MRS. MARY L HENDRICKSON (NPI# 1235303983) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235303983 |
| Entity Type | Individual |
| Full Name | MRS. MARY L HENDRICKSON |
| Credential | RPH,MBA |
| Practice Address |
6101 N 64th St Milwaukee WI 53218-1543 |
| Practice Telephone | 2626496914 |
| Mailing Telephone | 2626496914 |
| Enumeration Date | 2008-04-14 |
| Last Update Date | 2008-04-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 11545 | WI | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023365277 | Mary Ellen Hendrickson | Massage Therapist | 1623 13th Ave S, Great Falls, MT 59405-4705 | 2012-08-07 |
| 1457663288 | Mary Angeline Hendrickson | Counselor | 401 E. 10th Ave, Suite 330, Eugene, OR 97401 | 2010-07-09 |
| 1699755561 | Mary Josephine Hendrickson | Psychologist | 5825 221st Place Se, Ste 201, Issaquah, WA 98027 | 2006-01-18 |
| 1588036511 | Mary Hendrickson | Counselor | 7954 University Ave Ne, Fridley, MN 55432-1860 | 2015-10-29 |
| 1104177054 | Mary Hendrickson | Chiropractor | 201 Glen Ave, Scotia, NY 12302-2126 | 2012-10-01 |
| 1164569612 | Mary Lynn Hendrickson | Psychologist | 11900 Wayzata Blvd, Suite 216, Minnetonka, MN 55305-2031 | 2007-01-31 |
| Street Address |
6101 N 64TH ST |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53218-1543 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417571050 | Kaak Living | Clinic/Center | 5938 N 76th Street, Milwaukee, WI 53218 | 2020-05-29 |
| 1306495064 | Jeanette Bearden | Technician | 4477 N 57 St., Milwaukee, WI 53218 | 2019-09-05 |
| 1770074080 | Sunvale Homes LLC | Home Health | 4714 N 58th St, Milwaukee, WI 53218 | 2018-05-22 |
| 1447740006 | Quantum Care LLC | Home Health | 6424 W Fondulac Avenue, Unit 1, Milwaukee, WI 53218 | 2018-05-18 |
| 1811413008 | Ewura Asie Amonoo | Case Manager/Care Coordinator | 5153 W. Silver Spring, Milwaukee, WI 53218 | 2017-08-18 |
| 1649706714 | Life Tree Pharmacy LLC | Pharmacy | 8329-5 W Appleton Ave, Milwaukee, WI 53218 | 2017-05-10 |
| 1720524341 | Nastassia S Jackson | Counselor | 6830 W Villard Ave Ste 190, Milwaukee, WI 53218 | 2017-01-07 |
| 1801330493 | Mary Beth Cafaro | Social Worker | 5555 N. 51st Blvd, Milwaukee, WI 53218 | 2016-12-15 |
| 1669823613 | Lasonya Carol Wilson | Licensed Practical Nurse | 5830 N 75th St, Milwaukee, WI 53218 | 2016-06-30 |
| 1225302243 | Drew Douglas Cannon | Social Worker | 5555 N 51st Street, Milwaukee, WI 53218 | 2012-03-08 |
| Find all providers in zip 53218 | ||||
| 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 |
|---|---|---|---|---|
| 1104425784 | Seang Foo | Pharmacist | 875 E Wisconsin Ave # Ms 2870, Milwaukee, WI 53202-5404 | 2020-10-23 |
| 1790383420 | Lisa Goetzinger | Pharmacist | 8100 N 124th St, Milwaukee, WI 53224-3800 | 2020-10-14 |
| 1205440203 | Teresa Lee Luebbering | Pharmacist | 5185 S 9th St # 1, Milwaukee, WI 53221-3627 | 2020-09-07 |
| 1912511155 | Alexander Harlan | Pharmacist | 900 N 92nd St, Milwaukee, WI 53226 | 2020-09-04 |
| 1649889767 | Sarah Sugden | Pharmacist | 1726 N 1st St Apt 103, Milwaukee, WI 53212-3907 | 2020-07-24 |
| 1639796808 | Devin Noelle Valpatic | Pharmacist | 2900 W Oklahoma Ave # 1001, Milwaukee, WI 53215-4330 | 2020-07-02 |
| 1588289813 | Ahmed Gamal Abou Mohamed | Pharmacist | 11011 W North Ave Apt 255, Milwaukee, WI 53226-2267 | 2020-06-12 |
| 1801415500 | Elena Maloletko | Pharmacist | 2611 N Stowell Ave Apt E, Milwaukee, WI 53211-4222 | 2020-04-13 |
| 1649807801 | Stacy Anne Doyle | Pharmacist | 875 E Wisconsin Ave # Ms -2870, Milwaukee, WI 53202-5404 | 2020-03-26 |
| 1679108997 | Andrew Budzynski | Pharmacist | 2500 W Layton Ave Ste 150, Milwaukee, WI 53221-5421 | 2020-03-06 |
| Find all providers in MILWAUKEE | ||||
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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.