MRS. PAMELA ANN KISSEL (NPI# 1730423880) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730423880 |
| Entity Type | Individual |
| Full Name | MRS. PAMELA ANN KISSEL |
| Credential | RPH |
| Practice Address |
2635 Eastern Ave Plymouth WI 53073-4270 |
| Mailing Address |
2635 Eastern Ave P.o. Box 470 Plymouth WI 53073-4270 |
| Practice Telephone | 9208931442 |
| Practice Fax Number | 9208939880 |
| Mailing Telephone | 9208931442 |
| Mailing Fax Number | 9208939880 |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2012-11-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 9951-40 | WI | Pharmacy Service Providers |
| Street Address |
2635 EASTERN AVE |
| City | PLYMOUTH |
| State | WI |
| Zip Code | 53073-4270 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235552654 | Steven Adams | Pharmacist | 2635 Eastern Ave, Plymouth, WI 53073-4270 | 2014-01-22 |
| 1508100264 | Heather Lynne Steinhardt | Pharmacist | 2635 Eastern Ave, Plymouth, WI 53073-4270 | 2012-11-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245889914 | Patricia M. Stone | Technician | 440 Stoneybrook Lane, Plymouth, WI 53073 | 2019-09-05 |
| 1801387501 | Kwon Yang | Dentist | W 9071 Forest Drive, Plymouth, WI 53073 | 2018-05-29 |
| 1396258752 | Advanced Dental Care Clinic Sc | Clinic/Center | 62 S Pleasant View Road, Plymouth, WI 53073 | 2017-11-08 |
| 1164888004 | Lukresse Tatiana Kouam Tchuendem | Registered Nurse | 236 N Milwaukee St, Plymoth, WI 53073 | 2016-01-07 |
| 1831447424 | Lori Ann Schuette | Registered Nurse | 406 Summit Street, Plymouth, WI 53073 | 2012-08-29 |
| 1821360967 | Kristine Marie Van Ess | Case Manager/Care Coordinator | 7135 Rocky Knoll Pkwy, Plymouth, WI 53073 | 2012-02-06 |
| 1750699708 | Shannon Diamond | Physical Therapist | 825 Walton Drive, Plymouth, WI 53073 | 2010-09-23 |
| 1306088265 | Lacey Lyn Schafer | Nurse Practitioner | W9071 Forest Dr, Plymouth, WI 53073 | 2009-03-24 |
| 1275780868 | Stella D. Kaas-lallensack | Occupational Therapist | W5774 Garton Rd, Plymouth, WI 53073 | 2008-08-26 |
| 1912172248 | Judith A Nelson | Registered Nurse | N7116 County Road E, Plymouth, WI 53073 | 2008-04-28 |
| Find all providers in zip 53073 | ||||
| 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 |
|---|---|---|---|---|
| 1194331801 | Mohamed Nasser | Pharmacist | 48923 Tuscan Hills Dr, Plymouth, MI 48170-4885 | 2020-09-17 |
| 1114552379 | Molly M Mahoney | Pharmacist | 4110 Juneau Lane N, Plymouth, MN 55446 | 2020-03-09 |
| 1396383964 | Ranim Altaki | Pharmacist | 4980 Garland Ct N Apt C, Plymouth, MN 55446-2458 | 2019-12-14 |
| 1811547748 | Steven N Wolff | Pharmacist | Walmart #1978, 2505 North Oak Drive, Plymouth, IN 46563 | 2019-09-12 |
| 1467001917 | Timothy Charles Krause | Pharmacist | 4360 Kingsview Ln N, Plymouth, MN 55446-2734 | 2019-09-07 |
| 1932663234 | Allison Barker | Pharmacist | 6055 Nathan Ln N # 200a, Plymouth, MN 55442-1674 | 2019-01-31 |
| 1114398948 | Sapna Sutariya | Pharmacist | 47751 N Territorial Rd, Plymouth, MI 48170 | 2015-10-20 |
| 1831581172 | Susan Anderson | Pharmacist | 4005 Vinewood Lane N, Walgreens 02767, Plymouth, MN 55442 | 2015-02-24 |
| 1427453125 | Samuel David Fine | Pharmacist | 4070 Goldenrod Ln, Plymouth, MN 55441 | 2014-10-24 |
| 1073912630 | Rachel Riley | Pharmacist | 4175 Vinewood Ln N # 16191, Plymouth, MN 55442-2624 | 2014-08-20 |
| Find all providers in PLYMOUTH | ||||
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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.