DR. JUSTIN HIMES (NPI# 1376029017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376029017 |
| Entity Type | Individual |
| Full Name | DR. JUSTIN HIMES |
| Credential | PHARMD |
| Practice Address |
2600 65th Ave Osceola WI 54020-4370 |
| Mailing Address |
5974 Fernwood St Shoreview MN 55126-8462 |
| Practice Telephone | 7152944050 |
| Enumeration Date | 2018-07-16 |
| Last Update Date | 2018-07-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 123154 | MN | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | 19203-40 | WI | Pharmacy Service Providers |
| Street Address |
2600 65TH AVE |
| City | OSCEOLA |
| State | WI |
| Zip Code | 54020-4370 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124071865 | Kamil N. Sayegh | Internal Medicine | 2600 65th Ave, Osceola, WI 54020 | 2006-05-17 |
| 1609437607 | Robert Seiberlich | Physical Therapist | 2600 65th Ave, Osceola, WI 54020-4370 | 2019-06-21 |
| 1891259743 | William James Ryan | Physician Assistant | 2600 65th Ave, Osceola, WI 54020-4370 | 2019-01-24 |
| 1336634377 | Mary Elizabeth Gustafson | Pharmacist | 2600 65th Ave, Osceola, WI 54020-4370 | 2018-06-22 |
| 1801394549 | Ladd Memorial Hospital | Clinic/Center | 2600 65th Ave, Osceola, WI 54020-4370 | 2018-01-29 |
| 1811429566 | Heather Kaye Ross | Occupational Therapy Assistant | 2600 65th Ave, Osceola, WI 54020-4370 | 2017-03-31 |
| 1477905362 | Rochelle Manik Catherine Samarasekera | Family Medicine | 2600 65th Ave, Osceola, WI 54020-4370 | 2016-07-05 |
| 1578917316 | Tony Huy Tien Nguyen | Family Medicine | 2600 65th Ave, Osceola, WI 54020-4370 | 2016-04-18 |
| 1295196848 | Nathan Delovely | Specialist/Technologist | 2600 65th Ave, Osceola, WI 54020-4370 | 2016-03-10 |
| 1043675614 | Chelsea O'brien | Dietitian, Registered | 2600 65th Ave, Osceola, WI 54020-4370 | 2015-12-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568063907 | Osceola Family Dental, Ltd | Clinic/Center | 215 N Cascade St, Osceola, WI 54020 | 2020-11-03 |
| 1780177840 | Joseph John Clymer | Social Worker | 405 Delmar Ave, Osceola, WI 54020 | 2018-06-12 |
| 1811401763 | Tiffany Morris | Acupuncturist | 207 N Cascade St, Osceola, WI 54020 | 2017-11-29 |
| 1255842779 | Olson Cc Wellness LLC | Chiropractor | 307 N Cascade Street, Osceola, WI 54020 | 2017-10-24 |
| 1396266599 | Danelle Mortenson | Counselor | 204 3rd Ave., Suite 100, Osceola, WI 54020 | 2017-06-28 |
| 1306200076 | Wendy Field | Registered Nurse | 2789 Cloutier Ct, Osceola, WI 54020 | 2016-04-08 |
| 1023391877 | Christian Community Home of Osceola, Inc. | Skilled Nursing Facility | 2650 65th Ave, Osceola, WI 54020 | 2011-09-27 |
| 1073768602 | Jamie J Mason | Marriage & Family Therapist | 204 3rd Ave W, Suite 100, Osceola, WI 54020 | 2008-11-24 |
| 1710137963 | Michelle Lynn Thoen | Counselor | 307 N Cascade St, Third Floor, Osceola, WI 54020 | 2008-09-24 |
| 1457533903 | School District of Osceola | Local Education Agency (LEA) | 331 Middle School Dr, Osceola, WI 54020 | 2007-11-27 |
| Find all providers in zip 54020 | ||||
| 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 |
|---|---|---|---|---|
| 1336769579 | Mark J Good Sr. | Pharmacist | 510 West Mcclane St., Osceola, IA 50213 | 2020-04-17 |
| 1023637758 | Valarie Kay Eagen | Pharmacist | 510 W Mclane St, Osceola, IA 50213-1556 | 2020-04-13 |
| 1497139596 | Nicole Tzanakis | Pharmacist | 305 South Ave Apt 4, Osceola, WI 54020-7912 | 2015-07-17 |
| 1770983454 | Tooleys Osceola Pharmacy | Pharmacist | 415 Hawkeye St., Osceola, NE 68651-0426 | 2014-08-29 |
| 1154739233 | Timothy Tooley | Pharmacist | 415 Hawkeye Street, Osceola, NE 68651 | 2014-08-01 |
| 1346523560 | John Schimizzi | Pharmacist | 56199 Birch Rd, Osceola, IN 46561-9519 | 2011-09-23 |
| 1467505917 | Douglas Eugene Nykanen | Pharmacist | 120 Cascade St N, Osceola, WI 54020 | 2007-01-19 |
| 1639248677 | Stephanie S Rapert | Pharmacist | 100 E Hale Ave, Osceola, AR 72370-2622 | 2006-11-06 |
| 1982698650 | Michele Marie Evink | Pharmacist | 800 S Fillmore St, Osceola, IA 50213-1619 | 2005-09-08 |
| 1730780040 | Emily Jayne Lugar | Pharmacist | 2720 W Keiser Ave, Osceola, AR 72370-3443 | 2020-11-03 |
| Find all providers in OSCEOLA | ||||
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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.