DR. TANYA DOCKTER (NPI# 1205025350) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205025350 |
| Entity Type | Individual |
| Full Name | DR. TANYA DOCKTER |
| Credential | PHARMD |
| Practice Address |
820 4th St N Fargo ND 58102-4539 |
| Practice Telephone | 7012347554 |
| Practice Fax Number | 7012347588 |
| Mailing Telephone | 7012347554 |
| Mailing Fax Number | 7012347588 |
| Enumeration Date | 2007-10-15 |
| Last Update Date | 2007-10-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 5023 | ND | Pharmacy Service Providers |
| N | 1835X0200X |
Pharmacist Specialization: Oncology |
5023 | ND | Pharmacy Service Providers |
| Street Address |
820 4TH ST N |
| City | FARGO |
| State | ND |
| Zip Code | 58102-4539 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922025907 | Anu G Gaba | Internal Medicine | 820 4th St N, Fargo, ND 58122-0001 | 2006-07-16 |
| 1023629631 | Pauline Aamodt | Genetic Counselor, MS | 820 4th St N, Fargo, ND 58102-4539 | 2020-08-17 |
| 1710507561 | Brittany Nicole Twiss | Dietitian, Registered | 820 4th St N, Fargo, ND 58102-4539 | 2020-04-22 |
| 1366092801 | Sanford Medical Center Fargo | Hospice Care, Community Based | 820 4th St N, Fargo, ND 58102-4539 | 2019-09-17 |
| 1154807741 | Morgan Rinke | Nurse Practitioner | 820 4th St N, Fargo, ND 58102-4539 | 2018-07-17 |
| 1497269583 | Ethan Joseph Brenna | Genetic Counselor, MS | 820 4th St N, Fargo, ND 58102-4539 | 2017-11-28 |
| 1265885867 | Carrie Pfaff | Nurse Practitioner | 820 4th St N, Fargo, ND 58102-4539 | 2016-07-19 |
| 1316315385 | Sharri M Lacher | Clinical Nurse Specialist | 820 4th St N, Fargo, ND 58102-4539 | 2015-09-09 |
| 1487022885 | John Roll | Clinical Nurse Specialist | 820 4th St N, Fargo, ND 58102-4539 | 2015-09-02 |
| 1699181495 | Kirk David Wyatt | Pediatrics | 820 4th St N, Fargo, ND 58102-4539 | 2014-07-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780285924 | Shelley Dene Townsend-hansen | Dentist | 1017 Broadway N, Fargo, ND 58102 | 2020-11-04 |
| 1275190779 | Anthony Joseph Duncan | Student in an Organized Health Care Education/Training Program | 1919 Elm Streent North, Fargo, ND 58102 | 2019-05-21 |
| 1003472317 | Sadie Marie Nelson | Nurse Practitioner | Sanford Broadway Clinic, 801 North Broadway, Fargo, ND 58102 | 2019-05-13 |
| 1124523576 | Christopher Peroutka | Specialist/Technologist | 1300 17th Ave N, Fargo, ND 58102 | 2018-03-28 |
| 1205331873 | Nathan Koens | Specialist/Technologist | 1300 17th Avenue North, Fargo, ND 58102 | 2018-03-27 |
| 1376063370 | Abby Nicole Fredrickson | Student in an Organized Health Care Education/Training Program | 1919 Elm Street North, Fargo, ND 58102 | 2017-06-21 |
| 1780118331 | Stephanie Melquist | Internal Medicine | Internal Medicine Resident Clinic, 801 N Broadway, Fargo, ND 58102 | 2017-04-19 |
| 1104215623 | Justin Lervik | Social Worker | 211 Elm St. N, 122, Fargo, ND 58102 | 2015-01-21 |
| 1770919441 | Courtney Ann Simanski | Speech-Language Pathologist | 415 4th St. N., Fargo, ND 58102 | 2013-09-25 |
| 1821431206 | Lanell Staroba | Pharmacist | 706 D 38th St, Fargo, ND 58102 | 2013-04-16 |
| Find all providers in zip 58102 | ||||
| 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 |
|---|---|---|---|---|
| 1801440532 | Nicole Berend | Pharmacist | 4476 31st Ave S Ste 105, Fargo, ND 58104-4532 | 2019-07-31 |
| 1821588500 | Alissa Nichole Larson | Pharmacist | 5675 26th Ave S St. 136a, Fargo, ND 58104 | 2018-05-17 |
| 1578081600 | Mary Faure | Pharmacist | 2400 32nd Ave S Ste 4, Fargo, ND 58103-5800 | 2017-09-09 |
| 1982138749 | Matthew Troyer | Pharmacist | 2425 13th Ave, Fargo, ND 58103 | 2017-04-18 |
| 1528509189 | Mikhail Elias | Pharmacist | 1613 36 1/2 Ave S, Fargo, ND 58104-6101 | 2017-03-15 |
| 1326589250 | Virginia Howe | Pharmacist | 5180 Prosperity Way S Ste 106, Fargo, ND 58104-7568 | 2017-03-11 |
| 1245789072 | Hannah Surma | Pharmacist | 801 Broadway N # 204, Fargo, ND 58102-3641 | 2016-09-21 |
| 1720430564 | Tara Michelle Dammer | Pharmacist | 706 38th St N Ste A, Fargo, ND 58102-2953 | 2016-07-05 |
| 1235502220 | Alysia Honzay | Pharmacist | 234 Prairiewood Dr S, Fargo, ND 58103-4613 | 2015-11-12 |
| 1114300662 | Adam Parker Stubson | Pharmacist | 3175 25th St S Ste D, Fargo, ND 58103-6171 | 2015-07-01 |
| Find all providers in FARGO | ||||
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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.