JESSICA NICOLE TADYCH (NPI# 1437613981) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437613981 |
| Entity Type | Individual |
| Full Name | JESSICA NICOLE TADYCH |
| Practice Address |
125 Lincoln Ave Se Saint Cloud MN 56304-0823 |
| Mailing Address |
216 4th Ave Ne Saint Cloud MN 56304-0430 |
| Practice Telephone | 3206540712 |
| Mailing Telephone | 3203338204 |
| Enumeration Date | 2019-01-29 |
| Last Update Date | 2020-03-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 123665 | MN | Pharmacy Service Providers |
| Street Address |
125 LINCOLN AVE SE |
| City | SAINT CLOUD |
| State | MN |
| Zip Code | 56304-0823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205858982 | Grand St Paul Cvs LLC | Durable Medical Equipment & Medical Supplies | 125 Lincoln Ave Se, Saint Cloud, MN 56304-0823 | 2006-07-24 |
| 1740576818 | Daniel Joseph Nelson | Pharmacist | 125 Lincoln Ave Se, Saint Cloud, MN 56304-0823 | 2011-06-27 |
| 1932495009 | Angela Joy Nelson | Pharmacist | 125 Lincoln Ave Se, T-0930, Saint Cloud, MN 56304-0823 | 2011-06-27 |
| 1083909485 | Anne H. Skoe | Pharmacist | 125 Lincoln Ave Se, Saint Cloud, MN 56304-0823 | 2011-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316597701 | Liza Aberle | Naturopath | 22 Wilson Ave Ne # 205, Saint Cloud, MN 56304 | 2019-09-17 |
| 1902386089 | Jd Home Health Care | Clinic/Center | 4896 52nd St, St. Cloud, MN 56304 | 2018-08-17 |
| 1861490690 | Julia Anna Blonigen | Speech-Language Pathologist | 1882 Kilian Blvd, St Cloud, MN 56304 | 2005-07-14 |
| 1700111705 | St. Cloud Metropolitan Transit Commission | Non-emergency Medical Transport (VAN) | 665 Franklin Ave Ne, Saint Cloud, MN 56304-0225 | 2009-10-08 |
| 1053364976 | In Home Health LLC | Home Health | 605 Franklin Ave Ne, Saint Cloud, MN 56304-0225 | 2006-05-19 |
| 1376946806 | Charity Anne Hans | Social Worker | 511 3rd St Ne, Saint Cloud, MN 56304-0311 | 2014-09-29 |
| 1568082428 | Cloud Home Health Care Services LLC | Clinic/Center | 22 Wilson Ave Ne Ste 208, Saint Cloud, MN 56304-0440 | 2020-04-21 |
| 1326688417 | Sunshine Care Services Inc | In Home Supportive Care | 22 Wilson Ave Ne Ste 15, Saint Cloud, MN 56304-0440 | 2020-01-07 |
| 1295039204 | Rose Melinda Stark-rose | Psychologist | 22 Wilson Ave Ne # 110, Saint Cloud, MN 56304-0440 | 2011-01-05 |
| 1750448478 | Robin Stacey Colburn | Advanced Practice Midwife | 22 Wilson Ave Ne Ste 205, Saint Cloud, MN 56304-0440 | 2007-01-02 |
| Find all providers in zip 56304 | ||||
| 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 |
|---|---|---|---|---|
| 1962021154 | Svetlana Stukalova | Pharmacist | 4201 W Division St Ste A124, Saint Cloud, MN 56301-6601 | 2020-04-08 |
| 1942724471 | Sarah Elizabeth Hart | Pharmacist | 1710 E Clinton Dr, Saint Cloud, FL 34769-5506 | 2017-07-26 |
| 1326561002 | Shastri Ryan Ramsook | Pharmacist | 3891 Marietta Way, Saint Cloud, FL 34772-8716 | 2017-07-25 |
| 1689059438 | Alexandra Jae Jenson | Pharmacist | 2118 8th St N, Saint Cloud, MN 56303-6150 | 2015-07-22 |
| 1154714145 | Tania Torres | Pharmacist | 3770 Marietta Way, Saint Cloud, FL 34772-8710 | 2015-03-15 |
| 1093135337 | Carmelita Garzon Sevilla | Pharmacist | 319 Vermont Ave, Saint Cloud, FL 34769-2249 | 2014-04-25 |
| 1881011153 | Jeffrey Wick | Pharmacist | 501 Highway 10 S, Saint Cloud, MN 56304-1250 | 2014-03-25 |
| 1003181033 | Siby Thomas Puthenpurayil | Pharmacist | 4073 13th St, Saint Cloud, FL 34769-6701 | 2012-03-08 |
| 1801169560 | Annie Preisler | Pharmacist | 5923 Prairie Rose Dr, Saint Cloud, MN 56303-1144 | 2012-02-10 |
| 1699069062 | Lynn R Young | Pharmacist | 1921 Coborn Blvd, Saint Cloud, MN 56301-2100 | 2011-06-02 |
| Find all providers in SAINT CLOUD | ||||
| City | SAINT CLOUD |
| Zip Code | 56304 |
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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.