KELLY PECHOUS (NPI# 1235737727) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235737727 |
| Entity Type | Individual |
| Full Name | KELLY PECHOUS |
| Practice Address |
12080 Highway 169 W Hibbing MN 55746-3035 |
| Practice Telephone | 2182623419 |
| Enumeration Date | 2020-10-15 |
| Last Update Date | 2020-10-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 124761 | MN | Pharmacy Service Providers |
| Street Address |
12080 HIGHWAY 169 W |
| City | HIBBING |
| State | MN |
| Zip Code | 55746-3035 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619994001 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 12080 Highway 169 W, Hibbing, MN 55746-3035 | 2006-07-16 |
| 1205435211 | Brandon Held | Pharmacist | 12080 Highway 169 W, Hibbing, MN 55746-3035 | 2020-10-21 |
| 1952449357 | Geoffrey C Bennett | Optometrist | 12080 Highway 169 W, Wal Mart Vision Center #2937, Hibbing, MN 55746-3035 | 2007-02-01 |
| 1447363197 | Wal-mart Stores, Inc. | Technician/Technologist | 12080 Highway 169 W, Hibbing, MN 55746-3035 | 2006-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922594753 | Brekke Lee Johnsrud | Dentist | 2020 1st Avenue, Hibbing, MN 55746 | 2018-07-04 |
| 1558751495 | Weston Mark Schmidt | Dental Therapist | 411 East Howard St., Jacobson Family Dentistry PC, Hibbing, MN 55746 | 2015-01-30 |
| 1467870485 | Angela Wivoda | Contractor | 302 East Howard Street, Suite 310, Hibbing, MN 55746 | 2014-04-07 |
| 1871897512 | Nicholas G Ongaro | Chiropractor | 4104 9th Ave W, Hibbing, MN 55746 | 2011-01-10 |
| 1689800153 | Kathleen M Delgreco | Social Worker | 3203 W. 3rd Ave, Hibbing, MN 55746 | 2009-06-10 |
| 1962666461 | Sereen Danielle Sharp | Internal Medicine | 3605 Mayfair Avenue, Hibbing, MN 55746 | 2008-07-14 |
| 1790999274 | Raymond N Sampson | Psychologist | 914 Minnesota St, Hibbing, MN 55746 | 2007-05-10 |
| 1598985517 | Renee Cook | Psychiatry & Neurology | 3203 W. 3rd Ave., Range Mental Health Center-perpich Building, Hibbing, MN 55746 | 2007-05-01 |
| 1841318599 | Nathan Pedersen | Dentist | 802 W 42nd St, Hibbing, MN 55746 | 2007-03-27 |
| 1558406355 | Michael John Quirk | Chiropractor | 1406 East 40th St, Hibbing, MN 55746 | 2007-02-20 |
| Find all providers in zip 55746 | ||||
| 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 |
|---|---|---|---|---|
| 1295175966 | Mark Johnson | Pharmacist | 418 Opal Ln, Hibbing, MN 55746-3844 | 2013-06-26 |
| 1063851426 | William John Bonach | Pharmacist | 1101 E 37th St Ste 4, Hibbing, MN 55746-2972 | 2013-06-19 |
| 1326305467 | Leone Rae Altman | Pharmacist | 505 S Inner Dr, Hibbing, MN 55746-2665 | 2012-04-13 |
| 1205435211 | Brandon Held | Pharmacist | 12080 Highway 169 W, Hibbing, MN 55746-3035 | 2020-10-21 |
| 1881207504 | Christopher Brian Bisping | Pharmacist | 1130 E 37th St, Hibbing, MN 55746-2962 | 2020-08-24 |
| 1538721550 | Tiffany Linda Espe | Pharmacist | 3517 E Beltline, Hibbing, MN 55746-2337 | 2019-06-29 |
| 1730638727 | Christopher Clark | Pharmacist | 1130 E 37th St, Hibbing, MN 55746-2962 | 2016-10-02 |
| 1396198339 | Brendan Scott Salo | Pharmacist | 990 W 41st St, Hibbing, MN 55746-3045 | 2016-07-14 |
| 1477940443 | William Pagel | Pharmacist | 1101 E 37th St, Thrifty White Pharmacy, Hibbing, MN 55746-2971 | 2015-04-17 |
| 1487053971 | Jennifer Petroske | Pharmacist | 1130 E 37th St, Hibbing, MN 55746-2962 | 2014-08-20 |
| Find all providers in HIBBING | ||||
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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.