CATHY MARIE SPENCER (NPI# 1467617720) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467617720 |
| Entity Type | Individual |
| Full Name | CATHY MARIE SPENCER |
| Credential | RPH |
| Practice Address |
1752 Terrace Dr Roseville MN 55113-1315 |
| Practice Telephone | 8665060469 |
| Practice Fax Number | 8662268634 |
| Mailing Telephone | 8665060469 |
| Mailing Fax Number | 8662268634 |
| Enumeration Date | 2008-07-25 |
| Last Update Date | 2008-07-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
114467 | MN | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629499405 | Cathy Spencer | Home Health Aide | 1417 Arnold Ave Nw, Canton, OH 44703-1103 | 2013-12-23 |
| Street Address |
1752 TERRACE DR |
| City | ROSEVILLE |
| State | MN |
| Zip Code | 55113-1315 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881850725 | Susan L Bickmore | Pharmacist | 1752 Terrace Dr, Roseville, MN 55113-1315 | 2008-07-30 |
| 1891950184 | Matthew Edward Bross | Pharmacist | 1752 Terrace Dr, Roseville, MN 55113-1315 | 2008-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396384376 | Zachary Mattson | Physician Assistant | Regus Coworking Space 2355 Highway 36 West, Suite 400, Office #427, Roseville, MN 55113 | 2019-12-23 |
| 1467010330 | Ahmed Issa | Student in an Organized Health Care Education/Training Program | 1550 Larpenteur Ave W, Apt 235, St Paul, MN 55113 | 2019-06-05 |
| 1821653833 | Suite Living Senior Care of Little Canada | Assisted Living Facility | 2740 Rice Street, Little Canada, MN 55113 | 2019-05-06 |
| 1902370505 | Diverse Assessments and Treatment, LLC | Psychologist | 1935 Cty Rd B2 W Ste 270, Roseville, MN 55113 | 2019-01-16 |
| 1588138473 | Applewood Home Health Care, LLC | Home Health | 2021 E Hennepin Avenue # 402-1, Minneapolis, MN 55113 | 2019-01-14 |
| 1699251520 | Optum Infusion Services 500, Inc. | Durable Medical Equipment & Medical Supplies | 2685 Patton Rd, Roseville, MN 55113 | 2018-07-13 |
| 1083104145 | Suite Living Senior Care of Roseville | Assisted Living Facility | 197 County Road B2 W, Roseville, MN 55113 | 2018-05-15 |
| 1477055796 | Sunrise Residential Services LLC | Home Health | 216 Maple Ln, Roseville, MN 55113 | 2018-03-02 |
| 1194223024 | Alissa Hoff | Specialist | 1595 Mn 36 - 584 10 Rosedale Center, Roseville, MN 55113 | 2018-01-25 |
| 1841705118 | Kingsland Care Services Incorporated | Case Management | 2301 Rice Street, Suite 101, Roseville, MN 55113 | 2017-12-08 |
| Find all providers in zip 55113 | ||||
| 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 |
|---|---|---|---|---|
| 1235601733 | Mihyang Song | Pharmacist | 4001 Impala Cir, Roseville, CA 95678-6744 | 2018-12-20 |
| 1164069936 | Paul Donald Schroff | Pharmacist | 30851 Gratiot Ave, Roseville, MI 48066-1769 | 2019-11-29 |
| 1346886132 | Roy Toubassi | Pharmacist | 30851 Gratiot Ave, Roseville, MI 48066-1769 | 2019-11-27 |
| 1700422086 | Asobari Amachree | Pharmacist | 26130 Gratiot Ave, Roseville, MI 48066-5111 | 2019-11-21 |
| 1336785658 | Sandy Lotfy Samy-tawdrous | Pharmacist | 20891 E 13 Mile Rd, Roseville, MI 48066-4530 | 2019-11-21 |
| 1568008928 | Jimmy Tran | Pharmacist | 26130 Gratiot Ave, Roseville, MI 48066-5111 | 2019-11-20 |
| 1669980181 | Sukhjeet Singh Hundal | Pharmacist | 1600 Eureka Rd, Roseville, CA 95661-3027 | 2018-01-18 |
| 1134446867 | Melanie Anne Haggard | Pharmacist | 1600 Eureka Rd, Inpatient Pharmacy Administration, Roseville, CA 95661-3027 | 2010-04-20 |
| 1114169497 | Nam Nguyen | Pharmacist | 1600 Eureka Rd, Roseville, CA 95661-3027 | 2009-04-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417587205 | Pain Partners LLC | Pharmacist | 15225 Wild Wings Court, Minnetonka, MN 55345 | 2020-01-21 |
| 1174160832 | Susan Jacobson | Pharmacist | One Veterans Drive (119), Minneapolis, MN 55417 | 2019-12-02 |
| 1942789912 | Savannah Danielle Miller | Pharmacist | 323 S Minnesota Street, Crookston, MN 56716 | 2018-08-10 |
| 1548751654 | Dustin Adam Kakach | Pharmacist | 600 County Hwy 10, Blaine, MN 55434 | 2018-05-24 |
| 1831642214 | Jennifer Franke | Pharmacist | 24760 Hospital Rd., Red Lake, MN 56671 | 2016-08-02 |
| 1922479062 | Shelby Setniker-eschiti | Pharmacist | 2172 German St, Maplewood, MN 55109-2853 | 2015-10-15 |
| 1336530310 | Audrey Jean Twit | Pharmacist | 523 North Third Street, Essentia Health St Joseph's Medical Center, Brainerd, MN 56401 | 2015-02-11 |
| 1215349584 | Stephen Destefano | Pharmacist | 31419 131st Street, Princeton, MN 55371 | 2014-05-21 |
| 1104259795 | Megan Nimke | Pharmacist | 345 Smith Ave North Pharmacy Department, Children's Hospital & Clinics of Minnesota Pharmacy Dep, St. Paul, MN 55102 | 2013-08-19 |
| 1790033363 | Mary Sauer | Pharmacist | 5615 Xerxes Ave N Ste D, Brooklyn Center, MN 55430-2819 | 2012-08-29 |
| 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.