KAELEY DAWN WILLS (NPI# 1538767439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538767439 |
| Entity Type | Individual |
| Full Name | KAELEY DAWN WILLS |
| Practice Address |
9300 E Point Douglas Rd S Cottage Grove MN 55016-4030 |
| Mailing Address |
1227 Briarwood Blvd Roberts WI 54023-8506 |
| Practice Telephone | 6518462834 |
| Enumeration Date | 2020-10-13 |
| Last Update Date | 2020-10-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 124524 | MN | Pharmacy Service Providers |
| Street Address |
9300 E POINT DOUGLAS RD S |
| City | COTTAGE GROVE |
| State | MN |
| Zip Code | 55016-4030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730519562 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 9300 E Point Douglas Rd S, Cottage Grove, MN 55016-4030 | 2013-11-14 |
| 1144754722 | Nicole Lay Kruschke | Pharmacist | 9300 E Point Douglas Rd S, Cottage Grove, MN 55016-4030 | 2017-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073161519 | Kathleen Johnson | Technician | 7436 Hinton Park Ave South, Cottage Grove, MN 55016 | 2019-08-28 |
| 1710473434 | Cg Care Center, LLC. | Skilled Nursing Facility | 6993 80th Street South, Cottage Grove, MN 55016 | 2018-07-05 |
| 1235532771 | Lydia Sirucek | Nurse Practitioner | 8611 E Point Douglas Rd, Cottage Grove, MN 55016 | 2014-09-29 |
| 1366859746 | Home Care Service Providers Inc. | Home Health | 9635 Hamlet Ave, Cottage Grove, MN 55016 | 2014-07-17 |
| 1942622089 | Wal-mart Stores, Inc. | Technician/Technologist | 9300 East Point Douglas Rd S, Cottage Grove, MN 55016 | 2014-01-08 |
| 1255770962 | Southside At The Cottage Grove Site | Family Medicine | 8454 East Point Douglas Road, Cottage Grove, MN 55016 | 2013-06-17 |
| 1710222088 | Santori Chiropractic Center, LLC | Chiropractor | 7155 80th Street So, Cottage Grove, MN 55016 | 2012-11-28 |
| 1609151414 | Kenneth Nworah Okafor | Pharmacist | 7015 East Point Douglas Road, Cottage Grove, MN 55016 | 2011-10-13 |
| 1134432925 | Elizabeth Frances Rezek | Social Worker | 8813 Hale Ave S, Cottage Grove, MN 55016 | 2010-07-21 |
| 1841420882 | Mark Joseph Mangine | Physical Therapist | 6936 Pine Arbor Dr S Ste 150, Cottage Grove, MN 55016 | 2009-07-24 |
| Find all providers in zip 55016 | ||||
| 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 |
|---|---|---|---|---|
| 1730598558 | John Mansfield | Pharmacist | 120 Andrew Drive, Cottage Grove, OR 97424 | 2014-08-06 |
| 1245587690 | Lane Michael Schemel | Pharmacist | 605 W Cottage Grove Rd, Cottage Grove, WI 53527-9222 | 2012-08-04 |
| 1790052785 | Larry Edward O'connor | Pharmacist | 7135 East Point Douglas Road South, Cottage Grove, MN 55016-3014 | 2011-11-19 |
| 1609151414 | Kenneth Nworah Okafor | Pharmacist | 7015 East Point Douglas Road, Cottage Grove, MN 55016 | 2011-10-13 |
| 1427208065 | David A Debysingh | Pharmacist | 33570 Cedar Park Pl, Cottage Grove, OR 97424-8594 | 2008-09-19 |
| 1811174741 | Allison Rohease Attoe | Pharmacist | 431 W Cottage Grove Rd, Cottage Grove, WI 53527-9385 | 2008-01-22 |
| 1396788741 | Matthew Ryan Mabie | Pharmacist | 429 W Cottage Grove Rd, Cottage Grove, WI 53527-9385 | 2006-06-14 |
| 1619578259 | Hanh T Nguyen | Pharmacist | 7135 E Point Douglas Rd S, Cottage Grove, MN 55016-3014 | 2020-11-02 |
| 1154929370 | Daniel Smith | Pharmacist | 7280 E Point Douglas Rd S, Cottage Grove, MN 55016-3016 | 2020-10-09 |
| 1194347948 | Stephanie Hoffer | Pharmacist | 8655 E Point Douglas Rd S, Cottage Grove, MN 55016-4035 | 2020-05-15 |
| Find all providers in COTTAGE GROVE | ||||
| City | COTTAGE GROVE |
| Zip Code | 55016 |
Please comment or provide details below to improve the information on KAELEY DAWN WILLS.
| 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.