MR. PATRICK MICHAEL BRUNELLE (NPI# 1528187994) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528187994 |
| Entity Type | Individual |
| Full Name | MR. PATRICK MICHAEL BRUNELLE |
| Credential | R.PH. |
| Practice Address |
3101 N 11th St Suite#2 Bismarck ND 58503-0594 |
| Mailing Address |
Po Box 994 Bismarck ND 58502-0994 |
| Practice Telephone | 7012249521 |
| Mailing Telephone | 7012249521 |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 4487 | ND | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | BC-BS INDIVIDUAL PROVIDER | 23457 | 01 |
| Street Address |
3101 N 11TH ST SUITE#2 |
| City | BISMARCK |
| State | ND |
| Zip Code | 58503-0594 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447356399 | Gateway Pharmacy LLC | Pharmacy | 3101 N 11th St, Suite#2, Bismarck, ND 58503-0594 | 2006-09-16 |
| 1396393724 | Brett Lessard | Pharmacist | 3101 N 11th St, Bismarck, ND 58503-0594 | 2019-08-28 |
| 1457915019 | Laci R Ahrens | Pharmacist | 3101 N 11th St, Bismarck, ND 58503-0594 | 2019-04-29 |
| 1306303649 | Zach Storey | Pharmacist | 3101 N 11th St, Bismarck, ND 58503-0594 | 2019-02-22 |
| 1447746177 | Erik Michael Nelson | Pharmacist | 3101 N 11th St, Bismarck, ND 58503-0594 | 2018-07-05 |
| 1053797647 | Katlyn Weigel | Pharmacist | 3101 N 11th St, Bismarck, ND 58503-0594 | 2015-08-05 |
| 1679958979 | Shelby Monson | Pharmacist | 3101 N 11th St, Suite 2, Bismarck, ND 58503-0594 | 2015-07-28 |
| 1972943306 | Sierra Sipma | Pharmacist | 3101 N 11th St, Bismarck, ND 58503-0594 | 2013-06-29 |
| 1326360447 | Mark Elhardt | Pharmacist | 3101 N 11th St, Bismarck, ND 58503-0594 | 2010-02-16 |
| 1871725648 | Jenica J Jackson | Pharmacist | 3101 N 11th St, Bismarck, ND 58503-0594 | 2009-08-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356951503 | Community Options for Residential and Employment Services, Inc | Community/Behavioral Health | 4909 Shelburne St, Bismarck, ND 58503 | 2020-08-03 |
| 1104460476 | Brittany Lee Feil | Registered Nurse | 808 N Washington St., Bismarck, ND 58503 | 2019-10-30 |
| 1760030670 | Rachel Lees | Technician | 1727 Valley Drive, Bismark, ND 58503 | 2019-09-04 |
| 1700444619 | St Alexius Medical Center | Non-Pharmacy Dispensing Site | 807 East Main Suite A, Bismarck, ND 58503 | 2019-06-05 |
| 1881162972 | White Drug Co of Jamestown Inc | Pharmacy | 900 Ne 43rd Ave, Bismarck, ND 58503 | 2018-11-06 |
| 1104347137 | Adapt, Inc. | Counselor | 1720 Burnt Boat Drive, Suite 108, Bismarck, ND 58503 | 2017-06-29 |
| 1679010953 | Optimum Therapies of North Dakota, Inc | Physical Therapist | 4204 Boulder Ridge Rd, Suite 100, Bismarck, ND 58503 | 2017-01-25 |
| 1972954162 | Ava Burckhard | Speech-Language Pathologist | 4501 Coleman St N Suite #103, Pediatric Therapy Partners, Bismarck, ND 58503 | 2016-06-29 |
| 1306292842 | Margaret Williams | Nurse Practitioner | 4315 Ottawa St, Bismarck, ND 58503 | 2016-05-13 |
| 1649638958 | Horizon Chiropractic & Wellness PC | Chiropractor | 4535 Northern Sky Dr., Bismarck, ND 58503 | 2016-02-01 |
| Find all providers in zip 58503 | ||||
| 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 |
|---|---|---|---|---|
| 1699334102 | Kelsi Thunshelle | Pharmacist | 3125 Devon Dr, Bismarck, ND 58504-7609 | 2019-06-08 |
| 1326532458 | Lyndsey Staskywicz | Pharmacist | 211 W Burleigh Ave Apt 308, Bismarck, ND 58504-9042 | 2018-06-21 |
| 1043750961 | Al Behrens | Pharmacist | 525 S 5th St, Bismarck, ND 58504-5702 | 2017-02-24 |
| 1205381894 | Ricardo Jose Reyes | Pharmacist | 1325 57th Ave Ne, Bismarck, ND 58503-6581 | 2016-08-24 |
| 1700222544 | Kenneth Paul Johnson | Pharmacist | 506 Augsburg Ave, Bismarck, ND 58504-7005 | 2013-05-20 |
| 1164778999 | Kodi Lynn Brown | Pharmacist | 1225 E Calgary Ave, Bismarck, ND 58503-0610 | 2012-07-30 |
| 1760747653 | Gary Dean Barker | Pharmacist | 2700 State St Ste F13, Bismarck, ND 58503-0674 | 2012-07-07 |
| 1992995575 | Briana D Fluhrer | Pharmacist | 3103 Yorktown Dr, Bismarck, ND 58503-8526 | 2007-07-30 |
| 1124238472 | North Dakota Pharmacy Service Corporation | Pharmacist | 1661 Capitol Way Ste 102, Bismarck, ND 58501-5600 | 2007-05-23 |
| 1891901849 | Patricia M Churchill | Pharmacist | 103 W Avenue B, Bismarck, ND 58501-3602 | 2007-05-15 |
| Find all providers in BISMARCK | ||||
Please comment or provide details below to improve the information on MR. PATRICK MICHAEL BRUNELLE.
| 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.