MR. LARAY ALAN THOMPSON (NPI# 1609488766) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609488766 |
| Entity Type | Individual |
| Full Name | MR. LARAY ALAN THOMPSON |
| Credential | RPH |
| Practice Address |
123 E Wall St Eagle River WI 54521 |
| Practice Telephone | 7154793306 |
| Practice Fax Number | 7154797430 |
| Mailing Telephone | 7154793306 |
| Mailing Fax Number | 7154797430 |
| Enumeration Date | 2020-08-20 |
| Last Update Date | 2020-08-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 10400 | WI | Pharmacy Service Providers |
| Street Address |
123 E WALL ST |
| City | EAGLE RIVER |
| State | WI |
| Zip Code | 54521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568075497 | Nancy Lou Smith | Pharmacist | 123 E Wall St, Eagle River, WI 54521-9550 | 2020-08-29 |
| 1376155176 | Marianne Bergs | Pharmacist | 123 E Wall St, Eagle River, WI 54521-9550 | 2020-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851999163 | Michelle Kay Root-mcdaniel | Psychologist | 846 Metaloon Trail, Eagle River, WI 54521 | 2020-10-09 |
| 1659914059 | Florence E Figueroa | Technician | 1204 Fire Tree Trl., Eagle River, WI 54521 | 2019-10-18 |
| 1366933152 | Kristine Cloutier | Acupuncturist | 109 S Main St., Eagle River, WI 54521 | 2018-05-29 |
| 1669889689 | Bradley Camp | Dentist | 415 East Wall Street, Eagle River, WI 54521 | 2014-07-22 |
| 1407188493 | Robert Edwin Bartos | Surgery | 7890 Sanctuary Drive, Eagle River, WI 54521 | 2010-02-02 |
| 1508013319 | Neal Potrykus | Dentist | 213 N. Railroad St., Eagle River, WI 54521 | 2008-08-22 |
| 1972629848 | Scott David Beattie | Dentist | 415 E Wall St, Eagle River, WI 54521 | 2007-03-22 |
| 1396870432 | Potrykus Family Dentistry LLC | Dentist | 213 N Railroad St, Eagle River, WI 54521 | 2007-02-22 |
| 1053481473 | Redman & Gelinas S C | Eyewear Supplier (Equipment, not the service) | 141 B South Willow Street, Eagle River, WI 54521 | 2006-11-09 |
| 1700962974 | Kurt William Klemm | Physical Therapist | 528 Hwy 70 W, Eagle River, WI 54521 | 2006-10-31 |
| Find all providers in zip 54521 | ||||
| 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 |
|---|---|---|---|---|
| 1235678491 | Nicholas Marceaux | Pharmacist | 17914 Tonsina Ct, Eagle River, AK 99577-8254 | 2017-02-20 |
| 1255870028 | Rebecca Miller Wall | Pharmacist | 13316 Alex Cir, Eagle River, AK 99577-6714 | 2017-02-13 |
| 1972854289 | Erin Murphy | Pharmacist | 20524 Philadelphia Way, Eagle River, AK 99577-8497 | 2012-09-26 |
| 1053543322 | Robert Charles Moore | Pharmacist | 17452 Kahiltna Dr, Eagle River, AK 99577-8127 | 2009-08-20 |
| 1518099134 | Edward Douglas Tsao | Pharmacist | 4315 Martens Road, Unit 1, Eagle River, WI 54521-9047 | 2007-03-09 |
| 1558381459 | River North Pharmacy | Pharmacist | 711-e Hwy 45 North, Eagle River, WI 54521 | 2006-07-20 |
| 1174139547 | Emily Morgan | Pharmacist | 12051 Old Glenn Hwy, Eagle River, AK 99577-7736 | 2020-09-21 |
| 1568075497 | Nancy Lou Smith | Pharmacist | 123 E Wall St, Eagle River, WI 54521-9550 | 2020-08-29 |
| 1376155176 | Marianne Bergs | Pharmacist | 123 E Wall St, Eagle River, WI 54521-9550 | 2020-08-21 |
| 1093348831 | Allison Ann Sielicki | Pharmacist | 108 W Wall St, Eagle River, WI 54521-9811 | 2020-02-20 |
| Find all providers in EAGLE RIVER | ||||
| City | EAGLE RIVER |
| Zip Code | 54521 |
Please comment or provide details below to improve the information on MR. LARAY ALAN THOMPSON.
| 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.