JESSICA NELLIE WOLF (NPI# 1649409897) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1649409897 |
Entity Type | Individual |
Full Name | JESSICA NELLIE WOLF |
Credential | PHARMD, RPH |
Practice Address |
1028 Horicon St Mayville WI 53050-1429 |
Practice Telephone | 9203877800 |
Practice Fax Number | 9203877809 |
Mailing Telephone | 9203877800 |
Mailing Fax Number | 9203877809 |
Enumeration Date | 2009-07-09 |
Last Update Date | 2009-07-09 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 183500000X | Pharmacist | 5302036192 | MI | Pharmacy Service Providers |
Y | 183500000X | Pharmacist | 15604-40 | WI | Pharmacy Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245576842 | Jessica M Wolf | Registered Nurse | 3530 S River Glen Ln, Apartment 8, Greenfield, WI 53228-1190 | 2012-12-31 |
1912990565 | Jessica Ann Wolf | Chiropractor | 103 West Glynn Drive, Parkston, SD 57366 | 2005-08-30 |
1912519307 | Jessica Lynn Wolf | Pharmacist | 7020 Massachusetts Ave, New Port Richey, FL 34653-2930 | 2020-08-18 |
1104441252 | Jessica Wolf | Psychiatry & Neurology | 1725 W Harrison St Ste 1118, Chicago, IL 60612-3845 | 2020-06-15 |
1811522006 | Jessica Wolf | Social Worker | 200 1st St Sw, Rochester, MN 55905-0001 | 2020-03-08 |
1568973279 | Jessica Wolf | Counselor | 502 S Morris Ave, Bloomington, IL 61701-4884 | 2017-10-20 |
1740652650 | Jessica Wolf | Social Worker | 314 S Manning Blvd, Albany, NY 12208-1708 | 2015-10-30 |
1497127344 | Jessica Wolf | Physical Therapy Assistant | 2701 Chestnut Station Ct, Louisville, KY 40299-6395 | 2015-10-29 |
1184090839 | Jessica Wolf | Occupational Therapy Assistant | 4403 Forest Hill Ave, Richmond, VA 23225-3241 | 2015-08-17 |
1184774697 | Jessica A Wolf | Nurse Anesthetist, Certified Registered | 4231 W 16th Ave, Denver, CO 80204-1335 | 2007-01-10 |
Street Address |
1028 HORICON ST |
City | MAYVILLE |
State | WI |
Zip Code | 53050-1429 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841399730 | Marshland Drugs Inc | Pharmacy | 1028 Horicon St, Mayville, WI 53050-1429 | 2006-09-21 |
1083917462 | Lynne Ann Dittman | Pharmacist | 1028 Horicon St, Mayville, WI 53050-1429 | 2010-12-07 |
1053576041 | Angela N Katzfuss | Pharmacist | 1028 Horicon St, Mayville, WI 53050-1429 | 2008-07-19 |
1881876910 | Sarah Jo Mireski | Pharmacist | 1028 Horicon St, Mayville, WI 53050-1429 | 2007-11-30 |
1205018785 | Staci Marie Williams | Pharmacist | 1028 Horicon St, Mayville, WI 53050-1429 | 2007-11-27 |
1639351141 | Erica Elaine Rodd | Pharmacist | 1028 Horicon St, Mayville, WI 53050-1429 | 2007-11-27 |
1346430899 | Ellen Maxwell | Pharmacist | 1028 Horicon St, Mayville, WI 53050-1429 | 2007-07-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639728496 | Quad/med, LLC | Clinic/Center | 725 South Street, Mayville, WI 53050 | 2019-09-05 |
1427262989 | Ellen Anne Demeyer | Occupational Therapist | 305 S. Clark St., Mayville, WI 53050 | 2007-05-10 |
1477683142 | Horicon Street Chiropractic, S.c. | Chiropractor | 935 Horicon St., Mayville, WI 53050 | 2007-03-06 |
1649316514 | Cyndi L Jurgensen | Chiropractor | 935 Horicon, Mayville, WI 53050 | 2007-01-29 |
1164841110 | Shopko Stores Operating Co LLC | Durable Medical Equipment & Medical Supplies | 2050 Horicon St, Mayville, WI 53050 | 2014-04-07 |
1194032383 | Jennifer Radke | Occupational Therapy Assistant | 210 Mary St, Apt. 103, Mayville, WI 53050-1080 | 2010-09-09 |
1841733474 | Joy Wagner | Marriage & Family Therapist | 668 N Main St Ste 7, Mayville, WI 53050-1249 | 2016-11-30 |
1255953923 | Healing Relationships LLC | Marriage & Family Therapist | 668 N Main St Ste 7, Mayville, WI 53050-1249 | 2020-05-15 |
1851396931 | James John Herget | Dentist | 1766 Horicon St, Mayville, WI 53050-1256 | 2005-06-16 |
1649484528 | Amy Karin Kulig | Pharmacist | 2050 Horicon St, Mayville, WI 53050-1423 | 2007-05-09 |
Find all providers in zip 53050 |
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 |
---|---|---|---|---|
1306190269 | Erin Williams | Pharmacist | 1448 Horicon St, Mayville, WI 53050-1467 | 2012-10-30 |
1831371087 | Andrew J Cesarz | Pharmacist | 40 S Erie St, Mayville, NY 14757-1110 | 2007-11-29 |
1649484528 | Amy Karin Kulig | Pharmacist | 2050 Horicon St, Mayville, WI 53050-1423 | 2007-05-09 |
1003878513 | Leslie Diane Johnson | Pharmacist | 99 E Chautauqua St, Suite 3, Mayville, NY 14757-1017 | 2006-04-03 |
1205458171 | Deborah Huber | Pharmacist | 315 E Main St, Mayville, MI 48744-9105 | 2020-05-13 |
1285917252 | Peggy Ann Mann | Pharmacist | 40 S Erie St, Mayville, NY 14757-1110 | 2011-09-26 |
1083917462 | Lynne Ann Dittman | Pharmacist | 1028 Horicon St, Mayville, WI 53050-1429 | 2010-12-07 |
1053576041 | Angela N Katzfuss | Pharmacist | 1028 Horicon St, Mayville, WI 53050-1429 | 2008-07-19 |
1346424942 | Cathy A Carpenter | Pharmacist | 40 S Erie St, Mayville, NY 14757-1110 | 2007-12-19 |
1881876910 | Sarah Jo Mireski | Pharmacist | 1028 Horicon St, Mayville, WI 53050-1429 | 2007-11-30 |
Find all providers in MAYVILLE |
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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.