MR. MARK SIMON STANG (NPI# 1255755310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255755310 |
| Entity Type | Individual |
| Full Name | MR. MARK SIMON STANG |
| Credential | RPH |
| Practice Address |
309 Cypress Dr Saint Joseph MN 56374-4683 |
| Mailing Address |
Po Box 333 309 Cypress Drive Saint Joseph MN 56374-0333 |
| Practice Telephone | 3202826127 |
| Mailing Telephone | 3202826127 |
| Enumeration Date | 2014-02-10 |
| Last Update Date | 2014-02-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 116267 | MN | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | MINNESOTA BOARD OF PHARMACY | 116267 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699050591 | Mark William Stang I | Pharmacist | 5054 S 133rd St, Omaha, NE 68137-1759 | 2011-10-12 |
| 1770500506 | Mark R Stang | Internal Medicine | 920 E 28th St, Suite 700, Minneapolis, MN 55407-1139 | 2006-07-16 |
| Street Address |
309 CYPRESS DR |
| City | SAINT JOSEPH |
| State | MN |
| Zip Code | 56374-4683 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083130488 | Bettin Counseling | Social Worker | 1151 Minnesota St E. #6, St Joseph, MN 56374 | 2017-08-17 |
| 1063949998 | Brian S Koltes | Chiropractor | 103 College Ave N, Saint Joseph, MN 56374 | 2017-05-23 |
| 1588102917 | Premier Healthcare Management of St Joseph LLC | Assisted Living Facility | 329 7th Ave Se, St. Joseph, MN 56374 | 2017-02-06 |
| 1720349608 | Laura Jayne Sherr | Counselor | 37 South College Avenue, C/o Csb Health Center, Lottie Hall Lower Level, St. Joseph, MN 56374 | 2012-06-06 |
| 1194084293 | Jamie Lane Vogt | Social Worker | 215 N. Benton Drive, Independent Lifestyles, Inc, Sauk Rapids, MN 56374 | 2012-05-09 |
| 1598979346 | Patricia Ann Martini | Psychologist | 100 West Minnesota St, St Joseph, MN 56374 | 2007-05-10 |
| 1982742144 | Phyllis Ann Owens | Psychologist | 211151 John Milless Drive, Rogers, MN 56374 | 2007-02-01 |
| 1043287527 | Carol L Holton | Nurse Practitioner | 37 College Ave South, Saint Joseph, MN 56374 | 2006-03-03 |
| 1265429542 | Gerard L Bobeldyk | Internal Medicine | 16472 Laurel Rd, St Joseph, MN 56374 | 2005-10-03 |
| 1780176602 | Jennifer Margaret Chirhart | Nurse Practitioner | 1360 Elm St E, Saint Joseph, MN 56374 | 2018-06-06 |
| Find all providers in zip 56374 | ||||
| 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 |
|---|---|---|---|---|
| 1669086609 | Phuc Vo | Pharmacist | 4022 N Belt Hyw, Saint Joseph, MO 64506 | 2020-09-08 |
| 1912450107 | Jerome Wheeler | Pharmacist | 3606 Beck Rd, Saint Joseph, MO 64506-2275 | 2016-07-25 |
| 1053790865 | Jeffrey Arnold Perrin | Pharmacist | 3205 W Valley View Dr, Saint Joseph, MI 49085-9407 | 2015-05-26 |
| 1326470410 | Richard Kenneth Ingram | Pharmacist | 1372 County Road 2275 E, Saint Joseph, IL 61873-9627 | 2013-07-31 |
| 1053667030 | Edwin G. Blanche | Pharmacist | 705 Plank Road, Saint Joseph, LA 71366 | 2012-07-27 |
| 1821371634 | Elise Hubbard | Pharmacist | 4425 Plum Creek Ln, Saint Joseph, MI 49085-9315 | 2011-09-28 |
| 1710260377 | Michael Lou Whitley | Pharmacist | 3645 Frederick Avenue, Saint Joseph, MO 64506 | 2011-09-21 |
| 1861789836 | Jocqueline Butler | Pharmacist | 5201 N Belt Hwy, Ste H, T-1977, Saint Joseph, MO 64506-1553 | 2011-06-29 |
| 1801119524 | Barbara Ann Lutz | Pharmacist | 2901 N Belt Hwy, Saint Joseph, MO 64506-2006 | 2010-03-09 |
| 1134384886 | Andrea Lynn Miller | Pharmacist | 1517 Saint Joseph Ave, Saint Joseph, MO 64505-2631 | 2008-07-22 |
| Find all providers in SAINT JOSEPH | ||||
| City | SAINT JOSEPH |
| Zip Code | 56374 |
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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.