MRS. ALISA BROOKE GRISMER (NPI# 1205009016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205009016 |
| Entity Type | Individual |
| Full Name | MRS. ALISA BROOKE GRISMER |
| Credential | PHARMD |
| Practice Address |
15800 95th Ave N Park Nicollet Maple Grove MN 55369-4400 |
| Practice Telephone | 9529931414 |
| Practice Fax Number | 9529931389 |
| Mailing Telephone | 9529931414 |
| Mailing Fax Number | 9529931389 |
| Enumeration Date | 2008-04-12 |
| Last Update Date | 2013-07-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 117219 | MN | Pharmacy Service Providers |
| Street Address |
15800 95TH AVE N PARK NICOLLET |
| City | MAPLE GROVE |
| State | MN |
| Zip Code | 55369-4400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225011760 | Bernt J Helgaas | Internal Medicine | 15800 95th Ave N, Maple Grove, MN 55369-4400 | 2005-11-29 |
| 1174980692 | Park Nicollet Methodist Hospital | General Acute Care Hospital | 15800 95th Ave N, Maple Grove, MN 55369-4400 | 2016-01-28 |
| 1558707455 | Jaclyn C Hawes | Physician Assistant | 15800 95th Ave N, Maple Grove, MN 55369-4400 | 2013-05-17 |
| 1346561032 | Valerie Lee Saladin | Physician Assistant | 15800 95th Ave N, Maple Grove, MN 55369-4400 | 2010-06-16 |
| 1417198839 | Jeannette A Heidlberg | Internal Medicine | 15800 95th Ave N, Maple Grove, MN 55369-4400 | 2009-03-13 |
| 1619096245 | Jacob Jared Sundberg | Chiropractor | 15800 95th Ave N, Maple Grove, MN 55369-4400 | 2007-03-28 |
| 1982748349 | Sonya Schober | Internal Medicine | 15800 95th Ave N, Maple Grove, MN 55369-4400 | 2007-02-19 |
| 1104962844 | Christine Suzanne Goudge Walker | Obstetrics & Gynecology | 15800 95th Ave N, Park Nicollet - Dept of Ob/gyn, Maple Grove, MN 55369-4400 | 2007-01-29 |
| 1750469219 | Jerusha Clare Brager | Physical Therapist | 15800 95th Ave N, Rehab, Maple Grove, MN 55369-4400 | 2006-11-01 |
| 1568552990 | Elizabeth G Yuhasz | Occupational Therapist | 15800 95th Ave N, Maple Grove, MN 55369-4400 | 2006-10-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376144188 | Bonnie Rose Theis | Counselor | 24 3rd Ave Ne, Unit B, Osseo, MN 55369 | 2020-11-06 |
| 1356976328 | Kirollos Samir Hanna | Pharmacist | 14500 99th Ave N, Suite 0a030, Maple Grove, MN 55369 | 2020-03-10 |
| 1396395463 | Susan Osborne | Technician | 9240 Orchid Lane, Maple Grove, MN 55369 | 2019-09-19 |
| 1710537196 | Janis Langsdale | Technician | 11070 108 Avenue North, Maple Grove, MN 55369 | 2019-09-17 |
| 1043724552 | Tracey Wahlquist | Speech-Language Pathologist | 11100 86th Ave N, Maple Grove, MN 55369 | 2017-11-20 |
| 1154860005 | Kayla Uptagrafft | Specialist/Technologist | 9555 Upland Lane Norh, Maple Grove, MN 55369 | 2017-02-13 |
| 1750823324 | Jennifer Ranallo | Social Worker | 9600 Upland Ln N Ste 110, Maple Grove, MN 55369 | 2016-11-13 |
| 1558723999 | Debra Grace Boersma | Advanced Practice Midwife | 9825 Hospital Dr#205, Maple Grove, MN 55369 | 2016-03-24 |
| 1396129433 | Maple Grove Smiles Dentistry, PC | Dentist | 12775 Elm Creek Blvd N, Maple Grove, MN 55369 | 2015-07-18 |
| 1558755900 | Krista Newman | Counselor | 24 3rd St Nw, Unit B, Osseo, MN 55369 | 2015-03-24 |
| Find all providers in zip 55369 | ||||
| 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 |
|---|---|---|---|---|
| 1629698857 | Richard Engleka | Pharmacist | 18303 66th Pl N, Maple Grove, MN 55311-4513 | 2020-04-17 |
| 1871121673 | Sarbani Podder | Pharmacist | 6300 Wedgwood Rd N, Maple Grove, MN 55311-3647 | 2020-03-29 |
| 1366956013 | John Resman | Pharmacist | 7701 Narcissus Ln N, Maple Grove, MN 55311-1849 | 2017-11-16 |
| 1316291255 | Sushma S Patel | Pharmacist | 17553 64th Pl N, Maple Grove, MN 55311-4651 | 2012-10-30 |
| 1952652315 | Kathryn Ossowski | Pharmacist | 16492 89th Ave N, Maple Grove, MN 55311-1246 | 2012-09-26 |
| 1891008694 | Tamim Ahmed Saidi | Pharmacist | 15265 82nd Ave N, Maple Grove, MN 55311-1549 | 2010-07-21 |
| 1972556983 | Vernon D Krueger | Pharmacist | 12880 Elm Creek Blvd N, Maple Grove, MN 55369-7052 | 2006-05-19 |
| 1720065444 | Jeffrey Blake Walling | Pharmacist | 8451 Pineview Ln N, Maple Grove, MN 55369-9105 | 2005-12-22 |
| 1679171508 | Shelly Zierdt | Pharmacist | 9451 Dunkirk Ln N, Maple Grove, MN 55311-5447 | 2020-10-13 |
| 1942808829 | Kara Purrier | Pharmacist | 16701 94th Ave N, Maple Grove, MN 55311-5448 | 2020-10-13 |
| Find all providers in MAPLE GROVE | ||||
| City | MAPLE GROVE |
| Zip Code | 55369 |
Please comment or provide details below to improve the information on MRS. ALISA BROOKE GRISMER.
| 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.