TIM SCOTT CARLSON (NPI# 1548200892) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548200892 |
| Entity Type | Individual |
| Full Name | TIM SCOTT CARLSON |
| Credential | R.PH. |
| Practice Address |
1015 S Broadway Ste. #3 Minot ND 58701-4667 |
| Mailing Address |
1015 S Broadway Minot ND 58701-4667 |
| Practice Telephone | 7018524181 |
| Practice Fax Number | 7018396019 |
| Mailing Telephone | 7018524181 |
| Mailing Fax Number | 7018396019 |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
3973 | ND | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750405635 | Tim John Carlson | Technician/Technologist | 513 S 13th St, Omaha, NE 68102-2813 | 2007-03-18 |
| 1649380478 | Tim Paul Carlson | Family Medicine | 1615 Pasadena Ave S, Suite 430, South Pasadena, FL 33707-4516 | 2006-08-30 |
| Street Address |
1015 S BROADWAY STE. #3 |
| City | MINOT |
| State | ND |
| Zip Code | 58701-4667 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831748151 | Elizabeth Ann Vibeto | Registered Nurse | 1015 S Broadway, Minot, ND 58701-4667 | 2019-09-09 |
| 1538693973 | Morgan Bright | Case Manager/Care Coordinator | 1015 S Broadway, Suite 18, Minot, ND 58701-4667 | 2017-04-12 |
| 1932631280 | Ness Family Dentistry, LLC | Clinic/Center | 1015 S Broadway, Suite 20, Minot, ND 58701-4667 | 2017-03-28 |
| 1679004899 | Onyinye Okoye-epundu | Registered Nurse | 1015 S Broadway, Suite 18, Minot, ND 58701-4667 | 2017-03-21 |
| 1508301292 | Stacey Jackson | Registered Nurse | 1015 S Broadway, Suite 18, Minot, ND 58701-4667 | 2017-01-04 |
| 1568906949 | Kimberly Luster | Registered Nurse | 1015 S Broadway, Suite 18, Minot, ND 58701-4667 | 2016-12-05 |
| 1992248819 | Emmanuel Toquee | Case Manager/Care Coordinator | 1015 S Broadway, Suite 18, Minot, ND 58701-4667 | 2016-11-25 |
| 1366992661 | Shari Pister | Case Manager/Care Coordinator | 1015 S Broadway, Suite 18, Minot, ND 58701-4667 | 2016-10-11 |
| 1770032112 | Janelle Mellor | Case Manager/Care Coordinator | 1015 S Broadway, Suite 18, Minot, ND 58701-4667 | 2016-09-27 |
| 1235688672 | Dessa Krebsbach | Case Manager/Care Coordinator | 1015 S Broadway, Suite 18, Minot, ND 58701-4667 | 2016-09-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538767926 | Minot Commission On Aging, Inc | In Home Supportive Care | 21 1st Avenue Se, Minot, ND 58701 | 2020-10-16 |
| 1780207647 | Growing Together Inc | Counselor | 515 19 Ave Sw, Minot, ND 58701 | 2020-05-26 |
| 1144867847 | Sarah Howard | Registered Nurse | 1015 South Broadway, Ste. 2, Minot, ND 58701 | 2019-12-02 |
| 1962973453 | Julia Irene Lakoduk | Speech-Language Pathologist | Bell Elementary, 5901 Us-52, Minot, ND 58701 | 2018-12-10 |
| 1073000469 | Goodman Addiction Services | Counselor | 1809 South Broadway Suite S., Minot, ND 58701 | 2018-04-20 |
| 1811405988 | Mackenzie J Jones Pllc | Chiropractor | 1407 S Broadway Ste 123, Minot, ND 58701 | 2018-01-11 |
| 1265957617 | Cassandra Czerwonka | Behavioral Analyst | 1408 20th Ave Sw, Suite 7, Minot, ND 58701 | 2017-08-07 |
| 1689197493 | Rem North Dakota | Intermediate Care Facility, Mentally Retarded | 1905 2nd Street Se, Suite 1a, Minot, ND 58701 | 2017-07-24 |
| 1558890236 | Timothy J Corrigan | Chiropractor | 1418 S Broadway Ste C, Minot, ND 58701 | 2017-06-07 |
| 1265826036 | Premier Physical Therapy of North Dakota Pllc | Physical Therapist | 1715 South Broadway, Minot, ND 58701 | 2015-03-19 |
| Find all providers in zip 58701 | ||||
| Taxonomy Code | 1835P1200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacotherapy |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639399942 | Cheryl Newcomb | Pharmacist | 4620 37th St Se, Minot, ND 58701-2916 | 2007-04-27 |
| 1275752289 | Evan O Wilhelm | Pharmacist | 1 Burdick Expy W, Minot, ND 58701-4406 | 2007-04-25 |
| 1982734042 | University of North Dakota | Pharmacist | 1201 11th Ave Sw, Minot, ND 58701-4207 | 2007-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477700748 | Michael P Kelsch | Pharmacist | 118g Sudro Hall, North Dakota State University, Fargo, ND 58105-5055 | 2008-08-19 |
| 1851510804 | Harvey J Hanel | Pharmacist | 1918 S Grandview Ln, Bismarck, ND 58503-0849 | 2007-04-25 |
| 1093232340 | Teresa M Steinman | Pharmacist | 239 2nd Ave Nw, Valley City, ND 58072-2909 | 2017-08-28 |
| 1104251164 | Trisha L Oss | Pharmacist | 750 23rd Ave E, West Fargo, ND 58078-7804 | 2013-09-10 |
| 1295176881 | Melissa Kaye Fiedler | Pharmacist | 706 38th St Nw, Suite D, Fargo, ND 58102-2953 | 2013-07-10 |
| 1558551713 | Justin Michael Welch | Pharmacist | 2101 Elm St N, Fargo, ND 58102-2417 | 2007-07-25 |
| 1376744524 | Mike L. Roehrich | Pharmacist | 900 E Broadway Ave, Bismarck, ND 58501-4520 | 2007-05-29 |
| 1114149762 | Jana Marie Hanson | Pharmacist | 725 Hamline St, Grand Forks, ND 58203-2819 | 2007-05-03 |
| 1346392149 | Bethany Pharmacy, Inc. | Pharmacist | 201 University Dr S, Fargo, ND 58103-1775 | 2007-01-18 |
| 1982702916 | Keith Forster | Pharmacist | 2101 Elm St N, Vamc Gold Team, Fargo, ND 58102-2417 | 2006-09-21 |
| 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.