JEREMY WELLS (NPI# 1215448436) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215448436 |
| Entity Type | Individual |
| Full Name | JEREMY WELLS |
| Credential | PHARMD |
| Practice Address |
1030 W 21st St South Sioux City NE 68776-2661 |
| Practice Telephone | 4024948827 |
| Practice Fax Number | 4024940328 |
| Mailing Telephone | 4024948827 |
| Mailing Fax Number | 4024940328 |
| Enumeration Date | 2017-10-15 |
| Last Update Date | 2017-10-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 14370 | NE | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861879181 | Jeremy Wells | Community Health Worker | 1001 Potrero Avenue 6b, San Francisco, CA 94110 | 2015-05-06 |
| 1124658422 | Jeremy Scott Wells | Registered Nurse | 1506 S Oneida St, Appleton, WI 54915-1305 | 2020-01-25 |
| 1982167342 | Jeremy David Wells | Student in an Organized Health Care Education/Training Program | 101 Manning Dr, Chapel Hill, NC 27514-4220 | 2019-04-11 |
| 1982119111 | Jeremy Lee Wells | Counselor | 132 Cass Ave, Mount Clemens, MI 48043-2230 | 2017-12-11 |
| 1114470580 | Jeremy Mantle Wells | Dentist | 49th Medical Group/sgpd, 280 First Street, Bldg 23, Holloman Afb, NM 88330-8273 | 2016-08-02 |
| 1144517822 | Jeremy Blake Wells | Family Medicine | 103 Medical Park, Hattiesburg, MS 39401-9042 | 2011-07-01 |
| 1164694881 | Jeremy B. Wells | Anesthesiology | 1740 Nicholasville Rd, Lexington, KY 40503-1431 | 2008-04-02 |
| 1285831677 | Jeremy Clady Wells | Internal Medicine | 1303 Dantignac St Ste 1000, Augusta, GA 30901-2776 | 2007-06-28 |
| Street Address |
1030 W 21ST ST |
| City | SOUTH SIOUX CITY |
| State | NE |
| Zip Code | 68776-2661 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275548224 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1030 W 21st St, South Sioux City, NE 68776-2661 | 2006-07-29 |
| 1598383028 | Kayla Guy | Pharmacist | 1030 W 21st St, South Sioux City, NE 68776-2661 | 2020-07-10 |
| 1356816524 | Syra Ruhl | Pharmacist | 1030 W 21st St, South Sioux City, NE 68776-2661 | 2018-10-03 |
| 1467729103 | Tally Shannon Stark | Pharmacist | 1030 W 21st St, South Sioux City, NE 68776-2661 | 2011-11-23 |
| 1497022180 | Una Ernesti | Pharmacist | 1030 W 21st St, South Sioux City, NE 68776-2661 | 2011-11-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437704251 | Integrated Diagnostics | Pathology | 201 East 4th Street, Suite 203, South Sioux City, NE 68776 | 2019-08-08 |
| 1003374711 | Riverview Surgical Center LLC | Clinic/Center | 201 E 4th Street, South Sioux City, NE 68776 | 2019-03-12 |
| 1144777665 | Emily Malchow | Speech-Language Pathologist | 820 E. 29th St., South Sioux City, NE 68776 | 2016-09-01 |
| 1477856011 | Hospice of Siouxland | Hospice Care, Community Based | 3220 Plaza Dr Ste D, South Sioux City, NE 68776 | 2010-12-20 |
| 1114101839 | Stacy Erin Rose | Counselor | 100 West 29th St, Suite 319, South Sioux, NE 68776 | 2007-12-18 |
| 1194867663 | Fern Norris | Counselor | 625 East 39th Street, South Sioux City, NE 68776 | 2007-02-13 |
| 1689750937 | Elizabeth Joan Munch | Dentist | 3220 Plaza Dr., Suite B, South Sioux City, NE 68776 | 2006-10-30 |
| 1841376191 | Douglas M. Barr | Dentist | 3220 Plaza Drive Ste B, So Sioux City, NE 68776 | 2006-10-30 |
| 1336245521 | Wal-mart Stores, Inc. | Technician/Technologist | 1601 Cornhuskers Drive, South Sioux City, NE 68776 | 2006-09-15 |
| 1316049752 | Redlers Prof Phcy Inc | Durable Medical Equipment & Medical Supplies | 1010 W 29th St, Ste 214, South Sioux City, NE 68776 | 2006-09-05 |
| Find all providers in zip 68776 | ||||
| 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 |
|---|---|---|---|---|
| 1023361011 | Sonya Lynette Sedahl | Pharmacist | 2501 Cornhusker Plaza, Hy-vee Pharmacy #1620, South Sioux City, NE 68776-3910 | 2012-10-16 |
| 1598383028 | Kayla Guy | Pharmacist | 1030 W 21st St, South Sioux City, NE 68776-2661 | 2020-07-10 |
| 1356816524 | Syra Ruhl | Pharmacist | 1030 W 21st St, South Sioux City, NE 68776-2661 | 2018-10-03 |
| 1902303977 | Mathew William Macziewski | Pharmacist | 1601 Cornhusker Dr, South Sioux City, NE 68776-3924 | 2018-04-06 |
| 1093222150 | Jamie Thoene | Pharmacist | 1601 Cornhusker Dr, South Sioux City, NE 68776-3924 | 2018-01-10 |
| 1215443478 | Kristin Rumsey | Pharmacist | 1601 Cornhusker Dr, South Sioux City, NE 68776-3924 | 2017-12-22 |
| 1316452485 | Tammy J Cox | Pharmacist | 1601 Cornhusker Dr, South Sioux City, NE 68776-3924 | 2017-12-11 |
| 1184971319 | Rebecca Strong | Pharmacist | 2501 Cornhusker Dr, South Sioux City, NE 68776-3910 | 2012-08-07 |
| 1467729103 | Tally Shannon Stark | Pharmacist | 1030 W 21st St, South Sioux City, NE 68776-2661 | 2011-11-23 |
| 1497022180 | Una Ernesti | Pharmacist | 1030 W 21st St, South Sioux City, NE 68776-2661 | 2011-11-22 |
| Find all providers in SOUTH SIOUX CITY | ||||
| City | SOUTH SIOUX CITY |
| Zip Code | 68776 |
Please comment or provide details below to improve the information on JEREMY WELLS.
| 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.