MR. SEAN EDWARD ETIENNE (NPI# 1437339611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437339611 |
| Entity Type | Individual |
| Full Name | MR. SEAN EDWARD ETIENNE |
| Practice Address |
3920 N Union Blvd Ste 200 Colorado Springs CO 80907-4921 |
| Practice Telephone | 7195247616 |
| Mailing Telephone | 7195247616 |
| Enumeration Date | 2007-11-06 |
| Last Update Date | 2016-02-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 116685 | MN | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | 12402-040 | WI | Pharmacy Service Providers |
| N | 1835P2201X |
Pharmacist Specialization: Ambulatory Care |
PHA0019012 | CO | Pharmacy Service Providers |
| Street Address |
3920 N UNION BLVD STE 200 |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80907-4921 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982201919 | Denver Vamc | Clinic/Center | 3920 N Union Blvd Ste 200, Colorado Springs, CO 80907-4921 | 2020-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871124057 | Margaret Elizabeth Macnabb | Occupational Therapist | 955 West Fillmore Street, Colorado Springs, CO 80907 | 2020-01-28 |
| 1598300394 | Eric L Peterson | Counselor | 4570 Hilton Pwky, Colorado Springs, CO 80907 | 2019-11-15 |
| 1669020160 | Vcphcs Xii, LLC | Clinic/Center | 4157-4159 Centennial Blvd, Colorado Springs, CO 80907 | 2019-08-28 |
| 1366907123 | Natural Healthcare, LLC | Chiropractor | 3030 N Hancock Ave Suite D, Colorado Springs, CO 80907 | 2019-02-06 |
| 1063981777 | Samuel Ray Porterfield | Social Worker | Pfc Floyd K. Lindstrom Outpatient Clinic, 3141 Centennial Blvd., Colorado Springs, CO 80907 | 2018-11-26 |
| 1982170114 | A Physicians Home Care | Home Health | 905 W Garden of The Gods Rd Suite F, Colorado Springs, CO 80907 | 2018-10-15 |
| 1689196180 | Reena Annetta Manka | Counselor | 888 Garden of The Gods, 150, Colorado Springs, CO 80907 | 2017-07-17 |
| 1356870356 | Solaris Hc Co Inc | Hospice Care, Community Based | 1045 Garden of Gods Rd, Colorado Springs, CO 80907 | 2017-06-05 |
| 1649704826 | Colorado Springs Urological Associates Pllc | Urology | 1644 Medical Center Point, Suite 200, Colorado Springs, CO 80907 | 2017-04-14 |
| 1194274704 | Sarah Lynn Hartman | Dietitian, Registered | 3207 North Academy Blvd, Colorado, CO 80907 | 2016-09-23 |
| Find all providers in zip 80907 | ||||
| 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 |
|---|---|---|---|---|
| 1073155925 | James Foster | Pharmacist | 4440 Wordsworth Cir N, Colorado Springs, CO 80916-3126 | 2019-10-11 |
| 1811542525 | Melinda Reed | Pharmacist | 5880 Ellingsworth Pl, Colorado Springs, CO 80924-2104 | 2019-08-08 |
| 1689233389 | Jenna Johnston | Pharmacist | 15 N Union Blvd Ste 120, Colorado Springs, CO 80909-5754 | 2019-06-07 |
| 1881189173 | Michael Stewart | Pharmacist | 1901 Fieldcrest Dr, Colorado Springs, CO 80921-4012 | 2018-06-28 |
| 1447779897 | Luke Matthew Delzer | Pharmacist | 4105 Briargate Pkwy # 125, Colorado Springs, CO 80920-3480 | 2017-09-18 |
| 1689101982 | Lindsey Person | Pharmacist | 3725 West Colorado Avenue, Colorado Springs, CO 80904-3040 | 2017-05-17 |
| 1134655038 | Sara Ann Kotschwar | Pharmacist | 10150 Clear Creek Rd, Colorado Springs, CO 80920-1439 | 2017-05-11 |
| 1124553128 | Amanda Williams | Pharmacist | 2440 Lyncrest Dr, Colorado Springs, CO 80918-1587 | 2017-04-27 |
| 1407398886 | Donald L Johnson | Pharmacist | 7332 Walker Dr, Colorado Springs, CO 80920-3315 | 2016-11-16 |
| 1467901850 | Darcy Lewis | Pharmacist | 1550 Little Bear Creek Pt, Unit 201, Colorado Springs, CO 80904-6803 | 2016-09-26 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80907 |
Please comment or provide details below to improve the information on MR. SEAN EDWARD ETIENNE.
| 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.