LENNIE BIRKETT (NPI# 1568800878) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568800878 |
| Entity Type | Individual |
| Full Name | LENNIE BIRKETT |
| Credential | RPH |
| Practice Address |
2101 W Broadway Monona WI 53713-1638 |
| Practice Telephone | 6082222066 |
| Practice Fax Number | 6082220578 |
| Enumeration Date | 2013-06-08 |
| Last Update Date | 2013-06-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 11498-40 | WI | Pharmacy Service Providers |
| Street Address |
2101 W BROADWAY |
| City | MONONA |
| State | WI |
| Zip Code | 53713-1638 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699727719 | Shopko Stores Operating Co. LLC | Eyewear Supplier (Equipment, not the service) | 2101 W Broadway, Monona, WI 53713-1638 | 2006-05-17 |
| 1124371307 | David Edgar Gerhardt | Pharmacist | 2101 W Broadway, Monona, WI 53713-1638 | 2012-10-24 |
| 1265785752 | Amy Schellpfeffer | Pharmacist | 2101 W Broadway, Monona, WI 53713-1638 | 2012-10-21 |
| 1932388394 | Jill Marie Germain | Optometrist | 2101 W Broadway, Monona, WI 53713-1638 | 2007-11-01 |
| 1780791194 | Megan Draper | Optometrist | 2101 W Broadway, Monona, WI 53713-1638 | 2006-08-23 |
| 1235185687 | Shopko Stores Operating Co LLC | Pharmacy | 2101 W Broadway, Monona, WI 53713-1638 | 2006-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508406760 | Diana Kay Woodruff | Registered Nurse | Madison West Comprehensive Treatment Center, 151 E. Badger Rd. Suite A, Madison, WI 53713 | 2020-01-15 |
| 1568008886 | Avery Reven Kansteiner | Counselor | 105 Ski Court, Madison, WI 53713 | 2019-11-21 |
| 1518501329 | Erica D Anderson | Counselor | 1125 W Badger Rd Apt 6, Madison, WI 53713 | 2019-11-05 |
| 1942799739 | Emily Natera | Counselor | 128 E. Olin Ave., Ste. 100, Madison, WI 53713 | 2018-05-07 |
| 1295255644 | Renee Denise Wilberg | Counselor | 122 E. Olin Avenue, Madison, WI 53713 | 2017-06-26 |
| 1548793060 | Racquel Williams-kroll | Registered Nurse | 151 East Badger Road Ste A, Madison, WI 53713 | 2017-04-11 |
| 1124570841 | Shirley Norman-johnson | Licensed Practical Nurse | 115 East Badger Rd, Suite A, Madison, WI 53713 | 2016-10-28 |
| 1629525613 | Katherine Simons Melde | Nurse Practitioner | 2222 S Park St Ste 210, Madison, WI 53713 | 2016-09-07 |
| 1013301779 | Bio-medical Applications of Wisconsin, Inc. | Clinic/Center | 2840 Index Rd., Madison, WI 53713 | 2015-03-20 |
| 1902147721 | Jill Zimmerman | Occupational Therapy Assistant | 2801 Coho Street, Suite 300, Madison, WI 53713 | 2013-03-04 |
| Find all providers in zip 53713 | ||||
| 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 |
|---|---|---|---|---|
| 1942202379 | Jennifer Marie George | Pharmacist | 6408 Copps Avenue, Monona, WI 53716 | 2005-08-15 |
| 1477152726 | Cheryl Trieloff | Pharmacist | 2101 Royal Ave, Monona, WI 53713-4812 | 2020-10-19 |
| 1134727548 | Duane Alan Acker | Pharmacist | 2151 Royal Ave, Monona, WI 53713-4812 | 2020-10-16 |
| 1447858469 | Casey Paplow | Pharmacist | 2151 Royal Ave, Monona, WI 53713-4812 | 2020-10-12 |
| 1447884713 | Brett Mcclone | Pharmacist | 5300 Monona Dr, Monona, WI 53716-3127 | 2020-02-26 |
| 1124652755 | Jason Lawniczak | Pharmacist | 5300 Monona Dr, Monona, WI 53716-3127 | 2020-02-22 |
| 1124371307 | David Edgar Gerhardt | Pharmacist | 2101 W Broadway, Monona, WI 53713-1638 | 2012-10-24 |
| 1265785752 | Amy Schellpfeffer | Pharmacist | 2101 W Broadway, Monona, WI 53713-1638 | 2012-10-21 |
| 1942578687 | Chelsea Wirth | Pharmacist | 5300 Monona Dr, Monona, WI 53716-3127 | 2011-12-08 |
| 1306123682 | Jessica A Stainbrook | Pharmacist | 5300 Monona Dr, Monona, WI 53716-3127 | 2011-11-14 |
| Find all providers in MONONA | ||||
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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.