DR. DAVID HAYNES BETTS III (NPI# 1740814987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1740814987 |
Entity Type | Individual |
Full Name | DR. DAVID HAYNES BETTS III |
Credential | PHARM.D. |
Practice Address |
2470 W Mason St Green Bay WI 54303-4711 |
Mailing Address |
2104 Memorial Dr Apt 105 Howard WI 54303-1291 |
Practice Telephone | 9204940536 |
Practice Fax Number | 9204941131 |
Mailing Telephone | 8478481911 |
Enumeration Date | 2020-02-26 |
Last Update Date | 2020-02-26 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
19547-40 | WI | Suppliers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386857183 | David James Betts | Dentist | 1415 Union St, Schenectady, NY 12308-3009 | 2007-05-08 |
1922055367 | David Betts | Chiropractor | 30000 Orchard Lake Rd, Suite B, Farmington Hills, MI 48334-2252 | 2006-05-30 |
1841773587 | David Betts | Student in an Organized Health Care Education/Training Program | 1131 Ionia Ave Nw, Grand Rapids, MI 49503-1020 | 2018-09-10 |
1306324629 | David Betts | Social Worker | 1111 E End Blvd, Wilkes Barre, PA 18711-0030 | 2018-07-30 |
1588615900 | David Anthony Betts | Nurse Anesthetist, Certified Registered | 200 Hawthorne Lane, Charlotte, NC 28204 | 2006-05-12 |
Street Address |
2470 W MASON ST |
City | GREEN BAY |
State | WI |
Zip Code | 54303-4711 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528085693 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 2470 W Mason St, Green Bay, WI 54303-4711 | 2006-07-16 |
1093128365 | Paula Hart | Dental Hygienist | 2470 W Mason St, Green Bay, WI 54303-4711 | 2014-06-04 |
1033214275 | Sam's Club Optical | Technician/Technologist | 2470 W Mason St, Green Bay, WI 54303-4711 | 2006-09-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952921033 | Ashley Marie Vandermoss | Social Worker | 1601 W Mason Street, Green Bay, WI 54303 | 2020-04-20 |
1598307423 | Jean Marie Castaneda | Case Manager/Care Coordinator | 2517 N. Court, Green Bay, WI 54303 | 2019-10-11 |
1215579552 | Integrated Treatment Centers, LLC | Clinic/Center | 2311 W Mason Street, Green Bay, WI 54303 | 2019-10-08 |
1003460551 | Affordable Dentures & Implants - Green Bay, S.c. | Dentist | 1800-c W. Mason Street, Green Bay, WI 54303 | 2019-08-01 |
1164940375 | Kaeley Rae Blaney | Student in an Organized Health Care Education/Training Program | 2088 Memorial Drive #208, Green Bay, WI 54303 | 2017-09-07 |
1518498047 | Treatment Providers LLC | Clinic/Center | 2731 N Packerland Dr Ste A, Green Bay, WI 54303 | 2017-03-26 |
1851840565 | Back To Balance Chiropractic, LLC | Chiropractor | 110 Packerland Drive, Suite B, Green Bay, WI 54303 | 2016-09-23 |
1710361001 | Matthew Lemay | Acupuncturist | 727 E Walnut, Suite B2, Green Bay, WI 54303 | 2015-07-16 |
1144600149 | Carrie Jean Banaszak | Counselor | 1039 Mason Street, Green Bay, WI 54303 | 2015-06-04 |
1174921993 | Kensey Meyer | Occupational Therapy Assistant | 1555 Dousman Road, Seymour, WI 54303 | 2014-12-10 |
Find all providers in zip 54303 |
Taxonomy Code | 3336C0003X |
Grouping | Suppliers |
Classification | Pharmacy |
Specialization | Community/Retail Pharmacy |
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
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: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134500226 | Salvanz Enterprises Inc | Pharmacy | 2673 Lineville Road, Green Bay, WI 54313 | 2015-06-15 |
1366459307 | Walgreen Co | Pharmacy | 1995 Main St, Green Bay, WI 54302-3920 | 2006-08-02 |
1881637056 | Wisconsin Cvs Pharmacy LLC | Pharmacy | 2400 Velp Ave, Green Bay, WI 54303-6534 | 2006-06-14 |
1447291315 | Wisconsin Cvs Pharmacy LLC | Pharmacy | 1561 W Mason St, Green Bay, WI 54303-2215 | 2006-06-09 |
1265473136 | Wisconsin Cvs Pharmacy LLC | Pharmacy | 2222 S Webster Ave, Green Bay, WI 54301-2100 | 2006-06-09 |
1689164725 | Walgreen Co | Pharmacy | 500 E Walnut St, Green Bay, WI 54301 | 2018-05-15 |
1184051948 | Shopko | Pharmacy | 301 Bay Park Sq, Green Bay, WI 54304-5104 | 2013-10-10 |
1235486028 | Bel-regional Home Medical Inc. | Pharmacy | 3263 Eaton Rd, Green Bay, WI 54311-6830 | 2012-08-10 |
1891022893 | Roundys Supermarkets Inc | Pharmacy | 1291 Lombardi Access Rd, Green Bay, WI 54304-4046 | 2009-11-11 |
1760628655 | Bel-regional Home Medical Inc | Pharmacy | 3263 Eaton Rd, Green Bay, WI 54311-6830 | 2008-12-23 |
Find all providers in GREEN BAY |
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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.