MELISSA PANKONIN (NPI# 1699150300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699150300 |
| Entity Type | Individual |
| Full Name | MELISSA PANKONIN |
| Credential | PHARMD. |
| Practice Address |
535 Hospital Rd New Richmond WI 54017-1449 |
| Practice Telephone | 7152432600 |
| Mailing Telephone | 7152432600 |
| Enumeration Date | 2015-07-23 |
| Last Update Date | 2020-09-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 119760 | MN | Pharmacy Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 161 Glen St., Foley, MN 56329 | 3209688625 | 3209684055 |
| Street Address |
535 HOSPITAL RD |
| City | NEW RICHMOND |
| State | WI |
| Zip Code | 54017-1449 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629055488 | Nabil P. Salama | Emergency Medicine | 535 Hospital Rd, New Richmond, WI 54017-1449 | 2005-12-22 |
| 1063049419 | Kindra Rae Witthus | Occupational Therapist | 535 Hospital Rd, New Richmond, WI 54017-1449 | 2020-03-25 |
| 1457818759 | Kimberly Graham | Nurse Practitioner | 535 Hospital Rd, New Richmond, WI 54017-1449 | 2019-02-23 |
| 1548748155 | Acacia Wimmer | Physician Assistant | 535 Hospital Rd, New Richmond, WI 54017-1449 | 2018-08-06 |
| 1669971768 | Nicole Trosen | Pharmacist | 535 Hospital Rd, New Richmond, WI 54017-1449 | 2018-02-05 |
| 1194238287 | Tuomas Aleksi Moran | Physical Therapist | 535 Hospital Rd, New Richmond, WI 54017-1449 | 2017-11-10 |
| 1730691502 | Elizabeth A Steiner | Physical Therapist | 535 Hospital Rd, New Richmond, WI 54017-1449 | 2017-11-01 |
| 1629597331 | Park Nicollet Health Care Products | Durable Medical Equipment & Medical Supplies | 535 Hospital Rd, New Richmond, WI 54017-1449 | 2017-09-13 |
| 1255860169 | Mark David Bostrom | Family Medicine | 535 Hospital Rd, New Richmond, WI 54017-1449 | 2017-06-06 |
| 1710416706 | Benjamin Ward Dummer | Family Medicine | 535 Hospital Rd, New Richmond, WI 54017-1449 | 2017-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871105619 | Matthew Michael Richard Kobriger | Marriage & Family Therapist | 1477 S Knowles Ave Suite 120, New Richmond, WI 54017 | 2020-08-22 |
| 1285148643 | River Valley Anesthesia, Inc. | Nurse Anesthetist, Certified Registered | 130 S. Knowles Ave., New Richmond, WI 54017 | 2017-11-21 |
| 1013351899 | Deerfield Care Cener, LLC | Clinic/Center | 575 Hospital Road, New Richmond, WI 54017 | 2013-04-23 |
| 1215239736 | Family Therapy Associates, LLC | Clinic/Center | 150 W. First St., Suite 270, New Richmond, WI 54017 | 2010-12-04 |
| 1255452215 | Joseph Scott Gustafson Sr. | Acupuncturist | 1475 Hwy 65, Pain Management Acupuncture of St Croix, New Richmond, WI 54017 | 2007-04-03 |
| 1467582957 | New Richmond Dental | Dentist | 1367 Campus Dr, New Richmond, WI 54017 | 2007-03-06 |
| 1588709513 | Holly Wolf | Occupational Therapist | 908 Brady Lane, New Richmond, WI 54017 | 2007-02-20 |
| 1396891867 | Jamie Marie Neumann | Physical Therapy Assistant | 535 Hospital Rd., New Richmond, WI 54017 | 2007-01-26 |
| 1467519660 | New Richmond Chiropractic Clinic Inc | Chiropractor | 446 S Knowles Ave, New Richmond, WI 54017 | 2007-01-03 |
| 1750457156 | Susan Ann Johnson | Chiropractor | 446 S. Knowles Ave, New Richmond, WI 54017 | 2006-11-28 |
| Find all providers in zip 54017 | ||||
| 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 |
|---|---|---|---|---|
| 1770842601 | Kara Lyn Klinger | Pharmacist | 1054 Sharptail Run, New Richmond, WI 54017-6364 | 2012-05-12 |
| 1144587916 | Leroy Michael Thaemert | Pharmacist | 1248 Tierney Dr, New Richmond, WI 54017-2500 | 2012-04-18 |
| 1124627013 | Patricia Helgeson | Pharmacist | 250 Richmond Way, New Richmond, WI 54017-6829 | 2020-10-21 |
| 1386242030 | Christopher Hansen | Pharmacist | 250 Richmond Way, New Richmond, WI 54017-6829 | 2020-10-14 |
| 1528666559 | James Darwin Brakke | Pharmacist | 250 Richmond Way, New Richmond, WI 54017-6829 | 2020-10-12 |
| 1669971768 | Nicole Trosen | Pharmacist | 535 Hospital Rd, New Richmond, WI 54017-1449 | 2018-02-05 |
| 1316371917 | Andrew Roger Lindloff | Pharmacist | 110 W 4th St, New Richmond, WI 54017-1722 | 2013-08-30 |
| 1821347212 | Emily C Neumann | Pharmacist | 535 Hospital Rd, New Richmond, WI 54017-1449 | 2012-08-31 |
| 1518091909 | Rachel Anne Hyman | Pharmacist | 110 W 4th St, New Richmond, WI 54017-1722 | 2007-03-15 |
| 1255484614 | James Henry Zajkowski | Pharmacist | 110 W 4th St, New Richmond, WI 54017-1722 | 2007-01-19 |
| Find all providers in NEW RICHMOND | ||||
| City | NEW RICHMOND |
| Zip Code | 54017 |
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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.