JOHN GINNIMAN (NPI# 1447579206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1447579206 |
Entity Type | Individual |
Full Name | JOHN GINNIMAN |
Practice Address |
100 Cheyenne Ave Lame Deer MT 59043-0070 |
Mailing Address |
100 Cheyenne Ave. Lame Deer MT 59043 |
Practice Telephone | 4064774400 |
Practice Fax Number | 4064774427 |
Enumeration Date | 2010-05-19 |
Last Update Date | 2010-05-19 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
PS30531 | FL | Pharmacy Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | NPI | PS3051 | 01 |
Street Address |
100 CHEYENNE AVE |
City | LAME DEER |
State | MT |
Zip Code | 59043-0070 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598835811 | Tara Lynn Salley | Physician Assistant | 100 Cheyenne Ave, Lame Deer, MT 59043-0070 | 2006-11-08 |
1659884641 | Vonnda Jade Lei | Registered Nurse | 100 Cheyenne Ave, Lame Deer, MT 59043 | 2017-11-13 |
1144730078 | Kristen Niederklein | Registered Nurse | 100 Cheyenne Ave, Lame Deer, MT 59043 | 2017-10-05 |
1730621764 | Thomas E Flis | Registered Nurse | 100 Cheyenne Ave, Lame Deer, MT 59043 | 2016-11-08 |
1346798840 | Kayla Sue Mckinney | Physician Assistant | 100 Cheyenne Ave, Lame Deer, MT 59043 | 2016-09-14 |
1407221708 | Luke James Altenhofen | Physician Assistant | 100 Cheyenne Ave, Lame Deer, MT 59043 | 2015-12-11 |
1427424803 | Janet Wolfname | Registered Nurse | 100 Cheyenne Ave, Lame Deer, MT 59043-0000 | 2015-08-19 |
1922418508 | Charlene Healy | Licensed Practical Nurse | 100 Cheyenne Ave, Lame Deer, MT 59043-0070 | 2014-05-05 |
1992125884 | Charles Bratsky | Registered Nurse | 100 Cheyenne Ave, Lame Deer, MT 59043-0070 | 2014-04-18 |
1275951980 | Nola Suzanne Cowle | Registered Nurse | 100 Cheyenne Ave, Lame Deer, MT 59043-0070 | 2014-03-31 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538700570 | Jamie Behles | Registered Nurse | 100 N Cheyenne Ave, Lame Deer, MT 59043 | 2019-10-01 |
1144725516 | Tamara Roundstone | Registered Nurse | 100 Eaglefeathers Street, Lame Deer, MT 59043 | 2018-03-28 |
1336556786 | Brenda Hamilton | Social Worker | 420 North Cheyenne Ave, Lame Deer, MT 59043 | 2014-07-17 |
1972857308 | Rosalie Birdwoman | Counselor | 100 Eagle Feather St., Lame Deer, Montana, Lame Deer, MT 59043 | 2012-11-07 |
1184978595 | Ben L Armentrout | Counselor | 100 Eagle Feather Street, Lame Deer, MT 59043 | 2012-11-07 |
1568716090 | Northern Cheyenne Tribe | Counselor | 420 North Cheyenne Avenue, Lame Deer Health Center - Behavior Health, Lame Deer, MT 59043 | 2012-11-06 |
1710231352 | John Duane Burns Sr. | Counselor | 100 Eagle Feathers Drive, Lame Deer, MT 59043 | 2012-11-05 |
1124292677 | Robin Joy Lipke | Psychologist | Northern Cheyenne Clinic, Highway 39, Lame Deer, MT 59043 | 2008-04-16 |
1306039631 | Angela Miller | Counselor | 1 Cheyenne Lane, Lame Deer, MT 59043 | 2007-08-21 |
1922214345 | Harold Jeanotte | Physician Assistant | 100 Avenue Cheyenne, Box 70, Lame Deer, MT 59043 | 2007-05-15 |
Find all providers in zip 59043 |
Taxonomy Code | 1835P0018X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacist |
Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396174918 | Christopher Elizagaray | Pharmacist | 8 Primrose Ct, Kalispell, MT 59901-7437 | 2013-11-04 |
1710124706 | Cindy Lee Brandon | Pharmacist | 3180 Hwy 2 West, Havre, MT 59501 | 2009-01-13 |
1992310031 | Amy Sierer | Pharmacist | 900 Jackson St Ste A, Helena, MT 59601-3428 | 2020-09-15 |
1992315378 | Christy Ann Leland | Pharmacist | 3687 Veterans Dr, Fort Harrison, MT 59636-9700 | 2020-07-31 |
1811511678 | Brandon Reiff | Pharmacist | 3687 Veterans Dr, Fort Harrison, MT 59636-9700 | 2020-06-07 |
1720609233 | Tawn Williams | Pharmacist | 419 Nucleus Ave, Columbia Falls, MT 59912-4007 | 2020-05-06 |
1245866367 | Kim I Dennehy | Pharmacist | 195 3rd Ave En, Kalispell, MT 59901 | 2020-03-20 |
1659928828 | Cody Maldonado | Pharmacist | 1233 N 30th St, Billings, MT 59101-0127 | 2019-08-22 |
1043870462 | Mary Mikeson | Pharmacist | 3687 Veterans Dr, Fort Harrison, MT 59636-9700 | 2019-06-18 |
1659835593 | Lorraine Corra | Pharmacist | 3687 Veterans Drive, Fort Harrison, MT 59636-0190 | 2019-01-24 |
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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.