MADELYN ATOL (NPI# 1588005102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588005102 |
| Entity Type | Individual |
| Full Name | MADELYN ATOL |
| Credential | PHARM.D. |
| Practice Address |
401 Phalen Blvd Saint Paul MN 55130-5302 |
| Mailing Address |
8170 33rd Ave S Bloomington MN 55425-4516 |
| Practice Telephone | 6512547600 |
| Practice Fax Number | 6512547623 |
| Enumeration Date | 2013-07-11 |
| Last Update Date | 2014-12-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
121278 | MN | Pharmacy Service Providers |
| Street Address |
401 PHALEN BLVD |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55130-5302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982699740 | Marlane J Brown | Optometrist | 401 Phalen Blvd, Saint Paul, MN 55130-5302 | 2005-09-16 |
| 1588297113 | Choua Yang Polaski | Nurse Practitioner | 401 Phalen Blvd, Saint Paul, MN 55130-5302 | 2020-02-21 |
| 1588295687 | Fadumo Adan Salad | Nurse Practitioner | 401 Phalen Blvd, Saint Paul, MN 55130-5302 | 2020-01-28 |
| 1992345110 | Hannah Kristine Dahl | Physician Assistant | 401 Phalen Blvd, Saint Paul, MN 55130-5302 | 2020-01-15 |
| 1417476185 | Rebecca Horvath | Audiologist | 401 Phalen Blvd, Saint Paul, MN 55130-5302 | 2017-09-14 |
| 1154867430 | Erika Jarvey | Physician Assistant | 401 Phalen Blvd, Saint Paul, MN 55130-5302 | 2017-01-11 |
| 1134674682 | Kacie Jo Massey | Physician Assistant | 401 Phalen Blvd, Saint Paul, MN 55130-5302 | 2016-08-24 |
| 1902251325 | Jennifer Lonetti | Physical Therapist | 401 Phalen Blvd, Saint Paul, MN 55130-5302 | 2016-05-04 |
| 1003270232 | Andrea Langeveld | Dermatology | 401 Phalen Blvd, Saint Paul, MN 55130-5302 | 2016-04-13 |
| 1649640152 | Brittany Rae Kelly | Physician Assistant | 401 Phalen Blvd, Saint Paul, MN 55130 | 2015-09-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164904587 | Confident Care LLC | In Home Supportive Care | 1040 Arkwright Street, Saint Paul, MN 55130 | 2018-09-01 |
| 1881015253 | Lucas Bosco Wanga | Psychologist | 715 Edgerton Street, Merrick Community Services, St. Paul, MN 55130 | 2014-01-02 |
| 1174865570 | Sarang Patel | Internal Medicine | 401 Phalen Blvd # 41103d, Saint Paul, MN 55130 | 2013-03-23 |
| 1427394501 | Zongxee Lee | Registered Nurse | 1072 Payne Ave, St. Paul, MN 55130 | 2012-12-18 |
| 1740532753 | One Stop Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 1049 Payne Ave Suite C, St Paul, MN 55130 | 2012-10-15 |
| 1689923997 | Alexis Simmons | Counselor | 402 University Ave East, Suite A-127, Saint Paul, MN 55130 | 2012-08-31 |
| 1689804064 | Group Health Plan, Inc. | Durable Medical Equipment & Medical Supplies | 537 Phalen Blvd, Saint Paul, MN 55130 | 2009-07-21 |
| 1477756534 | Chad Everett Christensen | Chiropractor | 1073 Payne Ave, Saint Paul, MN 55130 | 2007-06-07 |
| 1922219021 | Qwik Urgent Care Clinic | Family Medicine | 1239 Payne Avenue, Saint Paul, MN 55130 | 2007-05-24 |
| 1275743981 | Yia Vang | Technician | 1100 Arkwright St., St. Paul, MN 55130 | 2007-05-23 |
| Find all providers in zip 55130 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801409941 | Nancy Moua | Pharmacist | 1180 Arcade St, Saint Paul, MN 55106-2629 | 2020-08-28 |
| 1518594803 | Meena Nachammai Murugappan | Pharmacist | 2080 Ford Pkwy, Saint Paul, MN 55116-1813 | 2020-03-25 |
| 1801373576 | Zachary Jones | Pharmacist | 451 Dunlap St N, Saint Paul, MN 55104-4619 | 2018-07-25 |
| 1285157164 | Hanna Pasell | Pharmacist | 2199 Highway 36 E, Saint Paul, MN 55109-2215 | 2017-07-21 |
| 1558894311 | Danielle Rose Odenthal | Pharmacist | 1983 Sloan Pl Ste 1, Saint Paul, MN 55117-2095 | 2017-04-09 |
| 1205258241 | David Warnke | Pharmacist | 444 Pine St, Saint Paul, MN 55101-2453 | 2014-01-10 |
| 1568755940 | Mary Catherine Gustafson | Pharmacist | 345 Smith Ave N, Saint Paul, MN 55102-2346 | 2011-05-18 |
| 1457661068 | Catherine Ann Pokorny | Pharmacist | 345 Smith Ave N, Saint Paul, MN 55102-2346 | 2010-10-15 |
| 1881902914 | Anna Pedersen | Pharmacist | 153 Cesar Chavez St, Saint Paul, MN 55107-2226 | 2010-09-23 |
| 1346558673 | Natalie Pavek | Pharmacist | 345 Smith Ave N, Saint Paul, MN 55102-2346 | 2010-09-21 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55130 |
Please comment or provide details below to improve the information on MADELYN ATOL.
| 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.