JOHN SIMONET (NPI# 1629408745) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629408745 |
| Entity Type | Individual |
| Full Name | JOHN SIMONET |
| Credential | RPH |
| Practice Address |
2430 E Mason St Green Bay WI 54302-3759 |
| Practice Telephone | 9204686044 |
| Enumeration Date | 2013-11-26 |
| Last Update Date | 2013-11-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 10725-40 | WI | Pharmacy Service Providers |
| Street Address |
2430 E MASON ST |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54302-3759 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962452052 | Shopko Stores Operating Company | Optometrist | 2430 E Mason St, Green Bay, WI 54302-3759 | 2006-05-11 |
| 1154768547 | Susan Gilson | Pharmacist | 2430 E Mason St, Green Bay, WI 54302-3759 | 2013-05-27 |
| 1013351287 | Lynn Marie Bond | Pharmacist | 2430 E Mason St, Green Bay, WI 54302-3759 | 2013-04-18 |
| 1144574286 | Christine A Thomas | Pharmacist | 2430 E Mason St, Green Bay, WI 54302-3759 | 2012-10-27 |
| 1578750766 | John Richard Hofmann | Pharmacist | 2430 E Mason St, Green Bay, WI 54302-3759 | 2007-10-01 |
| 1538205380 | Gail P Bosco | Physician Assistant | 2430 E Mason St, Green Bay, WI 54302-3759 | 2007-01-29 |
| 1881797462 | Josephine M Mcintosh | Nurse Practitioner | 2430 E Mason St, Green Bay, WI 54302-3759 | 2006-09-07 |
| 1316049943 | Jennifer Ann Lenius | Physician Assistant | 2430 E Mason St, Green Bay, WI 54302-3759 | 2006-09-03 |
| 1609896042 | James L Schmonsky IIi | Optometrist | 2430 E Mason St, Green Bay, WI 54302-3759 | 2006-07-20 |
| 1003862442 | Shopko Stores Operating Co LLC | Pharmacy | 2430 E Mason St, Green Bay, WI 54302-3759 | 2006-05-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659721371 | Carissa Marie Sawicki | Counselor | 1234 Main Street, Suite 21, 3rd Floor, Green Bay, WI 54302 | 2016-06-14 |
| 1891181459 | Shannon Rae Mullins | Registered Nurse | 2254 Imperial Ln, Green Bay, WI 54302 | 2015-04-10 |
| 1346667045 | David Howard Jadin | Dentist | 1245 Main St, Green Bay, WI 54302 | 2014-03-20 |
| 1407003577 | Abby Baumgart | Counselor | 1234-21 Main St, Green Bay, WI 54302 | 2008-08-20 |
| 1447441779 | Muller Eyecare Associates Ltd | Optometrist | 1776 E Mason St, Green Bay, WI 54302 | 2007-08-01 |
| 1851385231 | Bornemann Nursing Home Inc | Skilled Nursing Facility | 226 Bornemann St, Green Bay, WI 54302 | 2005-08-31 |
| 1194188706 | Familia Dental Green Bay LLC | Dentist | 1931 Main St., Green Bay, WI 54302 | 2016-03-31 |
| 1255710125 | Kim Lawrence | Social Worker | 1234 Main St., St 21, 3rd Floor, Green Bay, WI 54302 | 2015-05-26 |
| 1255464533 | John Muller | Optometrist | 1776 E Mason St, Green Bay, WI 54302 | 2007-03-14 |
| 1851622005 | Michael Andrew Larkey | Social Worker | 815 Reber St, Green Bay, WI 54302-1116 | 2010-01-27 |
| Find all providers in zip 54302 | ||||
| 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 |
|---|---|---|---|---|
| 1295333847 | Karen Ginnow | Pharmacist | Walmart #1908, 2292 Main St, Green Bay, WI 54311 | 2020-10-15 |
| 1396119236 | Nicole Marie Schreiner | Pharmacist | 2519 Clear Brook Cir, Green Bay, WI 54313-3997 | 2015-11-16 |
| 1265860068 | Ellen Ladowski | Pharmacist | 2786 Candle Ln, Green Bay, WI 54304-1662 | 2013-10-15 |
| 1164869038 | Jean Marie Richardson | Pharmacist | 3030 Grande Rue, Green Bay, WI 54301 | 2013-05-31 |
| 1861746018 | Lynn Marie Knute | Pharmacist | 1230 Western Meadows Dr, Green Bay, WI 54313-1324 | 2012-11-08 |
| 1114294311 | Jill Anne Guernsey | Pharmacist | 2301 S. Oneida St, Green Bay, WI 54301 | 2011-11-17 |
| 1245516293 | Jennifer Bromberek | Pharmacist | 2566 Johnny Ln, Green Bay, WI 54311-4412 | 2011-10-21 |
| 1902181035 | Laura Sewall | Pharmacist | 1150 Springhurst Dr, Suite #206, Green Bay, WI 54304-5950 | 2011-10-20 |
| 1497061352 | Daniel James Gustin | Pharmacist | 1109 Lombardi Ave, Green Bay, WI 54304 | 2010-08-28 |
| 1871707141 | Robert J Atkinson | Pharmacist | 1478 Parkway Dr, Green Bay, WI 54304-1975 | 2007-05-09 |
| Find all providers in GREEN BAY | ||||
Please comment or provide details below to improve the information on JOHN SIMONET.
| 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.