MRS. ALYCE ESTELLE PETERSON (NPI# 1619375052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619375052 |
| Entity Type | Individual |
| Full Name | MRS. ALYCE ESTELLE PETERSON |
| Other Name | MISS ALYCE ESTELLE RENEBERG |
| Credential | PHARMD |
| Practice Address |
300 State St Phillipsburg KS 67661-1930 |
| Practice Telephone | 7855435131 |
| Practice Fax Number | 7855435844 |
| Mailing Telephone | 7855435131 |
| Mailing Fax Number | 7855435844 |
| Enumeration Date | 2014-12-17 |
| Last Update Date | 2014-12-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 1-16021 | KS | Pharmacy Service Providers |
| Street Address |
300 STATE ST |
| City | PHILLIPSBURG |
| State | KS |
| Zip Code | 67661-1930 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124568845 | Jennifer Swenson | Pharmacist | 300 State St, Phillipsburg, KS 67661-1930 | 2017-02-28 |
| 1427492933 | Robert Wenzl | Pharmacist | 300 State St, Phillipsburg, KS 67661-1930 | 2013-04-26 |
| 1144263310 | Midwest Family Health of Phillipsburg Inc | Pharmacy | 300 State St, Phillipsburg, KS 67661-1930 | 2006-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861008237 | The Janz Corporation | Durable Medical Equipment & Medical Supplies | Vogelweh 2043, Kaiserslautern, GERMANY 67661 | 2020-09-21 |
| 1932686524 | Sarah Elizabeth Trainor | Dental Hygienist | Pulaski Barracks Dental Clinic Bldg 2921, Kaiserslautern, FOREIGN PROVINCE 67661 | 2018-07-26 |
| 1992997282 | Jasmin De Guzman | Dentist | Washington Square, Kaiserslautern, RHEINLAND PFALZ 67661 | 2007-08-10 |
| 1558575803 | Sheila L Bills | Speech-Language Pathologist | 240 Fischer Dr., Phillipsburg, KS 67661 | 2007-05-09 |
| 1114082526 | Sandra Gay Loon | Social Worker | 783 7th Street, Phillipsburg, KS 67661 | 2006-12-26 |
| 1952408221 | Ronald J Juenemann | Optometrist | 655 5th Street, Phillipsburg, KS 67661 | 2006-09-20 |
| 1831192681 | Robyn R. Burwell | Nurse Practitioner | 1719 Highway 183, Phillipsburg, KS 67661 | 2005-05-24 |
| 1649482183 | Ronald J. Juenemann, O.d., P.a. | Optometrist | 655 5th Street, Phillipsburg, KS 67661 | 2007-05-04 |
| 1851514780 | Gidget Ann Mosiman | Counselor | 783 7th St, Phillipsburg, KS 67661 | 2007-04-10 |
| 1477685162 | Phillips County Retirement Corporation | Nursing Facility/Intermediate Care Facility | 1300 State Street, Phillipsburg, KS 67661 | 2007-03-09 |
| Find all providers in zip 67661 | ||||
| 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 |
|---|---|---|---|---|
| 1336748920 | Maria S Hannis | Pharmacist | 1300 Route 22, Phillipsburg, NJ 08865 | 2020-10-23 |
| 1467831453 | Jaime Lynn Moody | Pharmacist | 1207 Us Highway 22, Phillipsburg, NJ 08865-4100 | 2015-05-22 |
| 1194032664 | Peter Fares | Pharmacist | 28 Haze Way, Phillipsburg, NJ 08865-7322 | 2010-09-07 |
| 1477568020 | Loretta Brickman | Pharmacist | 206 Stonehenge Dr, Phillipsburg, NJ 08865-2050 | 2006-07-30 |
| 1427659358 | Zufan Tesfai | Pharmacist | 1300 Us Highway 22, Phillipsburg, NJ 08865-4108 | 2020-11-06 |
| 1386242717 | Andy Roger Joseph | Pharmacist | 1300 Us Highway 22, Phillipsburg, NJ 08865-4108 | 2020-10-16 |
| 1407494487 | Seohyun Kim | Pharmacist | 462 S Main St, Phillipsburg, NJ 08865-3031 | 2019-12-20 |
| 1346757200 | Vito Anthony Schiavone | Pharmacist | 96 Baltimore St, Phillipsburg, NJ 08865-1836 | 2018-01-02 |
| 1336668797 | Cynthia Cele-nnaeto | Pharmacist | 755 Memorial Pkwy, Phillipsburg, NJ 08865-2748 | 2017-09-15 |
| 1124568845 | Jennifer Swenson | Pharmacist | 300 State St, Phillipsburg, KS 67661-1930 | 2017-02-28 |
| Find all providers in PHILLIPSBURG | ||||
| City | PHILLIPSBURG |
| Zip Code | 67661 |
Please comment or provide details below to improve the information on MRS. ALYCE ESTELLE PETERSON.
| 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.