BLAIR ADAM BAILLIO (NPI# 1215548516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215548516 |
| Entity Type | Individual |
| Full Name | BLAIR ADAM BAILLIO |
| Credential | PHARMD |
| Practice Address |
609 N Spring St Beaver Dam WI 53916-2040 |
| Practice Telephone | 9203561500 |
| Mailing Telephone | 9203561500 |
| Enumeration Date | 2020-08-11 |
| Last Update Date | 2020-08-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 20452-40 | WI | Pharmacy Service Providers |
| Street Address |
609 N SPRING ST |
| City | BEAVER DAM |
| State | WI |
| Zip Code | 53916-2040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487093852 | Allison Kay Walker | Pharmacist | 609 N Spring St, Beaver Dam, WI 53916-2040 | 2013-06-19 |
| 1811539331 | Ahamed A Ahamed | Pharmacist | 609 N Spring St, Beaver Dam, WI 53916-2040 | 2019-10-16 |
| 1457835662 | Mariam Khan | Pharmacist | 609 N Spring St, Beaver Dam, WI 53916-2040 | 2018-09-24 |
| 1588036826 | Beaver Dam Hometown Pharmacy LLC | Pharmacy | 609 N Spring St, Beaver Dam, WI 53916-2040 | 2015-10-27 |
| 1396114369 | Christina Koukol | Pharmacist | 609 N Spring St, Beaver Dam, WI 53916-2040 | 2015-09-21 |
| 1669811857 | Larry A Day | Pharmacist | 609 N Spring St, Beaver Dam, WI 53916-2040 | 2013-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538718283 | Paulette Neibauer | Technician | N7262 Farwell Rd., Beaver Dam, WI 53916 | 2019-09-05 |
| 1902336597 | Tricounty Homecare Inc | In Home Supportive Care | 140 Corporate Dr Ste 2, Beaver Dam, WI 53916 | 2017-06-15 |
| 1528502754 | Jessica Marie Blatz | Counselor | 809 Park Aveune, Beaver Dam, WI 53916 | 2016-12-07 |
| 1376090886 | Beaver Dam Hearing Care, LLC | Hearing Aid Equipment | 705 University Ave, Suite 170, Beaver Dam, WI 53916 | 2016-09-01 |
| 1275902546 | Beaver Dam Community Hospitals Inc | Pharmacy | 705 S University Ave Ste 180, Beaver Dam, WI 53916 | 2015-09-17 |
| 1609242825 | Tami Joe Delisle | Counselor | 207 North Spring Street, Beaver Dam, WI 53916 | 2015-08-12 |
| 1366833394 | Beaver Dam Community Hospitals, Inc | Surgery | 705 S University Ave Ste 350, Beaver Dam, WI 53916 | 2015-02-12 |
| 1326471608 | Raquel Rodriguez-guzman | Pharmacist | 205 La Crosse Street, Beaver Dam, WI 53916 | 2013-08-09 |
| 1558608828 | Mary Y Kunz | Licensed Practical Nurse | 6550 N Highway 151 Lot 63, Beaverdam, WI 53916 | 2013-01-07 |
| 1881938454 | Brock Holden Slinger | Physical Therapist | 205 Monroe St. #13, Beaver Dam, WI 53916 | 2012-11-20 |
| Find all providers in zip 53916 | ||||
| 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 |
|---|---|---|---|---|
| 1326471608 | Raquel Rodriguez-guzman | Pharmacist | 205 La Crosse Street, Beaver Dam, WI 53916 | 2013-08-09 |
| 1487093852 | Allison Kay Walker | Pharmacist | 609 N Spring St, Beaver Dam, WI 53916-2040 | 2013-06-19 |
| 1558700948 | Julie Anna Saniter | Pharmacist | N8449 Coventry Ln, Beaver Dam, WI 53916-9739 | 2013-06-18 |
| 1023618410 | Eric Rose | Pharmacist | 1701 N Main St, Beaver Dam, KY 42320-8625 | 2020-10-27 |
| 1073112470 | Jayson Persch | Pharmacist | 120 Frances Ln, Beaver Dam, WI 53916-1165 | 2020-10-19 |
| 1922607324 | William Perego | Pharmacist | 120 Frances Ln, Beaver Dam, WI 53916-1165 | 2020-10-19 |
| 1679171003 | Mae Barredo | Pharmacist | 120 Frances Ln, Beaver Dam, WI 53916-1165 | 2020-10-16 |
| 1588262539 | Brian Johnson | Pharmacist | 120 Frances Ln, Beaver Dam, WI 53916-1165 | 2020-10-13 |
| 1194358903 | Alex Clifford Holmes | Pharmacist | 607 Park Ave, Beaver Dam, WI 53916-2201 | 2020-02-20 |
| 1811539331 | Ahamed A Ahamed | Pharmacist | 609 N Spring St, Beaver Dam, WI 53916-2040 | 2019-10-16 |
| Find all providers in BEAVER DAM | ||||
| City | BEAVER DAM |
| Zip Code | 53916 |
Please comment or provide details below to improve the information on BLAIR ADAM BAILLIO.
| 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.