JUSTIN MICHAEL WELCH (NPI# 1558551713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558551713 |
| Entity Type | Individual |
| Full Name | JUSTIN MICHAEL WELCH |
| Credential | PHARM.D. |
| Practice Address |
2101 Elm St N Fargo ND 58102-2417 |
| Practice Telephone | 7012393700 |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2007-07-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
ND4707 | ND | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780690768 | Justin Michael Welch | Physical Therapist | 106 N. French Street, Suite 250, Breckenridge, CO 80424-4869 | 2006-07-31 |
| 1134596265 | Justin Christopher Welch | Pharmacist | 3689 S Houston Levee Rd, Collierville, TN 38017-9014 | 2015-08-24 |
| 1881798064 | Justin Luke Welch | Dermatology | 401 Keene St, Columbia, MO 65201-6625 | 2006-09-11 |
| Street Address |
2101 ELM ST N |
| City | FARGO |
| State | ND |
| Zip Code | 58102-2417 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437143427 | Adam John Glazier | Internal Medicine | 2101 Elm St N, Fargo, ND 58102-2417 | 2005-09-06 |
| 1235740705 | Macy Jane Schindler | Occupational Therapist | 2101 Elm St N, Fargo, ND 58102-2417 | 2020-08-10 |
| 1497363154 | Isaac Nies | Pharmacist | 2101 Elm St N, Fargo, ND 58102-2417 | 2020-07-20 |
| 1376151597 | Paul Afanasi Polanski | Social Worker | 2101 Elm St N, Fargo, ND 58102-2417 | 2020-07-14 |
| 1144848763 | Alexis Kokett | Pharmacist | 2101 Elm St N, Fargo, ND 58102-2417 | 2020-07-09 |
| 1598396459 | Leah Roethel | Dietitian, Registered | 2101 Elm St N, Fargo, ND 58102-2417 | 2020-01-30 |
| 1619508678 | Allison Wanner | Dietitian, Registered | 2101 Elm St N, Fargo, ND 58102-2417 | 2020-01-29 |
| 1720622822 | Nicole Marie Justice | Psychologist | 2101 Elm St N, Fargo, ND 58102-2417 | 2019-10-31 |
| 1750923033 | Samantha J. Tupy | Psychologist | 2101 Elm St N, Fargo, ND 58102-2417 | 2019-10-08 |
| 1639723232 | Madelyn Provost | Pharmacist | 2101 Elm St N, Fargo, ND 58102-2417 | 2019-07-31 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780285924 | Shelley Dene Townsend-hansen | Dentist | 1017 Broadway N, Fargo, ND 58102 | 2020-11-04 |
| 1275190779 | Anthony Joseph Duncan | Student in an Organized Health Care Education/Training Program | 1919 Elm Streent North, Fargo, ND 58102 | 2019-05-21 |
| 1003472317 | Sadie Marie Nelson | Nurse Practitioner | Sanford Broadway Clinic, 801 North Broadway, Fargo, ND 58102 | 2019-05-13 |
| 1124523576 | Christopher Peroutka | Specialist/Technologist | 1300 17th Ave N, Fargo, ND 58102 | 2018-03-28 |
| 1205331873 | Nathan Koens | Specialist/Technologist | 1300 17th Avenue North, Fargo, ND 58102 | 2018-03-27 |
| 1376063370 | Abby Nicole Fredrickson | Student in an Organized Health Care Education/Training Program | 1919 Elm Street North, Fargo, ND 58102 | 2017-06-21 |
| 1780118331 | Stephanie Melquist | Internal Medicine | Internal Medicine Resident Clinic, 801 N Broadway, Fargo, ND 58102 | 2017-04-19 |
| 1104215623 | Justin Lervik | Social Worker | 211 Elm St. N, 122, Fargo, ND 58102 | 2015-01-21 |
| 1770919441 | Courtney Ann Simanski | Speech-Language Pathologist | 415 4th St. N., Fargo, ND 58102 | 2013-09-25 |
| 1821431206 | Lanell Staroba | Pharmacist | 706 D 38th St, Fargo, ND 58102 | 2013-04-16 |
| Find all providers in zip 58102 | ||||
| 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 |
|---|---|---|---|---|
| 1477700748 | Michael P Kelsch | Pharmacist | 118g Sudro Hall, North Dakota State University, Fargo, ND 58105-5055 | 2008-08-19 |
| 1295176881 | Melissa Kaye Fiedler | Pharmacist | 706 38th St Nw, Suite D, Fargo, ND 58102-2953 | 2013-07-10 |
| 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 |
| 1831206168 | Ji M Koo | Pharmacist | 2101 Elm St N, Fargo, ND 58102-2417 | 2006-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639399942 | Cheryl Newcomb | Pharmacist | 4620 37th St Se, Minot, ND 58701-2916 | 2007-04-27 |
| 1851510804 | Harvey J Hanel | Pharmacist | 1918 S Grandview Ln, Bismarck, ND 58503-0849 | 2007-04-25 |
| 1548200892 | Tim Scott Carlson | Pharmacist | 1015 S Broadway, Ste. #3, Minot, ND 58701-4667 | 2006-06-07 |
| 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 |
| 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 |
| 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 |
| 1891898136 | Jacqueline Diane Goodkin | Pharmacist | 2101 Elm St N, Fargp, ND 58102 | 2006-09-05 |
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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.