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952940025 | Gerard Idrissa Omari | Registered Nurse | 5844 Jersey Avenue North, Crystal, MN 55428 | 2020-01-06 |
| 1538706726 | Mary Sue Wester | Preventive Medicine | 6101 Virginia Ave. N, New Hope, MN 55428 | 2019-12-06 |
| 1194237479 | Stacy Shrestha | Nurse Practitioner | 7100 Northland Circle N, Ste 119, Brooklyn Park, MN 55428 | 2017-10-26 |
| 1023537115 | Cynthia Mcquade-brinkman | Massage Therapist | 6617 Jersey Ave N, Brooklyn Park, MN 55428 | 2017-09-11 |
| 1255792818 | Sadiya Ali | Non-emergency Medical Transport (VAN) | 7164 72nd Lane N Apt 244, Brooklyn Park, MN 55428 | 2016-03-10 |
| 1962867606 | Heart Felt Home Health Care Inc. | Home Health | 36 Fremont St., Lowell, MA 55428 | 2015-12-23 |
| 1992126155 | North Memorial Health Care | Clinic/Center | 8100 42nd Avenue North, New Hope, MN 55428 | 2013-12-13 |
| 1508105370 | Guardian Home Health Care LLC | Home Health | 6708 Dutton Ave N, Brooklyn Park, MN 55428 | 2013-02-13 |
| 1265709182 | Mark David Wermers | Pharmacist | 4200 Winnetka Ave, New Hope, MN 55428 | 2011-11-21 |
| 1841424868 | Cozy Clalm LLC | Durable Medical Equipment & Medical Supplies | 6616 Hillsboro Ave N, Brooklyn Park, MN 55428 | 2009-05-05 |
| Find all providers in zip 55428 | ||||
| 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 |
|---|---|---|---|---|
| 1053520916 | Clint M Dworshak | Pharmacist | 5534 Lakeland Ave N, Crystal, MN 55429-3121 | 2007-05-21 |
| 1285246330 | Jennifer Ann Liane | Pharmacist | 6800 Bass Lake Rd, Crystal, MN 55428-3935 | 2020-08-20 |
| 1407241151 | Julie Mcdevitt | Pharmacist | 6800 Bass Lake Rd, Crystal, MN 55428-3935 | 2015-03-31 |
| 1366848319 | Kristen Heidewald | Pharmacist | 5537 W Broadway Ave, Crystal, MN 55428-3507 | 2014-11-18 |
| 1619377538 | Tyler Morrell | Pharmacist | 6800 Bass Lake Rd, Crystal, MN 55428-3935 | 2014-08-28 |
| 1821498874 | Delina Carpenter | Pharmacist | 6800 Bass Lake Rd, Crystal, MN 55428-3935 | 2014-08-27 |
| 1760819981 | Brock Henry Reed | Pharmacist | 5537 W Broadway Ave, Crystal, MN 55428-3507 | 2013-10-02 |
| 1801238936 | Brittni Grace Crane | Pharmacist | 5301 36th Ave N, Crystal, MN 55422-2885 | 2013-07-17 |
| 1770853673 | Sadiq Datoo | Pharmacist | 6800 Bass Lake Rd, Crystal, MN 55428-3935 | 2012-01-09 |
| 1598042897 | Kaveke Mualuko | Pharmacist | 6800 Bass Lake Rd, Crystal, MN 55428-3935 | 2011-11-15 |
| Find all providers in CRYSTAL | ||||
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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.