JODEE ANN NELSON (NPI# 1548298185) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548298185 |
| Entity Type | Individual |
| Full Name | JODEE ANN NELSON |
| Credential | CPHT |
| Practice Address |
121 W Prairie St Vicksburg MI 49097-1258 |
| Mailing Address |
7005 E W Ave Vicksburg MI 49097-9506 |
| Practice Telephone | 2696490660 |
| Practice Fax Number | 2696494755 |
| Mailing Telephone | 2696491474 |
| Mailing Fax Number | 2696494755 |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183700000X | Pharmacy Technician | 260101030756352 | MI | Pharmacy Service Providers |
| Street Address |
121 W PRAIRIE ST |
| City | VICKSBURG |
| State | MI |
| Zip Code | 49097-1258 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982680468 | Freds Super Pharmacy Inc | Pharmacy | 121 W Prairie St, Vicksburg, MI 49097 | 2005-12-16 |
| 1447283403 | Elaine Ann Oestrike | Pharmacist | 121 W Prairie St, Vicksburg, MI 49097-1258 | 2006-07-09 |
| 1174551998 | Frederick William Nelson | Pharmacist | 121 W Prairie St, Vicksburg, MI 49097-1258 | 2006-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912132168 | Jo Lynne Kirchhoff | Pharmacist | 110 S. Main Streets, Vicksburg, MI 49097 | 2009-05-18 |
| 1558429605 | Ellen Marie Tavarone | Dentist | 602 West Prairie St, Vicksburg, MI 49097 | 2006-12-04 |
| 1598875601 | Robert L Dornbos Dds PC | Dentist | 102 S Main, Vicksburg, MI 49097 | 2006-08-30 |
| 1477853422 | South County Home Health Providers | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 115 N 3rd St, Vicksburg, MI 49097-1017 | 2010-10-25 |
| 1023214921 | Aaron C Ford | Dentist | 602 W Prairie St, Vicksburg, MI 49097-1178 | 2007-06-26 |
| 1154573392 | Family & Children Services, Inc. | Clinic/Center | 101 S Main St, Vicksburg, MI 49097-1210 | 2008-10-21 |
| 1144756610 | Pamela Hendershot | Pharmacist | 110 S Main St, Vicksburg, MI 49097-1211 | 2017-05-03 |
| 1598990525 | Kelly Ann Soekarmoen | Pharmacist | 110 S Main St, Vicksburg, MI 49097-1211 | 2009-05-19 |
| 1184670085 | Hill's Pharmacy of Vicksburg, Inc. | Pharmacy | 110 S Main St, Vicksburg, MI 49097-1211 | 2006-05-25 |
| 1982684916 | Robert L Dornbos | Dentist | 102 S Main St, Vicksburg, MI 49097-1211 | 2006-01-17 |
| Find all providers in zip 49097 | ||||
| Taxonomy Code | 183700000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacy Technician |
| A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. |
| Notes: Source: Pharmacy Technician Certification Board, www.ptcb.org [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023631991 | Mohammad E Salman | Pharmacy Technician | 33280 Richard O Dr, Sterling Hts, MI 48310-6116 | 2020-05-26 |
| 1710443502 | Sherri Ann Brady | Pharmacy Technician | 840 Purdy Rd, Montgomery, MI 49255-9618 | 2019-02-16 |
| 1578039277 | Alexandra A Milantoni | Pharmacy Technician | 22509 Trombly St, Saint Clair Shores, MI 48080-2889 | 2018-10-19 |
| 1912473844 | Adam Mathew King | Pharmacy Technician | 1550 E Beltline Ave Se Ste 175, Grand Rapids, MI 49506-4362 | 2018-10-18 |
| 1225564735 | Ashley Nichole Kochan | Pharmacy Technician | 1001 N Leroy St, Fenton, MI 48430-5308 | 2017-05-03 |
| 1457886848 | Javeria Qamar | Pharmacy Technician | 19173 Red Oak Ln, Brownstown, MI 48193-8804 | 2017-04-24 |
| 1245764356 | Ashly Megan Kronberger | Pharmacy Technician | 312 Atlas St, Gwinn, MI 49841-2823 | 2017-04-14 |
| 1790153831 | Ryan Arthur Silverthorn | Pharmacy Technician | 2874 Tall Oaks Ct, Apt 11, Auburn Hills, MI 48326-4171 | 2015-09-06 |
| 1023485117 | Michelle Ann Anderson | Pharmacy Technician | 9267 Pauline St, Montague, MI 49437-1021 | 2015-08-25 |
| 1861882730 | Alice Mathews | Pharmacy Technician | 7475 Creyts Rd, Dimondale, MI 48821-9416 | 2015-01-30 |
| 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.