ROBERTA A FREITAG (NPI# 1639252562) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639252562 |
| Entity Type | Individual |
| Full Name | ROBERTA A FREITAG |
| Other Name | ROBERTA AMUNDSON |
| Credential | R.PH., CGP |
| Practice Address |
2750n Thayer Rd Birchwood WI 54817 |
| Practice Telephone | 7153543961 |
| Mailing Telephone | 7153543961 |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2011-09-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 9734-040 | WI | Pharmacy Service Providers |
| N | 1835G0303X |
Pharmacist Specialization: Geriatric |
9734-040 | WI | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366517922 | Roberta Freitag | Social Worker | 721 American Ave, Suite 501, Waukesha, WI 53188-5071 | 2006-11-21 |
| Street Address |
2750N THAYER RD |
| City | BIRCHWOOD |
| State | WI |
| Zip Code | 54817 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578722385 | Rick D Freitag | Radiology | 2750n Thayer Rd, Birchwood, WI 54817 | 2008-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609320878 | Leann Ellingson | Registered Nurse | W 725 Cth D, Birchwood, WI 54817 | 2016-08-05 |
| 1477655702 | Village of Birchwood | Ambulance | 101 North Main Street, Birchwood, MN 54817 | 2006-09-05 |
| 1497231849 | Danielle Vanark | Dental Hygienist | 108 S Main Street, Birchwood, WI 54817 | 2018-07-18 |
| 1699251801 | Kathryn Langevin | Dentist | 108 S Main Street, Birchwood, WI 54817 | 2018-07-11 |
| 1750878542 | The Lakes Community Health Center, Inc | Clinic/Center | 108 S Main St, Birchwood, WI 54817 | 2018-04-17 |
| 1013165901 | Birchwood Four Corners Emergency Services District | Ambulance | 101 N Main St, Birchwood, WI 54817 | 2008-09-04 |
| 1770653651 | John M Kane | Dentist | 108 S Main Street, Birchwood, WI 54817 | 2006-11-08 |
| 1508024340 | Birchwood Four Corners Emergency Services District | Ambulance | 119 W Park Ave, Birchwood, WI 54817-8601 | 2008-05-29 |
| 1851570626 | School District of Birchwood | Local Education Agency (LEA) | 300 S Wilson St, Birchwood, WI 54817-8841 | 2007-10-30 |
| 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 |
|---|---|---|---|---|
| 1578164349 | Lynn Huynh | Pharmacist | 5695 Washington Ave, Racine, WI 53406 | 2020-11-06 |
| 1346841822 | Tam Dinh | Pharmacist | 7480 Karth Ct, Franklin, WI 53132-8509 | 2020-11-02 |
| 1356940845 | Colette A. Probasco | Pharmacist | N1021 Blues Ln, Hortonville, WI 54944-9265 | 2020-10-26 |
| 1104425784 | Seang Foo | Pharmacist | 875 E Wisconsin Ave # Ms 2870, Milwaukee, WI 53202-5404 | 2020-10-23 |
| 1053910067 | Mary Ellen F Pumper | Pharmacist | 861 County Rd F, Berlin, WI 54923 | 2020-10-21 |
| 1609475607 | Suchart Thammahong | Pharmacist | 734 Mclean Drive, Madison, Wi, WI 53718 | 2020-10-21 |
| 1427657493 | Sarah R. Kozikowski | Pharmacist | 226100 Rib Mountain Dr, Wausau, WI 54401-3346 | 2020-10-21 |
| 1063011252 | Kelsey Eickstaedt | Pharmacist | 15594 State Hwy 77, Hayward, WI 54843 | 2020-10-20 |
| 1295334373 | James Michael Branning | Pharmacist | 226200 Rib Mountain Dr, Wausau, WI 54401-3347 | 2020-10-20 |
| 1174122576 | Paul Suiven Mbinglo | Pharmacist | 6237 94th Ct, Kenosha, WI 53142-8225 | 2020-10-19 |
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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.