MICHAEL LINDSAY CORDWIN (NPI# 1376165589) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376165589 |
| Entity Type | Individual |
| Full Name | MICHAEL LINDSAY CORDWIN |
| Credential | RP |
| Practice Address |
6901 S 84th St La Vista NE 68128-2127 |
| Practice Telephone | 4023391090 |
| Practice Fax Number | 4023391091 |
| Mailing Telephone | 4023391090 |
| Mailing Fax Number | 4023391091 |
| Enumeration Date | 2020-05-11 |
| Last Update Date | 2020-05-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 8953 | NE | Pharmacy Service Providers |
| Street Address |
6901 S 84TH ST |
| City | LA VISTA |
| State | NE |
| Zip Code | 68128-2127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952650608 | Kimberly Ann Wohlwend | Registered Nurse | 6901 S 84th St, La Vista, NE 68128-2127 | 2012-09-09 |
| 1326674300 | Ronna Jo Willsey | Pharmacist | 6901 S 84th St, La Vista, NE 68128-2127 | 2020-03-21 |
| 1215563903 | Christopher John Brosnihan | Pharmacist | 6901 S 84th St, La Vista, NE 68128-2127 | 2020-03-13 |
| 1053946111 | Jesse Thompson | Pharmacist | 6901 S 84th St, La Vista, NE 68128-2127 | 2020-03-10 |
| 1700411063 | Beth Dvorak | Pharmacist | 6901 S 84th St, La Vista, NE 68128-2127 | 2020-03-06 |
| 1457993750 | Fredericka Jackson | Nurse Practitioner | 6901 S 84th St, La Vista, NE 68128-2127 | 2019-10-08 |
| 1932763067 | Jennifer Poots | Pharmacist | 6901 S 84th St, La Vista, NE 68128-2127 | 2019-04-24 |
| 1437636552 | Rachel Stutheit | Nurse Practitioner | 6901 S 84th St, La Vista, NE 68128-2127 | 2018-07-21 |
| 1073030607 | September Leigh Wanzenried | Family Medicine | 6901 S 84th St, La Vista, NE 68128 | 2017-08-24 |
| 1356757728 | Jill Marie Brown | Nurse Practitioner | 6901 S 84th St, La Vista, NE 68128-2127 | 2014-07-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922589746 | Ruth Ann Moses | Prevention Professional | 7030 S 110th St, Omaha, NE 68128 | 2018-08-29 |
| 1972945897 | Jenna Leigh Graeve | Physical Therapist | 7040 S 114th St Plz Apt 203, La Vista, NE 68128 | 2013-07-19 |
| 1245564012 | Optum Infusion Services 302, LLC | Pharmacy | 8720 South 114th Street, Suite 106, La Vista, NE 68128 | 2009-09-28 |
| 1730385709 | Granville Assisted Living, LLC | Point of Service | 5807 Granville Parkway, La Vista, NE 68128 | 2007-06-26 |
| 1629160072 | Rachel L. Mccann | Pediatrics | 9801 Giles Road, Suite 1, La Vista, NE 68128 | 2006-09-29 |
| 1730118233 | Donald R Krysl | Optometrist | 8102 S 84th St, Lavista, NE 68128 | 2006-06-30 |
| 1518312719 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 12515 Portside Pkwy, La Vista, NE 68128 | 2016-04-26 |
| 1245685445 | Costco Wholesale Corporation | Hearing Aid Equipment | 12515 Portside Pkwy, La Vista, NE 68128 | 2016-04-26 |
| 1386011971 | Kelsey Klatt | Occupational Therapist | 6960 S 110th St, La Vista, NE 68128 | 2015-08-31 |
| 1003299827 | Jordan Tichenor | Internal Medicine | 8604 Giles Rd, La Vista, NE 68128 | 2015-06-30 |
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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 |
|---|---|---|---|---|
| 1295168466 | Shayla Nguyen | Pharmacist | 7822 S 72nd Ave, La Vista, NE 68128-2661 | 2013-08-12 |
| 1124303250 | Sally Suzanne Fullenkamp | Pharmacist | 10314 Florence Cir, La Vista, NE 68128-2372 | 2011-10-20 |
| 1477871572 | Colby Steven Holyoak | Pharmacist | 9460 Giles Rd, La Vista, NE 68128-3064 | 2010-05-13 |
| 1386255263 | Byron Thomas Korf | Pharmacist | 8380 Harrison St, La Vista, NE 68128-2918 | 2020-08-13 |
| 1992322416 | Corey David Ridge | Pharmacist | 8380 Harrison St, La Vista, NE 68128-2918 | 2020-06-30 |
| 1326674300 | Ronna Jo Willsey | Pharmacist | 6901 S 84th St, La Vista, NE 68128-2127 | 2020-03-21 |
| 1215563903 | Christopher John Brosnihan | Pharmacist | 6901 S 84th St, La Vista, NE 68128-2127 | 2020-03-13 |
| 1053946111 | Jesse Thompson | Pharmacist | 6901 S 84th St, La Vista, NE 68128-2127 | 2020-03-10 |
| 1700411063 | Beth Dvorak | Pharmacist | 6901 S 84th St, La Vista, NE 68128-2127 | 2020-03-06 |
| 1932763067 | Jennifer Poots | Pharmacist | 6901 S 84th St, La Vista, NE 68128-2127 | 2019-04-24 |
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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.