RACHEL LYNN FISK (NPI# 1487253712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487253712 |
| Entity Type | Individual |
| Full Name | RACHEL LYNN FISK |
| Practice Address |
10240 Hudson Rd Woodbury MN 55129-9111 |
| Mailing Address |
4131 Salem Dr W Woodbury MN 55129-9554 |
| Practice Telephone | 6517355190 |
| Practice Fax Number | 6517355193 |
| Mailing Telephone | 6512083901 |
| Enumeration Date | 2020-10-19 |
| Last Update Date | 2020-10-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 117726 | MN | Pharmacy Service Providers |
| Street Address |
10240 HUDSON RD |
| City | WOODBURY |
| State | MN |
| Zip Code | 55129-9111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528085925 | Walmart Inc. | Pharmacy | 10240 Hudson Rd, Woodbury, MN 55129-9111 | 2006-07-16 |
| 1083213250 | Carrie Leske | Pharmacist | 10240 Hudson Rd, Woodbury, MN 55129-9111 | 2020-10-20 |
| 1255939294 | Chelsy Lee Hall | Pharmacist | 10240 Hudson Rd, Woodbury, MN 55129-9111 | 2020-10-13 |
| 1518418722 | Vilayrath Sanavongsay | Pharmacist | 10240 Hudson Rd, Woodbury, MN 55129-9111 | 2016-10-23 |
| 1871727875 | Falk Optometric Group, Inc. | Optometrist | 10240 Hudson Rd, Woodbury, MN 55129 | 2009-05-06 |
| 1093897548 | Wal-mart Stores, Inc. | Technician/Technologist | 10240 Hudson Rd, Woodbury, MN 55129-9111 | 2006-10-20 |
| 1124139886 | Gregory Michael Falk | Optometrist | 10240 Hudson Rd, Wal-mart Vision Center, Woodbury, MN 55129-9111 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770006983 | Logan Thompson | Chiropractor | 10631 Pond Curve, Woodbury, MN 55129 | 2017-07-19 |
| 1942650619 | The Hendricks Group Inc. | Assisted Living Facility | 10025 Antrim Court, Woodbury, MN 55129 | 2016-06-14 |
| 1235588468 | Nathan Robert Mayernik | Physical Therapist | 4123 Radio Dr, Suite 100, Woodbury, MN 55129 | 2016-06-08 |
| 1699146035 | St. Therese of Woodbury, LLC | Skilled Nursing Facility | 7555 Bailey Road, Woodbury, MN 55129 | 2015-10-12 |
| 1548602865 | Monica Bajracharya | Internal Medicine | 9373 Compass Pointe Rd, Woodbury, MN 55129 | 2013-07-28 |
| 1730454752 | Amanda E Feeney | Physical Therapist | 4123 Radio Drive, Ste 100, Woodbury, MN 55129 | 2012-03-09 |
| 1104193762 | Minneapolis-st.paul Endodontics | Dentist | 10150 City Walk Dr Ste C, Woodbury, MN 55129 | 2011-11-28 |
| 1659502417 | Charles Goff Jr. | Marriage & Family Therapist | 1919 University Ave W Suite 200, St. Paul, MN 55129 | 2009-07-28 |
| 1497821391 | Kyle Riley Edlund | Dentist | 3060 Woodbury Drive, #b, Woodbury, MN 55129 | 2006-11-24 |
| 1902979206 | Robert Edgar Eng | Dentist | 3100 Woodbury Drive, Woodbury, MN 55129 | 2006-11-16 |
| Find all providers in zip 55129 | ||||
| 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 |
|---|---|---|---|---|
| 1225518715 | Michael West | Pharmacist | 631 West Mantua Ave, Woodbury, NJ 08096 | 2018-08-15 |
| 1346752862 | Frank L Varanko | Pharmacist | 108 Barnhill Rd, Woodbury, CT 06798-2200 | 2017-10-25 |
| 1144746090 | Kristin M Cole | Pharmacist | 415 Crossways Park Dr Ste B, Woodbury, NY 11797-2055 | 2017-08-22 |
| 1629439211 | Anne Neely | Pharmacist | 509 North Broad Street, Woodbury, NJ 08096 | 2016-03-10 |
| 1891117222 | Ereiny Farag | Pharmacist | 3 East Dr, Woodbury, NY 11797-2102 | 2014-01-21 |
| 1124378765 | Helen Chen | Pharmacist | 225 Crossways Park Dr, Woodbury, NY 11797-2054 | 2012-09-11 |
| 1104195056 | David Walter Fuhs | Pharmacist | 3647 Sunbury Dr, Woodbury, MN 55125-2840 | 2011-12-22 |
| 1073880555 | Yuen Tsai | Pharmacist | 1965 Donagel Drive, Woodbury, MN 55125 | 2011-11-28 |
| 1497031934 | Cameron John Erickson | Pharmacist | 2266 Sycamore Trl, Woodbury, MN 55125-3948 | 2011-10-28 |
| 1528343621 | Stephen W Todd | Pharmacist | 875 Burt Rd, Woodbury, TN 37190-6104 | 2011-10-20 |
| Find all providers in WOODBURY | ||||
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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.