MRS. LISA BRANDT (NPI# 1619367273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619367273 |
| Entity Type | Individual |
| Full Name | MRS. LISA BRANDT |
| Credential | RPH |
| Practice Address |
220 E Sunset Dr Waukesha WI 53189-7602 |
| Practice Telephone | 2625740405 |
| Mailing Telephone | 2625740405 |
| Enumeration Date | 2015-02-03 |
| Last Update Date | 2015-02-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 11570-40 | WI | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811007008 | Lisa Ann Brandt | Pharmacist | 304 Pokegama Ave . N., Grand Rapids, MN 55744 | 2006-08-30 |
| 1629615570 | Lisa Marie Brandt | Nurse Practitioner | 2801 W Kinnickinnic River Pkwy Ste 680, Milwaukee, WI 53215-3633 | 2019-12-10 |
| 1881040194 | Lisa Brandt | Student in an Organized Health Care Education/Training Program | 111 E 210th St, Bronx, NY 10467-2401 | 2016-05-05 |
| 1922475854 | Lisa N Brandt | Nurse Practitioner | 400 Burdick Expy E, Minot, ND 58701-4768 | 2015-08-26 |
| 1013354836 | Lisa Ann Brandt | Dietitian, Registered | 2700 Dekalb Ave, Sycamore, IL 60178-3127 | 2013-06-03 |
| 1093158057 | Lisa Brandt | Counselor | 1212 N California St, Stockton, CA 95202-1552 | 2013-04-09 |
| 1821012014 | Lisa D. Brandt | Nurse Anesthetist, Certified Registered | 155 E Brush Hill Rd, Elmhurst, IL 60126-5658 | 2006-07-27 |
| Street Address |
220 E SUNSET DR |
| City | WAUKESHA |
| State | WI |
| Zip Code | 53189-7602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265580526 | Roundys Supermarkets Inc | Pharmacy | 220 E Sunset Dr, Waukesha, WI 53189-7602 | 2007-01-05 |
| 1194116533 | Breanna Gilbert | Pharmacist | 220 E Sunset Dr, Waukesha, WI 53189-7602 | 2015-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275017907 | Shopko Stores Operating Co LLC | Eyewear Supplier (Equipment, not the service) | 1166 W Sunset Drive, Suite F100, Waukesha, WI 53189 | 2018-09-19 |
| 1851841910 | Jane Knoblock | Speech-Language Pathologist | S48w23663 Merlin Ln, Waukesha, WI 53189 | 2016-10-12 |
| 1063850246 | Tracey Sue Kochanski | Nurse Practitioner | 1130 W Sunset Ave, Waukesha, WI 53189 | 2013-06-10 |
| 1376981811 | Mark Russell Schmitt | Registered Nurse | 1804 Dixie Dr., Waukesha, WI 53189 | 2013-06-06 |
| 1760738546 | Schreve and Associates Inc. | Durable Medical Equipment & Medical Supplies | 406 Travis Ln., Ste 50, Waukesha, WI 53189 | 2012-07-30 |
| 1407152879 | Kimberly Lyn Moravec | Registered Nurse | W326 S3994 Spring Ridge Ct, Waukesha, WI 53189 | 2011-02-02 |
| 1154505113 | Le Ann Le Blanc | Day Training, Developmentally Disabled Services | S31 W28251 Sunset Drive, Waukesha, WI 53189 | 2007-12-26 |
| 1801934807 | Wisconsin Vision, Inc. | Technician/Technologist | 203a Sunset Drive, Waukesha, WI 53189 | 2007-02-02 |
| 1497828172 | Donna G. Kraklow D.d.s. | Dentist | 1507 E Sunset Dr, Suite 110, Waukesha, WI 53189 | 2006-11-17 |
| 1285713461 | Robert Evan Davies | Dentist | 2117 Corporate Dr., Suite 100, Waukesha, WI 53189 | 2006-11-06 |
| Find all providers in zip 53189 | ||||
| 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 |
|---|---|---|---|---|
| 1285268896 | Adam Michael Robb | Pharmacist | 21325 E Moorland Blvd, Waukesha, WI 53186-2909 | 2020-02-24 |
| 1124403027 | Adam Naker | Pharmacist | 210 Nw Barstow St Ste 101, Waukesha, WI 53188-3771 | 2015-07-21 |
| 1376933986 | Amy Rafalow | Pharmacist | 100 E Main St Unit 328, Waukesha, WI 53186-5071 | 2015-02-03 |
| 1013315886 | Matthew Schendel | Pharmacist | 1535 E Moreland Blvd, Waukesha, WI 53186-3929 | 2014-12-10 |
| 1437567203 | Jennifer Dallmann | Pharmacist | 501 S Grand Ave, Waukesha, WI 53186-6121 | 2014-07-24 |
| 1053732123 | Janis Tyler | Pharmacist | S40w31232 Johns Way, Waukesha, WI 53189-9291 | 2013-12-17 |
| 1275800278 | Brian Mihelich | Pharmacist | S42w25050 Oak View Dr, Waukesha, WI 53189-7840 | 2011-11-19 |
| 1447537956 | Raghu Kancharla | Pharmacist | 3637 Applewood Dr, Waukesha, WI 53189-6839 | 2011-11-11 |
| 1114204690 | Scott Wilcox | Pharmacist | 2700 Grandview Blvd, Waukesha, WI 53188-1611 | 2011-11-10 |
| 1972818268 | Claudia Ann Schreiner | Pharmacist | 120 E Sunset Dr, Waukesha, WI 53189-2109 | 2010-08-11 |
| Find all providers in WAUKESHA | ||||
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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.