KERRY L CLOSE (NPI# 1366443475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366443475 |
| Entity Type | Individual |
| Full Name | KERRY L CLOSE |
| Credential | RPH |
| Practice Address |
600 W 98th St Bloomington MN 55420-4773 |
| Mailing Address |
4721 Westminster Cir Eagan MN 55122-2756 |
| Practice Telephone | 9528856098 |
| Mailing Telephone | 6514525959 |
| Enumeration Date | 2005-08-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 113456-4 | MN | Pharmacy Service Providers |
| Street Address |
600 W 98TH ST |
| City | BLOOMINGTON |
| State | MN |
| Zip Code | 55420-4773 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023017084 | Michelle Svihel | Physician Assistant | 600 W 98th St, Bloomington, MN 55420-4773 | 2005-07-20 |
| 1326568668 | Adele Michiko Langeness | Physician Assistant | 600 W 98th St, Bloomington, MN 55420-4773 | 2017-06-27 |
| 1124559893 | Bryan Labore | Internal Medicine | 600 W 98th St, Bloomington, MN 55420-4773 | 2017-03-24 |
| 1033563572 | Alice Catherine Lehman | Pediatrics | 600 W 98th St, Bloomington, MN 55420-4773 | 2016-04-21 |
| 1861858953 | Fairview Health Services | Clinic/Center | 600 W 98th St, Bloomington, MN 55420-4773 | 2016-01-06 |
| 1679950968 | Brian Francis Allen | Family Medicine | 600 W 98th St, Bloomington, MN 55420-4773 | 2015-05-06 |
| 1528452935 | Sigrid Mae Casey Avenido | Physician Assistant | 600 W 98th St, Bloomington, MN 55420-4773 | 2015-03-24 |
| 1447670948 | Claire Kathleen Mcneil | Internal Medicine | 600 W 98th St, Bloomington, MN 55420 | 2014-04-23 |
| 1578991352 | Tara Ettestad | Dietitian, Registered | 600 W 98th St, Bloomington, MN 55420 | 2013-10-14 |
| 1700227600 | Fairview Clinics | Specialist | 600 W 98th St, Suite 315, Bloomington, MN 55420-4773 | 2013-07-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457986556 | Jon Brookson Engfer | Counselor | 8609 Lyndale Avenue South, Bloomington, MN 55420 | 2020-03-09 |
| 1720624810 | Sunshine Assisted Living Services LLC | Home Health | 9540 Columbus Ave S, Bloomington, MN 55420 | 2019-11-23 |
| 1417205246 | Jrb Holdings, LLC | Home Health | 9897 Lyndale Ave S, Bloomington, MN 55420 | 2012-08-28 |
| 1629223722 | Jennifer Jean Bormann | Audiologist | 8714 Lyndale Avenue South, Minneapolis, MN 55420 | 2008-11-18 |
| 1801055959 | Sarah J. Marsden | Speech-Language Pathologist | 900 W 94th St., Bloomington, MN 55420 | 2008-06-04 |
| 1699949784 | 1st Choice Care, Inc. | Home Health | 9035 Blaisdell Ave S, Bloomington, MN 55420 | 2008-04-18 |
| 1922295203 | Cornerstone Advocacy Service | Community/Behavioral Health | 1000 East 80th St, Bloomington, MN 55420 | 2007-10-01 |
| 1184769457 | Fairview Oxboro Pharmacy Mtm | Non-Pharmacy Dispensing Site | 600 W 98th Street, Bloomington, MN 55420 | 2007-02-21 |
| 1891831723 | A Caring Company, Inc. | In Home Supportive Care | 9001 East Bloomington Freeway, Sutie 145, Bloomington, MN 55420 | 2007-01-29 |
| 1134279318 | Jennifer Mary Connelly | Speech-Language Pathologist | 9001 E Bloomington Fwy Ste 141, Bloomington, MN 55420 | 2007-01-11 |
| Find all providers in zip 55420 | ||||
| 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 |
|---|---|---|---|---|
| 1558980813 | Ambika Soni | Pharmacist | 2103 N Veterans Pkwy Unit 3, Bloomington, IL 61704-0908 | 2020-04-15 |
| 1548805104 | Jasjeet Singh Waraitch | Pharmacist | 2650 S Walnut St, Bloomington, IN 47401-7302 | 2019-11-07 |
| 1740791250 | Sara Vande Walle | Pharmacist | 8400 Normandale Lake Blvd Ste 700, Bloomington, MN 55437-3810 | 2017-10-24 |
| 1487171682 | Brenden James King | Pharmacist | 645 S Rogers St Ste C, Bloomington, IN 47403-2353 | 2017-08-28 |
| 1356897391 | Brittany Ann Oliver | Pharmacist | 800 N Smith Rd, Apt G11, Bloomington, IN 47408-2928 | 2016-08-30 |
| 1073987152 | Christopher Bennett | Pharmacist | 48 Pebblebrook Ct, Bloomington, IL 61705-6300 | 2015-11-30 |
| 1912374505 | Alphonsus M Brady | Pharmacist | 2510 E Washington St, Apt #13, Bloomington, IL 61704-4447 | 2015-08-31 |
| 1376928853 | Cory Patterson | Pharmacist | 2104 Hackberry Rd, Bloomington, IL 61704-2788 | 2015-07-24 |
| 1689062671 | Lester Burris II | Pharmacist | 2424 S Walnut St, Bloomington, IN 47401-7730 | 2014-12-30 |
| 1053718510 | Dhaval H Patel | Pharmacist | 2001 S Morris Ave, 16, Bloomington, IL 61704-7293 | 2014-11-28 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 55420 |
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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.