DR. LISA CLAIRE MCCOACH (NPI# 1316577257) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1316577257 |
Entity Type | Individual |
Full Name | DR. LISA CLAIRE MCCOACH |
Credential | PHARMD |
Practice Address |
1061 E Commerce Blvd Slinger WI 53086-9326 |
Mailing Address |
369 Douglas Ln Cedarburg WI 53012-9035 |
Practice Telephone | 2626445246 |
Mailing Telephone | 4143312919 |
Enumeration Date | 2020-01-20 |
Last Update Date | 2020-01-20 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 183500000X | Pharmacist | 17595-40 | WI | Pharmacy Service Providers |
Street Address |
1061 E COMMERCE BLVD |
City | SLINGER |
State | WI |
Zip Code | 53086-9326 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477502920 | Deann J Campbell | Physician Assistant | 1061 E Commerce Blvd, Slinger, WI 53086-9326 | 2006-05-10 |
1235761032 | Nancy Jean Witt | Pharmacist | 1061 E Commerce Blvd, Slinger, WI 53086-9326 | 2020-02-10 |
1902372444 | Stacey Lynn Brandt | Nurse Practitioner | 1061 E Commerce Blvd, Slinger, WI 53086-9326 | 2018-10-23 |
1154736874 | Fatima Aziz | Obstetrics & Gynecology | 1061 E Commerce Blvd, Slinger, WI 53086-9326 | 2014-06-23 |
1952609844 | Aurora Advanced Healthcare, Inc. | Durable Medical Equipment & Medical Supplies | 1061 E Commerce Blvd, Slinger, WI 53086-9326 | 2011-03-02 |
1558664318 | Margaret D Schommer | Nurse Practitioner | 1061 E Commerce Blvd, Slinger, WI 53086 | 2010-12-15 |
1851616627 | Kelly Jean Darmody | Internal Medicine | 1061 E Commerce Blvd, Slinger, WI 53086-9326 | 2010-04-05 |
1437391851 | Amul Manilal Shah | Urology | 1061 E Commerce Blvd, Slinger, WI 53086-9326 | 2009-03-31 |
1578723318 | Joshua Peterson | Family Medicine | 1061 E Commerce Blvd, Slinger, WI 53086-9326 | 2008-06-16 |
1154598662 | Comprehensive Cardiovascular Care, LLP | Internal Medicine | 1061 E Commerce Blvd, Slinger, WI 53086-9326 | 2008-05-14 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215245642 | Body Harmonics, Inc. | Chiropractor | 120a W. Commerce Blvd., Slinger, WI 53086 | 2010-09-20 |
1407923915 | Swanson and Associates Family Dentistry, Inc. | Dentist | 410 E. Washington St., Slinger, WI 53086 | 2006-11-29 |
1376010868 | Sarah Kennedy Fodor | Dentist | 410 E Washington St, Slinger, WI 53086 | 2018-11-01 |
1114494739 | Meghan Dassow | Occupational Therapy Assistant | 1900 American Eagle Drive, Slinger, WI 53086 | 2018-11-01 |
1134247299 | A Natural Way Chiropractic and Wellness Center LLC | Chiropractor | 344 E. Washington St., Slinger, WI 53086-0039 | 2007-03-27 |
1447407705 | Geminicares, Inc. | Public Health or Welfare | 840 Enterprise Drive, Slinger, WI 53086-0230 | 2008-08-19 |
1174665053 | Donald F Crego Jr. | Dentist | 340 E Washington St, Slinger, WI 53086-0426 | 2007-02-13 |
1912337502 | Laura Sullivan | Physical Therapist | 1900 American Eagle Drive, Slinger, WI 53086-9043 | 2013-11-18 |
1407943681 | Thi of Wisconsin At Hartford, LLC | Skilled Nursing Facility | 1900 American Eagle Dr, Slinger, WI 53086-9043 | 2006-10-07 |
1679948202 | Melissa Malchow | Physical Therapy Assistant | 1900 American Eagle Dr, Slinger, WI 53086-9043 | 2015-12-08 |
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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 |
---|---|---|---|---|
1235761032 | Nancy Jean Witt | Pharmacist | 1061 E Commerce Blvd, Slinger, WI 53086-9326 | 2020-02-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578164349 | Lynn Huynh | Pharmacist | 5695 Washington Ave, Racine, WI 53406 | 2020-11-06 |
1346841822 | Tam Dinh | Pharmacist | 7480 Karth Ct, Franklin, WI 53132-8509 | 2020-11-02 |
1356940845 | Colette A. Probasco | Pharmacist | N1021 Blues Ln, Hortonville, WI 54944-9265 | 2020-10-26 |
1104425784 | Seang Foo | Pharmacist | 875 E Wisconsin Ave # Ms 2870, Milwaukee, WI 53202-5404 | 2020-10-23 |
1053910067 | Mary Ellen F Pumper | Pharmacist | 861 County Rd F, Berlin, WI 54923 | 2020-10-21 |
1609475607 | Suchart Thammahong | Pharmacist | 734 Mclean Drive, Madison, Wi, WI 53718 | 2020-10-21 |
1427657493 | Sarah R. Kozikowski | Pharmacist | 226100 Rib Mountain Dr, Wausau, WI 54401-3346 | 2020-10-21 |
1063011252 | Kelsey Eickstaedt | Pharmacist | 15594 State Hwy 77, Hayward, WI 54843 | 2020-10-20 |
1295334373 | James Michael Branning | Pharmacist | 226200 Rib Mountain Dr, Wausau, WI 54401-3347 | 2020-10-20 |
1174122576 | Paul Suiven Mbinglo | Pharmacist | 6237 94th Ct, Kenosha, WI 53142-8225 | 2020-10-19 |
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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.