SPENCER TODD STROMBACK (NPI# 1558975821) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558975821 |
| Entity Type | Individual |
| Full Name | SPENCER TODD STROMBACK |
| Credential | PHARM D. |
| Practice Address |
11401 Marketplace Dr N Champlin MN 55316-3794 |
| Practice Telephone | 7634276389 |
| Practice Fax Number | 7634272520 |
| Mailing Telephone | 7634276389 |
| Mailing Fax Number | 7634272520 |
| Enumeration Date | 2020-09-03 |
| Last Update Date | 2020-09-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 123344 | MN | Pharmacy Service Providers |
| Street Address |
11401 MARKETPLACE DR N |
| City | CHAMPLIN |
| State | MN |
| Zip Code | 55316-3794 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396750519 | Walgreen Co | Pharmacy | 11401 Marketplace Dr N, Champlin, MN 55316-3794 | 2006-07-29 |
| 1760098172 | Jacob Phillip Lang | Pharmacist | 11401 Marketplace Dr N, Champlin, MN 55316-3794 | 2020-09-21 |
| 1255742144 | Daniel Roehl | Pharmacist | 11401 Marketplace Dr N, Champlin, MN 55316-3794 | 2014-05-13 |
| 1922375286 | Michael Hagelin | Pharmacist | 11401 Marketplace Dr N, Champlin, MN 55316-3794 | 2011-11-30 |
| 1346527413 | Kim M Reiff | Pharmacist | 11401 Marketplace Dr N, Champlin, MN 55316-3794 | 2011-11-03 |
| 1639455041 | Joel Skoog | Pharmacist | 11401 Marketplace Dr N, Champlin, MN 55316-3794 | 2011-10-30 |
| 1871878850 | Julie A Anderson | Pharmacist | 11401 Marketplace Dr N, Champlin, MN 55316-3794 | 2011-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801493903 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 11995 Business Park Blvd N, Champlin, MN 55316 | 2020-10-02 |
| 1598300675 | Dentalign, Pa | Dentist | 11942 Business Park Blvd, Champlin, MN 55316 | 2019-11-12 |
| 1811463573 | Vikings Home Health Care LLC | Meals | 11551 Georgia Ave, N, Champlin, MN 55316 | 2018-10-22 |
| 1255853305 | Matthew L Boelter | Hearing Instrument Specialist | 11451 Oregon Ave N, Champlin, MN 55316 | 2017-07-11 |
| 1194198309 | Champlin Dentistry, PC | Dentist | 11231 Aquila Drive N, Champlin, MN 55316 | 2015-11-10 |
| 1336557412 | Kelsey Voigt | Pharmacist | 11990 Business Park Blvd, Champlin, MN 55316 | 2014-08-01 |
| 1346502523 | Transitions Home Care Ltd | Home Health | 11030 Douglas Drive North, Champlin, MN 55316 | 2012-06-13 |
| 1639373285 | Michael D Smilanich | Dentist | 11231 Aquila Dr N, Champlin, MN 55316 | 2007-06-14 |
| 1760532907 | Kurt Allan Bender | Dentist | 500 A Jefferson Hwy, Champlin, MN 55316 | 2007-01-11 |
| 1366529752 | Gregory Allan Holmberg | Chiropractor | #8 3rd Street Nw, Osseo, MN 55316 | 2006-11-01 |
| Find all providers in zip 55316 | ||||
| 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 |
|---|---|---|---|---|
| 1336557412 | Kelsey Voigt | Pharmacist | 11990 Business Park Blvd, Champlin, MN 55316 | 2014-08-01 |
| 1760098172 | Jacob Phillip Lang | Pharmacist | 11401 Marketplace Dr N, Champlin, MN 55316-3794 | 2020-09-21 |
| 1427661271 | Stacy Millner | Pharmacist | 8600 114th Ave N, Champlin, MN 55316-3869 | 2020-08-30 |
| 1336774207 | Megan Joyce Keller | Pharmacist | 11990 Business Park Blvd N, Champlin, MN 55316-2005 | 2020-03-11 |
| 1710362314 | Alicia Jo Deneen | Pharmacist | 11990 Business Park Blvd N, Champlin, MN 55316-2005 | 2015-07-23 |
| 1952782690 | Kyle Henderson | Pharmacist | 11990 Business Park Blvd N, Champlin, MN 55316-2005 | 2015-06-17 |
| 1255742144 | Daniel Roehl | Pharmacist | 11401 Marketplace Dr N, Champlin, MN 55316-3794 | 2014-05-13 |
| 1821422874 | Mariah J Olson | Pharmacist | 11990 Business Park Blvd N, T-1831, Champlin, MN 55316-2005 | 2013-08-27 |
| 1134565658 | Sarah Sidler | Pharmacist | 8600 114th Ave N, Champlin, MN 55316-3869 | 2013-05-13 |
| 1366886202 | Brian S Falbo | Pharmacist | 11990 Business Park Blvd N, Champlin, MN 55316-2005 | 2013-04-22 |
| Find all providers in CHAMPLIN | ||||
Please comment or provide details below to improve the information on SPENCER TODD STROMBACK.
| 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.