KENT L HENDRICKSON (NPI# 1609936491) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609936491 |
| Entity Type | Individual |
| Full Name | KENT L HENDRICKSON |
| Credential | R.PH. |
| Practice Address |
727 Water Ave Hillsboro WI 54634-6229 |
| Mailing Address |
E14199 Burr Salem Rd Ontario WI 54651-7551 |
| Practice Telephone | 6084893141 |
| Practice Fax Number | 6084892821 |
| Mailing Telephone | 6084893519 |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 8723 | WI | Pharmacy Service Providers |
| Street Address |
727 WATER AVE |
| City | HILLSBORO |
| State | WI |
| Zip Code | 54634-6229 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144246000 | Peterson Pharmacy Inc | Pharmacy | 727 Water Ave, Hillsboro, WI 54634-6229 | 2006-07-14 |
| 1073921227 | Jumana Swenson | Pharmacist | 727 Water Ave, Hillsboro, WI 54634-6229 | 2014-07-31 |
| 1578614897 | Andrew Nuzum Peterson | Pharmacist | 727 Water Ave, Hillsboro, WI 54634-6229 | 2007-01-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356557904 | Hillsboro Area Ambulance Service | Ambulance | 429 Water Ave, Hillsboro, WI 54634 | 2007-05-14 |
| 1306051990 | St. Joseph's Health Services, Inc. | Medicare Defined Swing Bed Unit | 400 Water Ave., Hillsboro, WI 54634 | 2007-05-14 |
| 1306968458 | J R Wolfenden Dds Sc | Dentist | 925 Water Ave, Hillsboro, WI 54634 | 2007-04-06 |
| 1275685984 | Peter James Wyland | Chiropractor | 652 Water Ave., Hillsboro, WI 54634 | 2007-01-16 |
| 1295849784 | St. Joseph's Community Health Services, Inc | Skilled Nursing Facility | 400 Water Avenue, Hillsboro, WI 54634 | 2006-08-19 |
| 1962744862 | Jay Richard Wolfenden | Dentist | 925 Water Ave, Hillsboro, WI 54634 | 2013-03-19 |
| 1851638118 | Nicholas L Rabe | Nurse Anesthetist, Certified Registered | 400 Water Ave, Hillsboro, WI 54634 | 2013-01-07 |
| 1548570393 | Tamur Jehan Mueenuddin | General Practice | 400 Water Avenue, Hillsboro, WI 54634 | 2010-10-14 |
| 1497960082 | St. Joseph's Health Services, Inc. | General Acute Care Hospital | 400 Water Ave, Hillsboro, WI 54634 | 2007-05-14 |
| 1972658631 | St. Joseph's Health Services, Inc | Long Term Care Hospital | 400 Water Ave, Hillsboro, WI 54634 | 2007-01-24 |
| Find all providers in zip 54634 | ||||
| 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 |
|---|---|---|---|---|
| 1548724586 | Boupha Schaefer | Pharmacist | 3745 Se Willamette Ave, Hillsboro, OR 97123-8681 | 2019-01-23 |
| 1376092163 | Michael Han | Pharmacist | 2875 Nw Stucki Avenue/, Hillsboro, OR 97124 | 2016-09-22 |
| 1518354208 | Whitney Andrew Reinauer | Pharmacist | 19075 Nw Tanasbourne Dr Ste 210, Hillsboro, OR 97124-5866 | 2015-04-20 |
| 1598176356 | Yatin J Shukla | Pharmacist | 6495 Se Tv Hwy, Hillsboro, OR 97123-8486 | 2014-05-14 |
| 1306269253 | Kyle Nielsen | Pharmacist | 6783 Ne Vinings Way, Apartment 1123, Hillsboro, OR 97124-7814 | 2014-01-29 |
| 1639505274 | Kristina Mironichenko | Pharmacist | 2425 Se Tv Hwy, Hillsboro, OR 97123-7977 | 2013-09-14 |
| 1639420979 | Frank T Bui | Pharmacist | 2075 Se Tualatin Valley Hwy, Hillsboro, OR 97123-5058 | 2012-09-26 |
| 1518216894 | Hien Nguyen | Pharmacist | 3471 Se Silver Fox Ave, Hillsboro, OR 97123-8889 | 2012-09-02 |
| 1386914786 | Susan Stein | Pharmacist | 222 Se 8th Ave Ste 451, Hillsboro, OR 97123-4218 | 2012-01-03 |
| 1770868754 | Jason Allen Neal | Pharmacist | 4363 Jefferson Dr, Hillsboro, MO 63050-3600 | 2011-10-20 |
| Find all providers in HILLSBORO | ||||
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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.