SETH EVANS (NPI# 1730788555) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730788555 |
| Entity Type | Individual |
| Full Name | SETH EVANS |
| Credential | PHARMD |
| Practice Address |
W12802 County Road A Bowler WI 54416-9551 |
| Mailing Address |
787 Sunlite Dr Oneida WI 54155-9278 |
| Practice Telephone | 7157935027 |
| Enumeration Date | 2020-10-22 |
| Last Update Date | 2020-10-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | 20113-40 | WI | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831438258 | Seth Evans | Counselor | 1565 Bethel Rd., Suite 200, Columbus, OH 43220 | 2013-02-05 |
| 1083825467 | Seth H Evans | Otolaryngology | 1180 Seton Parkway, Suite 330, Kyle, TX 78640-6179 | 2007-05-25 |
| Street Address |
W12802 COUNTY ROAD A |
| City | BOWLER |
| State | WI |
| Zip Code | 54416-9551 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063512382 | Debra Anne Safford | Nurse Practitioner | W12802 County Road A, Bowler, WI 54416-9551 | 2006-09-25 |
| 1619455607 | Krystyna Diane Ostrowski | Nurse Practitioner | W12802 County Road A, Bowler, WI 54416-9551 | 2018-08-01 |
| 1053854885 | Casey Mitchell | Dietitian, Registered | W12802 County Road A, Bowler, WI 54416-9551 | 2016-11-28 |
| 1174976179 | Sheena Spencer | Dental Hygienist | W12802 County Road A, Bowler, WI 54416-9551 | 2016-07-14 |
| 1164821260 | Katie Kaczmarski | Pharmacist | W12802 County Road A, Bowler, WI 54416-9551 | 2014-08-14 |
| 1124359872 | Kristin A D'acquisto | Dental Hygienist | W12802 County Road A, Bowler, WI 54416-9551 | 2010-01-20 |
| 1033440953 | Mary Rose Murray | Dietitian, Registered | W12802 County Road A, Bowler, WI 54416-9551 | 2010-01-15 |
| 1033367685 | Toni L Montez | Dental Hygienist | W12802 County Road A, Bowler, WI 54416-9551 | 2008-09-08 |
| 1740438688 | Mary K Danner | Dental Hygienist | W12802 County Road A, Bowler, WI 54416-9551 | 2008-09-04 |
| 1215185152 | Brandi J Hohn | Dental Hygienist | W12802 County Road A, Bowler, WI 54416-9551 | 2008-09-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730602442 | Jennifer Potts | Counselor | 6200 Excelsior Blvd Ste 204, St. Louis Park, MN 54416 | 2017-07-25 |
| 1285020701 | Donna L Powless | Counselor | W12802 Cty Hwy A, Bowler, WI 54416 | 2015-04-10 |
| 1174518385 | Thomas Paul Wargo | Chiropractor | W12802 County Highway A, Bowler, WI 54416 | 2005-09-14 |
| 1629070180 | Stockbridge Munsee Community | Clinic/Center | W12802 Cty Rd A, Bowler, WI 54416 | 2005-08-15 |
| 1720646433 | Jodie Colleen Skenandore | Counselor | W12802 County Highway A, Bowler, WI 54416 | 2019-05-29 |
| 1033677216 | Marlene B Miller | Counselor | W12802 County Highway A, Bowler, WI 54416 | 2019-03-07 |
| 1952891020 | Whitney Marie Schreiber | Registered Nurse | W12802 Cty Hwy A, Bowler, WI 54416 | 2018-05-15 |
| 1245686047 | Stockbridge Munsee Health and Wellness Center | Clinic/Center | W12802 Cty Hwy A, Bowler, WI 54416 | 2016-05-11 |
| 1013398387 | Paul Favela | Dentist | W12802 Cty Hwy A, Bowler, WI 54416 | 2015-06-12 |
| 1659767382 | Stockbridge-munsee Health and Wellness Center | Clinic/Center | W12802 County Highway A, Bowler, WI 54416 | 2015-04-09 |
| Find all providers in zip 54416 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497355002 | Long Life Pharmacy 2 LLC | Pharmacy | 1225 W Historic Mitchell St Ste 217, Milwaukee, WI 53204-3382 | 2020-11-01 |
| 1710527783 | Sage Specialty Pharmacy Inc. | Pharmacy | 4001 N. Oakland Ave, Shorewood, WI 53211 | 2020-01-08 |
| 1790333623 | Froedtert Health Pharmacy LLC | Pharmacy | 9200 W Wisconsin Ave Ste 200w, Milwaukee, WI 53226-3522 | 2019-09-04 |
| 1225686405 | Froedtert Health Pharmacy LLC | Pharmacy | 9200 W Wisconsin Ave Ste 200c, Milwaukee, WI 53226-3522 | 2019-08-30 |
| 1134777337 | Froedtert Health Pharmacy LLC | Pharmacy | 11430 N Port Washington Rd Ste 103, Mequon, WI 53092-3414 | 2019-08-30 |
| 1619524766 | University Rx LLC | Pharmacy | 133 E College Ave, Appleton, WI 54911 | 2019-08-23 |
| 1053967026 | Accurabenefits, LLC | Pharmacy | 2413 Woodland Ter, Neenah, WI 54956-4824 | 2019-08-14 |
| 1184276917 | St. Clare Health Mission Pharmacy | Pharmacy | 916 Ferry St, La Crosse, WI 54601-4717 | 2019-07-11 |
| 1851851141 | Dean Retail Services, Inc. | Pharmacy | 740 Reena Ave Ste 300, Fort Atkinson, WI 53538-3145 | 2019-03-22 |
| 1093287237 | Del Mar Pharmacy Sc | Pharmacy | 1000 S Cesar E Chavez Dr, Milwaukee, WI 53204-2203 | 2018-12-28 |
| Find all providers with the same taxonomy | ||||
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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.