DR. SCOTT LEWIS FORTNEY (NPI# 1316146913) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316146913 |
| Entity Type | Individual |
| Full Name | DR. SCOTT LEWIS FORTNEY |
| Credential | PHARMD |
| Practice Address |
901 Main Ave De Pere WI 54115-1305 |
| Practice Telephone | 9209836153 |
| Practice Fax Number | 9209836183 |
| Mailing Telephone | 9209836153 |
| Mailing Fax Number | 9209836183 |
| Enumeration Date | 2007-07-13 |
| Last Update Date | 2011-01-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 13808-040 | WI | Pharmacy Service Providers |
| Street Address |
901 MAIN AVE |
| City | DE PERE |
| State | WI |
| Zip Code | 54115-1305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457398273 | Walgreen Co | Pharmacy | 901 Main Ave, De Pere, WI 54115-1305 | 2006-06-01 |
| 1285268714 | Kaochong Yang | Pharmacist | 901 Main Ave, De Pere, WI 54115-1305 | 2020-02-24 |
| 1184900763 | Suzanne Karas | Pharmacist | 901 Main Ave, De Pere, WI 54115-1305 | 2011-10-27 |
| 1215213277 | Meghan Bittner | Pharmacist | 901 Main Ave, De Pere, WI 54115-1305 | 2011-10-21 |
| 1679858757 | Philip C Karas | Pharmacist | 901 Main Ave, De Pere, WI 54115-1305 | 2011-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871138073 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 723 Main Ave, Depere, WI 54115 | 2019-11-12 |
| 1568928083 | Stephanie J Towle | Speech-Language Pathologist | 200 S. 9th St, De Pere, WI 54115 | 2019-02-20 |
| 1164988499 | Maribel L Zoeller | Physical Therapy Assistant | 200 S. 9th Street, Depere, WI 54115 | 2019-02-12 |
| 1255897641 | Elizabeth Eberius | Acupuncturist | 3311 S. Packerland Drive, Suite A #20, De Pere, WI 54115 | 2019-02-11 |
| 1548750458 | Jordyn E Arndt | Physical Therapist | 1601 Lawrence Dr Ste 100, De Pere, WI 54115 | 2018-05-16 |
| 1588153514 | David Nowakowski | Registered Nurse | 158 Cavil Way, De Pere, WI 54115 | 2018-05-04 |
| 1457858557 | Rennes Assisted Living Corp. | Assisted Living Facility | 1150 Lois Street, Depere, WI 54115 | 2018-04-06 |
| 1518473966 | Kirsten Lynne Masrelian | Behavioral Analyst | 2073 Lawrence Dr, De Pere, WI 54115 | 2017-12-21 |
| 1285146050 | Sydney Marie Schultz | Physical Medicine & Rehabilitation | 200 S. Ninth Street, De Pere, WI 54115 | 2017-11-01 |
| 1134666514 | Nicole L Bickham | Psychologist | 416 George St Ste 108, De Pere, WI 54115 | 2017-01-24 |
| Find all providers in zip 54115 | ||||
| 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 |
|---|---|---|---|---|
| 1346510260 | Jessica Lawton | Pharmacist | 373 Gittens Ct, De Pere, WI 54115-4077 | 2012-01-09 |
| 1437434511 | Peter Aubry | Pharmacist | 1169 Shetland Pl, De Pere, WI 54115-4015 | 2011-10-20 |
| 1194323527 | Rama Kasetty | Pharmacist | 1415 Lawrence Dr, De Pere, WI 54115-3927 | 2020-10-16 |
| 1578161923 | Naomi Dewitt | Pharmacist | 1415 Lawrence Dr, De Pere, WI 54115-3927 | 2020-10-16 |
| 1083212906 | Daniel James Horn | Pharmacist | 1415 Lawrence Dr, De Pere, WI 54115-3927 | 2020-10-13 |
| 1336747245 | Timothy Joseph Niedzwiecki | Pharmacist | 1415 Lawrence Dr, De Pere, WI 54115-3927 | 2020-10-13 |
| 1720686744 | Jerry Sulewski | Pharmacist | 1415 Lawrence Dr, De Pere, WI 54115-3927 | 2020-10-12 |
| 1366055576 | Michelle Mayer | Pharmacist | 510 Redbird Cir, De Pere, WI 54115-8785 | 2020-08-26 |
| 1891320156 | Chelsea Wilson | Pharmacist | 800 Main Ave, De Pere, WI 54115-1335 | 2020-03-06 |
| 1649805029 | Nicole Welke | Pharmacist | 800 Main Ave, De Pere, WI 54115-1335 | 2020-03-06 |
| Find all providers in DE PERE | ||||
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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.