DR. BETH WILMUNEN (NPI# 1366807810) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366807810 |
| Entity Type | Individual |
| Full Name | DR. BETH WILMUNEN |
| Credential | PHARMD |
| Practice Address |
328 W Conan St Ely MN 55731-1145 |
| Practice Telephone | 2183658750 |
| Practice Fax Number | 2183658789 |
| Enumeration Date | 2015-12-29 |
| Last Update Date | 2015-12-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 17104 | WI | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | 121381 | MN | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 218-23-8600 | 05 |
| Street Address |
328 W CONAN ST |
| City | ELY |
| State | MN |
| Zip Code | 55731-1145 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295715373 | Colleen Kloehn | Nurse Anesthetist, Certified Registered | 328 W Conan St, Ely, MN 55731-1145 | 2006-01-17 |
| 1447417217 | Ely Area Ambulance Service | Ambulance | 328 W Conan St, Ely, MN 55731-1145 | 2008-05-20 |
| 1235215385 | Ely Bloomenson Community Hospital and Nursing Home | Durable Medical Equipment & Medical Supplies | 328 W Conan St, Ely, MN 55731-1145 | 2006-10-31 |
| 1659455897 | Ely-bloomenson Community Hospital | Home Health | 328 W Conan St, Ely, MN 55731-1145 | 2006-10-24 |
| 1972539658 | Ely Bloomenson Community Hospital | Pharmacy | 328 W Conan St, Ely, MN 55731-1145 | 2006-06-24 |
| 1487698296 | Ruth Ann Logar | Nurse Anesthetist, Certified Registered | 328 W Conan St, Ely, MN 55731-1145 | 2006-06-15 |
| 1477591394 | Robert L Savereide | Surgery | 328 W Conan St, Ely, MN 55731-1145 | 2006-06-03 |
| 1295785574 | Sam P Rice | Family Medicine | 328 W Conan St, Ely, MN 55731-1145 | 2006-05-10 |
| 1770542904 | Ely-bloomenson Community Hospital | General Acute Care Hospital | 328 W Conan St, Ely, MN 55731-1145 | 2006-03-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720646110 | Bria Schurke | Physician Assistant | 1101 Ring Rock Rd, Ely, MN 55731 | 2019-05-31 |
| 1851738694 | Sonya Bland | Registered Nurse | 1701 Hwy 1, Ely, MN 55731 | 2013-06-03 |
| 1063513448 | Debra K Warner | Psychologist | 224 E Chapman, Rmhc Duluth Clinic, Ely, MN 55731 | 2006-09-26 |
| 1821107541 | Lars Lyle Roth | Chiropractor | 39 E Sheridan, Ely, MN 55731 | 2006-08-29 |
| 1801270798 | Nicholas Alexander Cooley | Family Medicine | 300 W Conan St, Ely, MN 55731 | 2015-07-10 |
| 1992943336 | Ely Family Dentistry | Dentist | 40 N 1st Ave E, Ely, MN 55731 | 2009-01-22 |
| 1417162207 | William J Scott Dds Pa | Dentist | 40 N 1st Ave E, Ely, MN 55731 | 2007-05-14 |
| 1902303670 | Scott Allen Hofstadter | Physical Therapy Assistant | 2160 Deer Ridge Rd, Ely, MN 55731-0593 | 2018-04-10 |
| 1477660777 | Boundary Waters Care Center | Skilled Nursing Facility | 200 W Conan St, Ely, MN 55731-1143 | 2006-08-23 |
| 1538503800 | Amanda Nierengarten | Occupational Therapist | 200 W Conan St, Ely, MN 55731-1143 | 2013-04-17 |
| Find all providers in zip 55731 | ||||
| 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 |
|---|---|---|---|---|
| 1982227880 | Gerardine Sundararaj | Pharmacist | 1689 Great Basin Blvd, Ely, NV 89301-3154 | 2020-05-26 |
| 1457830424 | Angel Ladeane Smith | Pharmacist | 1035 Avenue C, Ely, NV 89301-2329 | 2018-08-10 |
| 1710260237 | Jacob Meyer Osell | Pharmacist | 328 W. Conan St., Ely Bloomeson Community Hospital, Ely, MN 55731-1145 | 2011-09-21 |
| 1669519906 | Arthur Marshall Olson | Pharmacist | 504 Aultman Street, Ely, NV 89301-1553 | 2007-01-30 |
| 1306264072 | Jeanann Dawn Larson | Pharmacist | 1500 E Sheridan St, Ely, MN 55731-1855 | 2014-03-31 |
| 1457778029 | Ashley Mary Walton | Pharmacist | 1500 E Sheridan St, Ely, MN 55731-1855 | 2014-03-21 |
| 1568899748 | Matthew F Walker | Pharmacist | 1500 Avenue H, Ely, NV 89301-2615 | 2013-10-02 |
| 1962776112 | Garret Eugene Garber | Pharmacist | 400 B Newe Vw, Ely, NV 89301-3139 | 2012-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588265649 | Candace Louise Haugtvedt | Pharmacist | 321 Us-10 West, Detroit Lakes, MN 56501 | 2020-11-05 |
| 1295334217 | Mary Jane Andersen | Pharmacist | 3300 Hwy 210 W, Fergus Falls, MN 56537 | 2020-10-21 |
| 1679172522 | Cari Michelle Labonne | Pharmacist | 4202 Creekwood Pl, Hermantown, MN 55811-3692 | 2020-10-21 |
| 1073112983 | Katie Sue Fairchild | Pharmacist | 2301 E Frontage Rd, Litchfield, MN 55355 | 2020-10-21 |
| 1609475615 | Blaine Perry Ecker | Pharmacist | 3300 Highway 210 W., 3300 Highway 210 West, Fergus Falls, MN 56537 | 2020-10-21 |
| 1619576626 | Jessica Margaret Dulli | Pharmacist | 5241 Lincoln Dr Apt 204, Edina, MN 55436-2702 | 2020-10-21 |
| 1649879875 | Dale Rudolph | Pharmacist | 320 22nd Ave Ne, Waseca, MN 56093-2670 | 2020-10-19 |
| 1134728520 | Herve Bertrand Kengne Mbakam | Pharmacist | 1800 Windsor Dr S, Shakopee, MN 55379-8073 | 2020-10-18 |
| 1821696402 | Leah Fischer | Pharmacist | 817 11th St N, New Ulm, MN 56073-1374 | 2020-10-15 |
| 1003414780 | Loren Leroy Carver | Pharmacist | 424 3rd St N, Stillwater, MN 55082-4836 | 2020-10-14 |
| Find all providers with the same taxonomy | ||||
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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.