DR. RANDAL MARK SMITH (NPI# 1578874152) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578874152 |
| Entity Type | Individual |
| Full Name | DR. RANDAL MARK SMITH |
| Credential | DPH |
| Practice Address |
2424 E Clairmont Ave Eau Claire WI 54701-6773 |
| Mailing Address |
111 Canterbury Road Eau Claire WI 54701-7105 |
| Practice Telephone | 7158347380 |
| Practice Fax Number | 7158341034 |
| Mailing Telephone | 7155521752 |
| Enumeration Date | 2010-06-29 |
| Last Update Date | 2010-06-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 9562 | OK | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | 042252 | MO | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | 13807-040 | WI | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861839300 | Randal Gene Smith | Counselor | 529 Martin Luther King Junior Blvd, Flint, MI 48502-2002 | 2013-05-23 |
| 1932239639 | Randal C Smith | Dentist | 700 Jackson Park Rd, Kannapolis, NC 28083-3662 | 2007-03-06 |
| 1043840747 | Randal W Smith | Case Manager/Care Coordinator | 160 E Main St, Chillicothe, OH 45601-2506 | 2020-01-22 |
| 1215596457 | Randal Lee Smith II | Case Manager/Care Coordinator | 10714 Ne Glisan St, Portland, OR 97220-4046 | 2019-06-11 |
| Street Address |
2424 E CLAIRMONT AVE |
| City | EAU CLAIRE |
| State | WI |
| Zip Code | 54701-6773 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649887563 | Molly Amanda Haferman | Pharmacist | 3184 London Road, Eau Claire, WI 54701 | 2020-09-24 |
| 1194375915 | Moments Hospice of Eau Claire LLC | Hospice Care, Community Based | 2263 East Ridge Center, Eau Claire, WI 54701 | 2019-09-13 |
| 1043778228 | Rita Marie Acosta | Emergency Medical Technician, Basic | 509 University Dr, Mcphee Atr, Eau Claire, WI 54701 | 2019-03-07 |
| 1619450954 | Michael Brown | Case Manager/Care Coordinator | 102 S Barstow St, Eau Claire, WI 54701 | 2018-09-12 |
| 1417436569 | Valerie Jayne Both | Social Worker | 1000 Starr Avenue, Eau Claire, WI 54701 | 2018-08-09 |
| 1023519055 | Rachel Delanois | Specialist/Technologist | Kinesiology --mcphee Physical Education Center 208, 509 University Drive, Eau Claire, WI 54701 | 2018-02-25 |
| 1427564863 | Matayla Springstroh | Specialist/Technologist | 509 University Drive, Eau Claire, WI 54701 | 2017-12-21 |
| 1265981062 | Molly Hart | Student in an Organized Health Care Education/Training Program | 509 University Dr., Eau Claire, WI 54701 | 2016-09-22 |
| 1982051918 | Renee Teigen-stary | Registered Nurse | 3440 Oakwood Hills Parkway, Eau Claire, WI 54701 | 2016-05-19 |
| 1699104059 | Susan Marie Keller | Speech-Language Pathologist | 3656 Mull Dr., Dove Healthcare - South, Eau Claire, WI 54701 | 2013-11-06 |
| Find all providers in zip 54701 | ||||
| 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 |
|---|---|---|---|---|
| 1649887563 | Molly Amanda Haferman | Pharmacist | 3184 London Road, Eau Claire, WI 54701 | 2020-09-24 |
| 1164057691 | Jamie Rypel | Pharmacist | 2200 Brackett Ave, Eau Claire, WI 54701-4619 | 2020-03-05 |
| 1184020703 | Andrew Snyder | Pharmacist | 767 Van Es Pkwy, Apartment 4, Eau Claire, WI 54703-6245 | 2014-11-10 |
| 1104179779 | Timothy E Levin | Pharmacist | 2421 E Clairemont Ave, Eau Claire, WI 54701-6724 | 2012-10-19 |
| 1912282153 | Carolyn J Johnson | Pharmacist | 3184 London Rd, Eau Claire, WI 54701 | 2011-10-19 |
| 1972895795 | Cortney Marie Sands | Pharmacist | 6280 Us Highway 53, Eau Claire, WI 54701-8805 | 2011-05-12 |
| 1962721274 | Jeffrey Franklin Legore | Pharmacist | 2424 E Clairemont Ave, Eau Claire, WI 54701-6773 | 2010-05-26 |
| 1316124373 | Dana E Kallstrom | Pharmacist | 325 E Madison St, Eau Claire, WI 54703-3550 | 2008-01-22 |
| 1508807256 | Troy Frederick Strasburg | Pharmacist | 1707 Westgate Rd, Eau Claire, WI 54703-4964 | 2006-06-10 |
| 1215977913 | Douglas James Streifel | Pharmacist | 1106 W Clairemont Ave, Eau Claire, WI 54701-6124 | 2006-06-08 |
| Find all providers in EAU CLAIRE | ||||
| City | EAU CLAIRE |
| Zip Code | 54701 |
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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.