JEREMY WHALEN (NPI# 1639620834) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639620834 |
| Entity Type | Individual |
| Full Name | JEREMY WHALEN |
| Credential | PHARMD |
| Practice Address |
3300 Oakdale Ave N Robbinsdale MN 55422-2926 |
| Practice Telephone | 7635205200 |
| Practice Fax Number | 7632578356 |
| Mailing Telephone | 7635205200 |
| Mailing Fax Number | 7632578356 |
| Enumeration Date | 2016-10-23 |
| Last Update Date | 2016-10-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 119466 | MN | Pharmacy Service Providers |
| Street Address |
3300 OAKDALE AVE N |
| City | ROBBINSDALE |
| State | MN |
| Zip Code | 55422-2926 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891795928 | Brian J De Michaelis | Radiology | 3300 Oakdale Ave N, Robbinsdale, MN 55422-2926 | 2005-07-29 |
| 1861093023 | Linda Yang | Nurse Anesthetist, Certified Registered | 3300 Oakdale Ave N, Robbinsdale, MN 55422-2926 | 2020-11-04 |
| 1265033815 | Andrew Mattila | Nurse Anesthetist, Certified Registered | 3300 Oakdale Ave N, Robbinsdale, MN 55422-2926 | 2020-11-02 |
| 1760081293 | Kirk Acero Butler | Nurse Anesthetist, Certified Registered | 3300 Oakdale Ave N, Robbinsdale, MN 55422 | 2020-10-26 |
| 1366056889 | Kelly L Downes | Physician Assistant | 3300 Oakdale Ave N, Robbinsdale, MN 55422 | 2020-09-02 |
| 1568070209 | Alicia M Reichenbach | Nurse Practitioner | 3300 Oakdale Ave N, Robbinsdale, MN 55422-2926 | 2020-07-20 |
| 1427676550 | Kate Elizabeth Mastel | Nurse Practitioner | 3300 Oakdale Ave N, Robbinsdale, MN 55422-2926 | 2020-07-06 |
| 1730715707 | Amanda Evans | Physical Therapist | 3300 Oakdale Ave N, Robbinsdale, MN 55422-2926 | 2020-03-20 |
| 1417583766 | Karen R Diehl | Registered Nurse | 3300 Oakdale Ave N, Robbinsdale, MN 55422-2926 | 2020-03-19 |
| 1821624248 | Greta Danae Mousel | Registered Nurse | 3300 Oakdale Ave N, Robbinsdale, MN 55422-2926 | 2020-03-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154966794 | Trevor Velin | Chiropractor | Robin Center Chiropractic, Pa, 4080 W Broadway Ave, 310, Robbinsdale, MN 55422 | 2019-11-07 |
| 1780165134 | American Current Care of Minnesota PC | Clinic/Center | 4080 W Broadway Ave Ste 200, Robbinsdale, MN 55422 | 2018-08-23 |
| 1366928426 | Creekside Family Dental Pllc | Dentist | Giebenhain Dental Associates, P.a., 5851 Duluth Street # 103, Golden Valley, MN 55422 | 2018-07-12 |
| 1497249536 | Luke Utecht | Psychologist | 4150 Olson Memorial Hwy, Suite 420, Golden Valley, MN 55422 | 2018-06-21 |
| 1821582115 | Ajaa Oliver | Registered Nurse | 3606 Zenith Ave N, Robbinsdale, MN 55422 | 2018-06-19 |
| 1306348024 | Leila Jean Erlandson | Marriage & Family Therapist | Golden Valley Executive Center, 4284 Dahlberg Drive, Golden Valley, MN 55422 | 2018-03-08 |
| 1467969907 | Minneapolis Health Clinic Pllc | Internal Medicine | 4825 Olson Memorial Hwy., Suite 101, Golden Valley, MN 55422 | 2018-01-05 |
| 1275049116 | Lake Town Homecare, LLC | In Home Supportive Care | 4119 Scott Ave N, Robbinsdale, MN 55422 | 2017-12-14 |
| 1750894002 | Unihealth Home Care, LLC | Home Health | 1710 Douglas Dr N Ste 226j, Golden Valley, MN 55422 | 2017-11-08 |
| 1194172296 | Crosscultural Health Care Inc | Home Health | 5801 Duluth Street Suite 310, Golden Valley, MN 55422 | 2016-05-18 |
| Find all providers in zip 55422 | ||||
| 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 |
|---|---|---|---|---|
| 1730715228 | Shannon Marie Burton | Pharmacist | 4152 Lakeland Ave N, Robbinsdale, MN 55422-1832 | 2020-03-17 |
| 1326651639 | John Nguyen | Pharmacist | 4100 W Broadway Ave, Robbinsdale, MN 55422-1809 | 2020-08-26 |
| 1326590308 | Erin Kelley | Pharmacist | 3300 Oakdale Ave N, Robbinsdale, MN 55422-2926 | 2016-10-26 |
| 1184176190 | Tiffany Capouch | Pharmacist | 3300 Oakdale Ave N, Robbinsdale, MN 55422-2926 | 2016-10-26 |
| 1275934259 | Camille D'cruz | Pharmacist | 3300 Oakdale Ave N, Robbinsdale, MN 55422-2926 | 2014-09-10 |
| 1346649852 | Emily Thielges | Pharmacist | 4100 W Broadway Ave, Robbinsdale, MN 55422-1809 | 2014-08-20 |
| 1336576651 | Christina Marie Luke | Pharmacist | 3300 Oakdale Ave N, Robbinsdale, MN 55422-2926 | 2013-10-01 |
| 1063849396 | Chad Michael Novak | Pharmacist | 3300 Oakdale Ave N, Robbinsdale, MN 55422-2926 | 2013-10-01 |
| 1417382003 | Angela Wood | Pharmacist | 3300 Oakdale Ave N, Robbinsdale, MN 55422 | 2013-09-13 |
| 1679908073 | Scott Gregory Seaburg | Pharmacist | 3300 Oakdale Ave N, Robbinsdale, MN 55422-2926 | 2013-09-05 |
| Find all providers in ROBBINSDALE | ||||
| City | ROBBINSDALE |
| Zip Code | 55422 |
Please comment or provide details below to improve the information on JEREMY WHALEN.
| 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.