JILL ANN TETRICK (NPI# 1326110602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326110602 |
| Entity Type | Individual |
| Full Name | JILL ANN TETRICK |
| Credential | RPH |
| Practice Address |
1580 Beam Ave Maplewood MN 55109-1127 |
| Mailing Address |
8345 Fairchild Ave Mounds View MN 55112-6122 |
| Practice Telephone | 6512558480 |
| Mailing Telephone | 7637850574 |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835X0200X |
Pharmacist Specialization: Oncology |
1145032 | MN | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003128208 | Jill Noelle Tetrick | Dentist | 3628 Meridian St Ste 1c, Bellingham, WA 98225-1735 | 2010-07-06 |
| Street Address |
1580 BEAM AVE |
| City | MAPLEWOOD |
| State | MN |
| Zip Code | 55109-1127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952378044 | Ellen E Bellairs | Radiology | 1580 Beam Ave, Maplewood, MN 55109-1127 | 2006-03-07 |
| 1033564950 | Amy Lee | Physician Assistant | 1580 Beam Ave, Maplewood, MN 55109-1127 | 2016-04-28 |
| 1699170209 | Madison L Palmer | Physician Assistant | 1580 Beam Ave, Maplewood, MN 55109-1127 | 2014-10-24 |
| 1508275603 | Stephanie Ernesta Smith | Physician Assistant | 1580 Beam Ave, Maplewood, MN 55109-1127 | 2014-08-04 |
| 1285079988 | Yang Liu | Internal Medicine | 1580 Beam Ave, Maplewood, MN 55109-1127 | 2013-05-08 |
| 1871856641 | Ryan Kevin Funk | Internal Medicine | 1580 Beam Ave, Maplewood, MN 55109 | 2012-06-18 |
| 1588979306 | Katrina Margaret Jackson | Nurse Practitioner | 1580 Beam Ave, Maplewood, MN 55109-1127 | 2010-08-17 |
| 1598919698 | Linh Nguyen | Pharmacist | 1580 Beam Ave, Maplewood, MN 55109-1127 | 2008-11-17 |
| 1730345380 | Brian Martin Meger | Pharmacist | 1580 Beam Ave, Maplewood, MN 55109-1127 | 2008-08-04 |
| 1528267853 | Stephanie Krejcarek Childs | Radiology | 1580 Beam Ave, Maplewood, MN 55109-1127 | 2007-07-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366063828 | Jodi May Begordis | Registered Nurse | 2586 7th Ave East, Suite 302, North St Paul, MN 55109 | 2020-05-06 |
| 1467917146 | Alejandro Diez Freire | Social Worker | 2468 Germain St, Maplewood, MN 55109 | 2019-02-06 |
| 1679099667 | Rochelle Marie Clarke | Registered Nurse | 2586 7th Ave East Suite 302, North Saint Paul, MN 55109 | 2017-08-21 |
| 1497298210 | Salams Care Residential, LLC | Home Health | 2240 Ide Ct, Maplewood, MN 55109 | 2016-11-28 |
| 1093199630 | Garry Allen | Psychologist | 2345 Ariel St North Mail Stop 13601a, Maplewood, MN 55109 | 2015-07-14 |
| 1700264751 | Matthew Seng Thao | Student in an Organized Health Care Education/Training Program | 1470 Gervais Ave, Maplewood, MN 55109 | 2015-05-11 |
| 1326458340 | Chong Chang | Counselor | 1705 Cope Ave E Ste I, Maplewood, MN 55109 | 2014-04-29 |
| 1619396488 | Leah Anne Downey | Occupational Therapist | 2399 Ariel St. N., Children's Theraplay, LLC, Maplewood, MN 55109 | 2014-04-09 |
| 1356765440 | Group Health Plan, Inc | Clinic/Center | 2520 12th Ave E, North St Paul, MN 55109 | 2014-02-10 |
| 1336560275 | Veneman Dental Care, Pa | Dentist | 1774 Cope Ave, Suite 110, Maplewood, MN 55109 | 2013-12-19 |
| Find all providers in zip 55109 | ||||
| Taxonomy Code | 1835X0200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Oncology |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in developing, recommending, implementing, monitoring, and modifying pharmacotherapeutic plans to optimize outcomes in patients with malignant diseases. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790857902 | Judith Gauthier | Pharmacist | 1580 Beam Ave, Maplewood, MN 55109-1127 | 2006-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356976328 | Kirollos Samir Hanna | Pharmacist | 14500 99th Ave N, Suite 0a030, Maple Grove, MN 55369 | 2020-03-10 |
| 1689200024 | Zach Rivers | Pharmacist | 909 Fulton St Se, Minneapolis, MN 55455-4800 | 2020-03-17 |
| 1336614312 | Murray Leraas | Pharmacist | 1 Veterans Dr # 119, Minneapolis, MN 55417-2309 | 2018-10-05 |
| 1164913174 | Patrice Marie Hohn | Pharmacist | 1 Veterans Dr, Minneapolis, MN 55417-2309 | 2018-05-24 |
| 1760834451 | David Gregornik | Pharmacist | 2525 Chicago Ave, Suite 560, Minneapolis, MN 55404-4518 | 2016-07-06 |
| 1801969084 | Janine Leigh Merriman | Pharmacist | 2550 University Ave W, Suite 110n, Saint Paul, MN 55114-1052 | 2006-11-16 |
Please comment or provide details below to improve the information on JILL ANN TETRICK.
| 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.