MR. DOUGLAS PAUL BEAVER (NPI# 1689769598) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689769598 |
| Entity Type | Individual |
| Full Name | MR. DOUGLAS PAUL BEAVER |
| Other Name | MR. DOUGLAS PAUL HUG |
| Credential | PHARMD. |
| Practice Address |
N6520 Lumberjack Guy Rd Black River Falls WI 54615-5405 |
| Practice Telephone | 7152849851 |
| Practice Fax Number | 7152842293 |
| Mailing Telephone | 7152849851 |
| Mailing Fax Number | 7152842293 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2012-04-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
14094-40 | WI | Pharmacy Service Providers |
| Street Address |
N6520 LUMBERJACK GUY RD |
| City | BLACK RIVER FALLS |
| State | WI |
| Zip Code | 54615-5405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871519579 | Charles Lau | Dentist | N6520 Lumberjack Guy Rd, Dept of Health, Black River Falls, WI 54615-5405 | 2006-07-14 |
| 1538794284 | Jennifer Lynn Hastings | Counselor | N6520 Lumberjack Guy Rd, Black River Falls, WI 54615-5405 | 2020-03-03 |
| 1578101762 | Brianna Wing | Registered Nurse | N6520 Lumberjack Guy Rd, Black River Falls, WI 54615-5405 | 2019-12-18 |
| 1922565803 | Hussein Cheikhali | Pharmacist | N6520 Lumberjack Guy Rd, Black River Falls, WI 54615-5405 | 2019-02-27 |
| 1710442892 | Valerie Miranda Carrimon | Counselor | N6520 Lumberjack Guy Rd, Black River Falls, WI 54615-5405 | 2019-02-04 |
| 1437636735 | Michelle Lee Schoolcraft | Counselor | N6520 Lumberjack Guy Rd, Black River Falls, WI 54615 | 2018-07-19 |
| 1689114712 | Trisha A Jacox | Registered Nurse | N6520 Lumberjack Guy Rd, Black River Falls, WI 54615-5405 | 2017-03-08 |
| 1437698966 | Serena Jahnke-berg | Registered Nurse | N6520 Lumberjack Guy Rd, Black River Falls, WI 54615-5405 | 2017-02-16 |
| 1205371846 | Fawnah W Bish | Registered Nurse | N6520 Lumberjack Guy Rd, Black River Falls, WI 54615-5405 | 2017-01-05 |
| 1356704787 | Rachel Marie Lundberg | Optometrist | N6520 Lumberjack Guy Rd, Black River Falls, WI 54615-5405 | 2016-04-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104339118 | Lori Jean Mohring | Counselor | 420 Wi-54, Black River Falls, WI 54615 | 2017-11-13 |
| 1184095788 | Robert Anthony Zupancich | Pharmacist | 611 Hwy 54 East, Black River Falls, WI 54615 | 2015-10-08 |
| 1932545902 | Hera Jane Lonetree-rindahl | Counselor | W9850 Airport Rd, Black River Falls, WI 54615 | 2013-05-17 |
| 1902141344 | Mary Jane Jones | Pharmacist | 610 West Adams St., Black River Falls, WI 54615 | 2012-12-11 |
| 1285905844 | Vera Ellen Heubel | Registered Nurse | N6520 Lumber Jack Guy Road, Black River Falls, WI 54615 | 2012-01-13 |
| 1295048361 | Megan Ryan | Dentist | N6571 Lumberjack Guy Road, Black River Falls, WI 54615 | 2010-07-19 |
| 1912147828 | Evangeline M Suquet | Counselor | W9850 Airport Road, Black River Falls, WI 54615 | 2009-03-05 |
| 1407091192 | Holly Kay Rodenberg | Registered Nurse | N6520 Lumber Jack Guy Rd, Black River Falls, WI 54615 | 2008-12-09 |
| 1841467636 | Pamela Listle | Speech-Language Pathologist | 711 West Adams St., Black River Falls, WI 54615 | 2008-05-12 |
| 1285778969 | Black River Family Dentistry Ltd | Dentist | N6625 County Hwy A, Black River Falls, WI 54615 | 2007-02-16 |
| Find all providers in zip 54615 | ||||
| Taxonomy Code | 1835P1200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacotherapy |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295123735 | Nate Smith | Pharmacist | 2536 Kendall Ave, Madison, WI 53705-3847 | 2015-01-07 |
| 1710382809 | Betsy Hoida | Pharmacist | 2485 Greenbrier Rd., Green Bay, WI 54311 | 2014-10-31 |
| 1497187181 | Sarah J Wilczek | Pharmacist | 699 S Green Bay Rd, Neenah, WI 54956-3153 | 2013-08-05 |
| 1528311206 | Meaghan A Mcmurray | Pharmacist | 10932 N Port Washington Rd, Mequon, WI 53092-5031 | 2012-10-18 |
| 1417225731 | Lisa Marie Mlodzik | Pharmacist | 1316 30th Ct, Kenosha, WI 53144-3064 | 2011-12-01 |
| 1083891584 | Tricia Lyn Dissmore | Pharmacist | 806 Greenwood St, Holmen, WI 54636-8003 | 2008-01-28 |
| 1477608354 | Allan T. Mailloux | Pharmacist | 10 E Doty St Ste 210, Madison, WI 53703-3354 | 2007-01-24 |
| 1518062884 | Kristin Ann Higgins | Pharmacist | 726 London Rd, Deerfield, WI 53531-9572 | 2006-09-13 |
| 1295849420 | Brian D Schafer | Pharmacist | 129 Old Abe Road, Lac Du Flambeau, WI 54538 | 2006-08-17 |
| 1619985983 | Anthony G Staresinic | Pharmacist | 2650 Novation Pkwy, Suite 400, Madison, WI 53713-3399 | 2006-08-03 |
| Find all providers with the same taxonomy | ||||
| City | BLACK RIVER FALLS |
| Zip Code | 54615 |
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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.