MARK METRY (NPI# 1215218565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215218565 |
| Entity Type | Individual |
| Full Name | MARK METRY |
| Credential | R.PH. |
| Practice Address |
2626 Rose St La Crosse WI 54603-1616 |
| Practice Telephone | 6087810791 |
| Practice Fax Number | 6087810846 |
| Enumeration Date | 2011-08-31 |
| Last Update Date | 2011-08-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 10252 | WI | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619504263 | Mark Metry | Student in an Organized Health Care Education/Training Program | 1 Akron General Ave, Akron, OH 44307-2432 | 2020-03-24 |
| Street Address |
2626 ROSE ST |
| City | LA CROSSE |
| State | WI |
| Zip Code | 54603-1616 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326053406 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2626 Rose St, La Crosse, WI 54603-1616 | 2006-07-29 |
| 1952935017 | Kylie Slaats Reikowski | Pharmacist | 2626 Rose St, La Crosse, WI 54603-1616 | 2020-02-27 |
| 1255767042 | Mallory Jane Williams | Pharmacist | 2626 Rose St, La Crosse, WI 54603-1616 | 2013-09-25 |
| 1083050777 | Crystal M Francksen | Pharmacist | 2626 Rose St, La Crosse, WI 54603-1616 | 2013-05-21 |
| 1134496391 | Heidi J Hohl | Pharmacist | 2626 Rose St, La Crosse, WI 54603-1616 | 2011-11-16 |
| 1750662615 | Brenda D Van Veldhuizen | Pharmacist | 2626 Rose St, La Crosse, WI 54603-1616 | 2011-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215581855 | Sophia Buchda | Behavior Technician | 901 Caledonia Street, La Crosse, WI 54603 | 2019-08-01 |
| 1891142865 | Hha of Wisconsin, LLC | Home Health | 2400 Rose St Ste 14, La Crosse, WI 54603 | 2016-05-19 |
| 1225415540 | Alexander Blaschke | Podiatrist | 1009 Caledonia St, La Crosse, WI 54603 | 2015-05-06 |
| 1982986345 | Christopher W Hutchinson | Pharmacist | 2626 Rose Street, La Crosse, WI 54603 | 2011-09-12 |
| 1932284494 | Vision World Inc | Eyewear Supplier (Equipment, not the service) | 3800 State Road 16, La Crosse, WI 54603 | 2006-10-25 |
| 1083618722 | Teddy Leonard Thompson | Family Medicine | 1526 Rose Street, La Crosse, WI 54603 | 2005-06-10 |
| 1518459155 | Alexis Ericson | Occupational Therapy Assistant | 901 Caledonia St, La Crosse, WI 54603 | 2018-05-30 |
| 1578925046 | Vicki Lynne Iverson | Registered Nurse | 1407 St. Andrew St., La Crosse, WI 54603 | 2016-03-24 |
| 1194158865 | John Patrick Smieja | Pharmacist | 2400 Rose St, La Crosse, WI 54603 | 2013-08-16 |
| 1275726663 | Jacqueline Berry Newcomb | Case Manager/Care Coordinator | 1407 St Andrew St, Suite 100 Lacrosse Co Human Services, La Crosse, WI 54603 | 2007-08-20 |
| Find all providers in zip 54603 | ||||
| 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 |
|---|---|---|---|---|
| 1922632397 | Ibrahim Ahsan | Pharmacist | 1105 Wi-16, La Crosse, WI 54601 | 2020-02-25 |
| 1487013819 | Angela Podevels | Pharmacist | 2415 State Rd, La Crosse, WI 54601-6137 | 2016-02-12 |
| 1548693435 | Nichole Ashley Finney | Pharmacist | 2617 Main St., La Crosse, WI 54601 | 2013-08-14 |
| 1730420175 | Angela Brandl | Pharmacist | 2325 Mississippi St, La Crosse, WI 54601-5128 | 2013-03-11 |
| 1497008239 | Kenneth D Simon | Pharmacist | 2511 Green Bay St, La Crosse, WI 54601-5900 | 2012-10-17 |
| 1548537517 | Patrick Halton | Pharmacist | 321 S 19th St, La Crosse, WI 54601 | 2011-11-19 |
| 1477837839 | Nathaniel W Berndt | Pharmacist | 4415 State Road 16, La Crosse, WI 54601-1815 | 2011-10-04 |
| 1982986345 | Christopher W Hutchinson | Pharmacist | 2626 Rose Street, La Crosse, WI 54603 | 2011-09-12 |
| 1891964037 | Robert Marlin Schwandt | Pharmacist | N2014 Valley Rd, La Crosse, WI 54601-7116 | 2008-02-21 |
| 1306999396 | Jerry Leonard Glocke | Pharmacist | 2442 State Rd, La Crosse, WI 54601-6155 | 2007-01-21 |
| Find all providers in LA CROSSE | ||||
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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.