AUDREY BLACKWOOD (NPI# 1407020068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407020068 |
| Entity Type | Individual |
| Full Name | AUDREY BLACKWOOD |
| Credential | PHARMD |
| Practice Address |
10 5th St Se Cook MN 55723-9702 |
| Practice Telephone | 2186666229 |
| Practice Fax Number | 2186666249 |
| Mailing Telephone | 2186666229 |
| Mailing Fax Number | 2186666249 |
| Enumeration Date | 2008-04-15 |
| Last Update Date | 2008-04-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 116902 | MN | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942505789 | Audrey Patricia Blackwood | Counselor | 2601 Tulane Ave, Suite 305, New Orleans, LA 70119-7462 | 2011-01-25 |
| Street Address |
10 5TH ST SE |
| City | COOK |
| State | MN |
| Zip Code | 55723-9702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992763858 | Cook Hospital | General Acute Care Hospital | 10 5th St Se, Cook, MN 55723-9702 | 2006-05-02 |
| 1013571751 | Dayton Nels Johnson | Physical Therapist | 10 5th St Se, Cook, MN 55723-9702 | 2019-04-29 |
| 1790349454 | Marie Ljosenvoor | Pharmacist | 10 5th St Se, Cook, MN 55723-9702 | 2019-04-29 |
| 1821557257 | Anthony Menart | Pharmacist | 10 5th St Se, Cook, MN 55723-9702 | 2019-03-15 |
| 1275073892 | Northland Anesthesia Associates | Nurse Anesthetist, Certified Registered | 10 5th St Se, Cook, MN 55723-9702 | 2017-03-01 |
| 1093850844 | Cook Hospital Pharmacy | Pharmacy | 10 5th St Se, Cook, MN 55723-9702 | 2007-02-20 |
| 1720036262 | Cook Hospital | Medicare Defined Swing Bed Unit | 10 5th St Se, Cook, MN 55723-9702 | 2006-05-05 |
| 1750339826 | Cook Hospital | Skilled Nursing Facility | 10 5th St Se, Cook, MN 55723-9702 | 2006-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225258320 | Turning Point Counseling Pa | Marriage & Family Therapist | 19 E Vermilion Dribe, Suite B, Cook, MN 55723 | 2007-04-30 |
| 1639295124 | Linda Ann Albertson | Marriage & Family Therapist | 19 E Vermillon Dr, Suite B Turning Point Counseling Pa, Cook, MN 55723 | 2007-03-22 |
| 1093850950 | City of Cook | Ambulance | 127 S River St, Cook, MN 55723 | 2007-02-20 |
| 1346337128 | Franks Pharmacy Inc | Pharmacy | #1 West Vermilion Drive, Cook, MN 55723 | 2006-10-05 |
| 1164514493 | Cook Chiropractic Center Ltd. | Chiropractor | 19 E Vermilion Dr, Po 395, Cook, MN 55723 | 2006-09-28 |
| 1497930861 | Bradley Scott Horoshak | Chiropractor | 19 E Vermilion Dr, Po 395, Cook, MN 55723 | 2008-01-04 |
| 1508086679 | Speare Psychological Services Pa | Psychologist | 225 1st St N, Suite 3100, Virginia, MN 55723 | 2007-04-30 |
| 1750421160 | Jerel Dean Johnson | Technician/Technologist | 23 East Vermilion Ave, Cook, MN 55723-0127 | 2007-02-07 |
| 1275731317 | Minnesota Correctional Facility -togo | Substance Abuse Rehabilitation Facility | 62741 County Road 551, Togo, MN 55723-4509 | 2007-07-10 |
| 1659508182 | True Care Medical Therapy Center Inc | Occupational Therapist | 221 Highway 53, Suite D, Cook, MN 55723-5102 | 2009-06-10 |
| Find all providers in zip 55723 | ||||
| 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 |
|---|---|---|---|---|
| 1790349454 | Marie Ljosenvoor | Pharmacist | 10 5th St Se, Cook, MN 55723-9702 | 2019-04-29 |
| 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.