DR. JOHN PATRICK MILDENBERGER (NPI# 1497234926) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497234926 |
| Entity Type | Individual |
| Full Name | DR. JOHN PATRICK MILDENBERGER |
| Credential | PHARMD |
| Practice Address |
1000 Pole Creek Xing Sidney NE 69162-2901 |
| Mailing Address |
1308 S 11th Ave Sterling CO 80751-4427 |
| Practice Telephone | 3082547268 |
| Enumeration Date | 2018-08-07 |
| Last Update Date | 2018-08-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 14298 | NE | Pharmacy Service Providers |
| Street Address |
1000 POLE CREEK XING |
| City | SIDNEY |
| State | NE |
| Zip Code | 69162-2901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730187386 | Kolette L Smith | Internal Medicine | 1000 Pole Creek Xing, Sidney, NE 69162-2901 | 2005-07-08 |
| 1740895952 | Cheyenne County Hospital Association Inc | Pharmacy | 1000 Pole Creek Xing, Sidney, NE 69162-2900 | 2020-09-14 |
| 1538790704 | Poudre Valley Medical Group, LLC | Internal Medicine | 1000 Pole Creek Xing, Sidney, NE 69162-2901 | 2020-01-28 |
| 1003447194 | Sabra D Peetz | Physician Assistant | 1000 Pole Creek Xing, Sidney, NE 69162-2901 | 2020-01-28 |
| 1124594163 | Stacey Mitlehner | Physical Therapy Assistant | 1000 Pole Creek Xing, Sidney, NE 69162-2901 | 2018-10-17 |
| 1265914014 | Emily Johnson | Pharmacist | 1000 Pole Creek Xing, Sidney, NE 69162-2901 | 2018-08-29 |
| 1619405263 | Kory Krahl | Nurse Anesthetist, Certified Registered | 1000 Pole Creek Xing, Sidney, NE 69162-2901 | 2017-05-26 |
| 1295270346 | Nathaniel Clark | Nurse Anesthetist, Certified Registered | 1000 Pole Creek Xing, Sidney, NE 69162-2901 | 2016-12-28 |
| 1821543372 | Andrew Stieb | Physician Assistant | 1000 Pole Creek Xing, Sidney, NE 69162-2901 | 2016-08-24 |
| 1396192324 | Jamie Rezac | Occupational Therapist | 1000 Pole Creek Xing, Rehabilitation, Sidney, NE 69162-2901 | 2016-05-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992192207 | Sheila Howard | Counselor | 1516 1/2 10th Ave, Sidney, NE 69162 | 2015-04-24 |
| 1801027479 | James Allen Grosshans | Nurse Anesthetist, Certified Registered | 645 Osage, Memorial Health Center, Sidney, NE 69162 | 2009-07-30 |
| 1386704252 | Nancy Kay Bradford | Counselor | 1023 10th Avenue, Sidney, NE 69162 | 2006-12-11 |
| 1861585200 | Western Drug Co | Durable Medical Equipment & Medical Supplies | 806 Illinios, Sidney, NE 69162 | 2006-09-30 |
| 1518070507 | David J Peckham | Dentist | 1133 Jackson, Sidney, NE 69162 | 2006-08-16 |
| 1578571527 | Carl John Cornelius Jr. | Family Medicine | 1116 10th Avenue, Sidney, NE 69162 | 2006-08-04 |
| 1992130751 | Kristen E Rose | Counselor | 1000 Pole Creek Crossing, Sidney, NE 69162 | 2013-09-11 |
| 1366504367 | Debra Jean Loveless | Counselor | 1023 10th Avenue, Sidney, NE 69162 | 2006-12-15 |
| 1376504357 | Stephanie L Green | Nurse Practitioner | 1000 Pole Creek Xing Ste 1, Sidney, NE 69162 | 2006-03-30 |
| 1528330099 | Tara Rachel Turner | Licensed Practical Nurse | 1929 Dodge St, Sidney, NE 69162-1042 | 2012-01-31 |
| Find all providers in zip 69162 | ||||
| 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 |
|---|---|---|---|---|
| 1033669510 | John Philip Depue | Pharmacist | 172 Farm Brook Rd, Sidney, ME 04330-2506 | 2016-10-10 |
| 1588018410 | Gary Bonnoront | Pharmacist | 332 E Edgewood St, Sidney, OH 45365-1604 | 2016-04-18 |
| 1568762656 | Wendall F. Gaston | Pharmacist | 1930 Illinois St, Sidney, NE 69162-1427 | 2010-10-24 |
| 1740441658 | Lutfallah T Swabini | Pharmacist | Main St and Steiner Rd, Sidney, NY 13838 | 2008-06-23 |
| 1053309518 | Wilson Tobin Inc | Pharmacist | 1000 Illinois St, Box 571, Sidney, NE 69162-1646 | 2005-10-10 |
| 1609477892 | Keith Eric Kauffmann | Pharmacist | 2400 Michigan St, Sidney, OH 45365-9080 | 2020-11-04 |
| 1053920272 | Emily Marin Madsen | Pharmacist | 402 E Main St, Sidney, MT 59270-4633 | 2020-07-23 |
| 1932723855 | Kelsie Smith | Pharmacist | 2400 Michigan St, Sidney, OH 45365-9080 | 2020-06-05 |
| 1124686746 | Michael Patrick Hicks | Pharmacist | 1944 Illinois St, Sidney, NE 69162-1427 | 2019-05-29 |
| 1265907091 | Deborah Liechty | Pharmacist | 1159 S Central Ave, Sidney, MT 59270-5219 | 2018-10-08 |
| Find all providers in SIDNEY | ||||
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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.