NICOLE MARIE HENDRICKS (NPI# 1407137003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407137003 |
| Entity Type | Individual |
| Full Name | NICOLE MARIE HENDRICKS |
| Credential | PHARMD, RPH |
| Practice Address |
3470 River Rapids Dr Nw Coon Rapids MN 55448-4101 |
| Practice Telephone | 7634271156 |
| Practice Fax Number | 7634271562 |
| Mailing Telephone | 7634271156 |
| Mailing Fax Number | 7634271562 |
| Enumeration Date | 2011-09-09 |
| Last Update Date | 2011-09-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 118584 | MN | Pharmacy Service Providers |
| Street Address |
3470 RIVER RAPIDS DR NW |
| City | COON RAPIDS |
| State | MN |
| Zip Code | 55448-4101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437165800 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3470 River Rapids Dr Nw, Coon Rapids, MN 55448-4101 | 2006-07-31 |
| 1669085007 | Joseph K Martin | Pharmacist | 3470 River Rapids Dr Nw, Coon Rapids, MN 55448-4101 | 2020-08-25 |
| 1538771118 | Ashley Vold | Pharmacist | 3470 River Rapids Dr Nw, Coon Rapids, MN 55448-4101 | 2020-08-17 |
| 1336774082 | Sean Matthew Pfundstein | Pharmacist | 3470 River Rapids Dr Nw, Coon Rapids, MN 55448-4101 | 2020-03-03 |
| 1679955496 | Daniel R Schultz | Pharmacist | 3470 River Rapids Dr Nw, Coon Rapids, MN 55448-4101 | 2015-06-29 |
| 1962771949 | Kimberly Trang Nguyen | Pharmacist | 3470 River Rapids Dr Nw, Coon Rapids, MN 55448-4101 | 2011-12-21 |
| 1477834786 | Michael Gene Lawrence | Pharmacist | 3470 River Rapids Dr Nw, Coon Rapids, MN 55448-4101 | 2011-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447741152 | Modern Sisters Home Healthcare | Home Health | 1852 131st Ln Nw, Coon Rapids, MN 55448 | 2018-05-29 |
| 1003345463 | Sarah Benepe | Occupational Therapy Assistant | 764 107th Ln Nw, Coon Rapids, MN 55448 | 2017-06-08 |
| 1700310299 | Orthodontics Specialist of Minnesota P.l.l.c. | Dentist | 3360 Northdale Blvd Nw, Coon Rapids, MN 55448 | 2017-04-12 |
| 1528459906 | Shane R Fisher | Registered Nurse | 10077 Dogwood St. Nw, Suite 110, Minneapolis, MN 55448 | 2015-02-06 |
| 1912395419 | Mn Dentistry, PC | Dentist | 3570 River Rapids Drive Nw, Ste 110, Coor Rapids, MN 55448 | 2015-01-06 |
| 1215297536 | Daniel Beau Ryan Ellis | Chiropractor | 9 125 Lane Nw, Coon Rapids, MN 55448 | 2012-05-21 |
| 1306142344 | At Home Health Care Inc. | Home Health | 1601 128th Lane Nw, Coon Rapids, MN 55448 | 2011-02-09 |
| 1245428317 | Cassandra Joice Carney | Massage Therapist | 8770 Springbrook Dr Nw, Coon Rapids, MN 55448 | 2007-10-14 |
| 1982826434 | Merry Heart Home Care Inc | Home Health | 3248 131st Avenue Nw, Coon Rapids, MN 55448 | 2007-05-03 |
| 1659416196 | James T Sturm | Emergency Medicine | 10160 Foley Blvd Nw Ste 120, Coon Rapids, MN 55448 | 2007-02-21 |
| Find all providers in zip 55448 | ||||
| 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 |
|---|---|---|---|---|
| 1205178852 | Daniel Jerome Bieurance | Pharmacist | 9243 E River Rd Nw, Coon Rapids, MN 55433-5722 | 2013-03-21 |
| 1376816116 | Debora Marie Pearson | Pharmacist | 10812 Butternut St Nw, Coon Rapids, MN 55448-4471 | 2012-02-09 |
| 1114971272 | Steven J Bruin | Pharmacist | 12547 Riverdale Blvd Nw, Coon Rapids, MN 55448-6708 | 2006-05-20 |
| 1437757200 | Sandra Jean Georgeson | Pharmacist | 13020 Riverdale Dr Nw, Coon Rapids, MN 55448-1057 | 2020-10-14 |
| 1275131252 | Jennifer-eva Bokhui Kim | Pharmacist | 13020 Riverdale Dr Nw, Coon Rapids, MN 55448-1057 | 2020-10-13 |
| 1548868599 | Kevin Griswold | Pharmacist | 13020 Riverdale Dr Nw, Coon Rapids, MN 55448-1057 | 2020-10-13 |
| 1093322414 | Khalid Abdulmalik Mohamed | Pharmacist | 2860 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-3427 | 2020-09-29 |
| 1669085007 | Joseph K Martin | Pharmacist | 3470 River Rapids Dr Nw, Coon Rapids, MN 55448-4101 | 2020-08-25 |
| 1538771118 | Ashley Vold | Pharmacist | 3470 River Rapids Dr Nw, Coon Rapids, MN 55448-4101 | 2020-08-17 |
| 1346878188 | Sara Asmus | Pharmacist | 8600 Springbrook Dr Nw, Coon Rapids, MN 55433-6033 | 2020-03-28 |
| Find all providers in COON RAPIDS | ||||
| City | COON RAPIDS |
| Zip Code | 55448 |
Please comment or provide details below to improve the information on NICOLE MARIE HENDRICKS.
| 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.