JAMES TETEAK (NPI# 1609159722) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609159722 |
| Entity Type | Individual |
| Full Name | JAMES TETEAK |
| Practice Address |
2575 Main St Cross Plains WI 53528-9691 |
| Practice Telephone | 6087984003 |
| Mailing Telephone | 6087984003 |
| Enumeration Date | 2011-09-25 |
| Last Update Date | 2011-09-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 12679-40 | WI | Pharmacy Service Providers |
| Street Address |
2575 MAIN ST |
| City | CROSS PLAINS |
| State | WI |
| Zip Code | 53528-9691 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689822645 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2575 Main St, Cross Plains, WI 53528-9691 | 2008-09-03 |
| 1730713959 | Danielle Cunniff | Pharmacist | 2575 Main St, Cross Plains, WI 53528-9691 | 2020-02-26 |
| 1972886976 | Kelly Marie Maloney | Pharmacist | 2575 Main St, Cross Plains, WI 53528-9691 | 2011-09-26 |
| 1780966309 | Jamie Nicole Wong | Pharmacist | 2575 Main St, Cross Plains, WI 53528-9691 | 2011-09-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932366523 | Kay Marie Bille | Speech-Language Pathologist | N 3150 Hwy 81, Pleasant View Nursing Home, Cross Plains, WI 53528 | 2008-05-21 |
| 1306011655 | Mary Beth Johnson | Occupational Therapist | 7880 Serene Court, Cross Plains, WI 53528 | 2008-04-28 |
| 1003824095 | Theresa E Rudy | Licensed Practical Nurse | 8837 Scheele Road, Cross Plains, WI 53528 | 2006-08-04 |
| 1871561936 | Amy R Grelle | Family Medicine | 2418 Brewery Rd, Cross Plains, WI 53528 | 2006-03-14 |
| 1821063736 | Amy Denise Halanski | Pediatrics | 4328 Deer Run Ct, Cross Plains, WI 53528 | 2006-02-22 |
| 1952379034 | Pamela A Olson | Family Medicine | 2418 Brewery Rd, Cross Plains, WI 53528 | 2006-03-14 |
| 1487622973 | Allen D Wilson | Pediatrics | 7966 Maurer Rd, Cross Plains, WI 53528-8801 | 2006-03-09 |
| 1477603371 | Jessica Ann Cooney | Physical Therapist | 1132 Gils Way, Cross Plains, WI 53528-8833 | 2007-01-11 |
| 1407169139 | Kristene Utter | Registered Nurse | 1248 Gils Way, Cross Plains, WI 53528-8834 | 2010-07-22 |
| 1285948869 | Heidi Jean Hargis | Registered Nurse | 1248 Gils Way, Cross Plains, WI 53528-8834 | 2010-08-05 |
| Find all providers in zip 53528 | ||||
| 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 |
|---|---|---|---|---|
| 1205843646 | Lisa Kostecki | Pharmacist | 1840 Main St, Cross Plains, WI 53528-9473 | 2006-08-01 |
| 1558381756 | Charlotte M. Perdue | Pharmacist | 7802 Highway 25e, Cross Plains, TN 37049 | 2006-07-20 |
| 1609859719 | Daniel H. Green | Pharmacist | 7802 Highway 25 E, Cross Plains, TN 37049-4848 | 2005-11-22 |
| 1730713959 | Danielle Cunniff | Pharmacist | 2575 Main St, Cross Plains, WI 53528-9691 | 2020-02-26 |
| 1215367156 | Hannah Davis | Pharmacist | 7802 Highway 25 E, Cross Plains, TN 37049 | 2013-11-13 |
| 1972886976 | Kelly Marie Maloney | Pharmacist | 2575 Main St, Cross Plains, WI 53528-9691 | 2011-09-26 |
| 1780966309 | Jamie Nicole Wong | Pharmacist | 2575 Main St, Cross Plains, WI 53528-9691 | 2011-09-10 |
| 1104033828 | Amy Cathleen Kuker | Pharmacist | 1910 Main St, Cross Plains, WI 53528-9594 | 2007-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578164349 | Lynn Huynh | Pharmacist | 5695 Washington Ave, Racine, WI 53406 | 2020-11-06 |
| 1346841822 | Tam Dinh | Pharmacist | 7480 Karth Ct, Franklin, WI 53132-8509 | 2020-11-02 |
| 1356940845 | Colette A. Probasco | Pharmacist | N1021 Blues Ln, Hortonville, WI 54944-9265 | 2020-10-26 |
| 1104425784 | Seang Foo | Pharmacist | 875 E Wisconsin Ave # Ms 2870, Milwaukee, WI 53202-5404 | 2020-10-23 |
| 1053910067 | Mary Ellen F Pumper | Pharmacist | 861 County Rd F, Berlin, WI 54923 | 2020-10-21 |
| 1609475607 | Suchart Thammahong | Pharmacist | 734 Mclean Drive, Madison, Wi, WI 53718 | 2020-10-21 |
| 1427657493 | Sarah R. Kozikowski | Pharmacist | 226100 Rib Mountain Dr, Wausau, WI 54401-3346 | 2020-10-21 |
| 1063011252 | Kelsey Eickstaedt | Pharmacist | 15594 State Hwy 77, Hayward, WI 54843 | 2020-10-20 |
| 1295334373 | James Michael Branning | Pharmacist | 226200 Rib Mountain Dr, Wausau, WI 54401-3347 | 2020-10-20 |
| 1174122576 | Paul Suiven Mbinglo | Pharmacist | 6237 94th Ct, Kenosha, WI 53142-8225 | 2020-10-19 |
| Find all providers with the same taxonomy | ||||
| City | CROSS PLAINS |
| Zip Code | 53528 |
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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.