MR. TERRYL ENSIGN (NPI# 1770593147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770593147 |
| Entity Type | Individual |
| Full Name | MR. TERRYL ENSIGN |
| Credential | R.PH |
| Practice Address |
211 W Monroe St Bangor MI 49013-1330 |
| Mailing Address |
115 Windmill Way Battle Creek MI 49017-3145 |
| Practice Telephone | 2694277706 |
| Practice Fax Number | 2694275752 |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 5302018624 | MI | Pharmacy Service Providers |
| Street Address |
211 W MONROE ST |
| City | BANGOR |
| State | MI |
| Zip Code | 49013-1330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104930486 | Celia Lopez | Pharmacy Technician | 211 W Monroe St, Bangor, MI 49013-1330 | 2006-08-17 |
| 1013929488 | Tina Marie Mitchell | Pharmacy Technician | 211 W Monroe St, Bangor, MI 49013-1330 | 2006-08-13 |
| 1316959943 | Pamela Lynn Arkauskas | Pharmacy Technician | 211 W Monroe St, Bangor, MI 49013-1330 | 2006-08-12 |
| 1174535652 | Debra Shine | Pharmacy Technician | 211 W Monroe St, Bangor, MI 49013-1330 | 2006-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083237051 | Twin Doves I LLC | Community Based Residential Treatment Facility, Mental Illness | 48617 36th Ave., Bangor, MI 49013 | 2020-05-25 |
| 1629252895 | Van Buren Cass District Health Department | Community/Behavioral Health | 803 West Arlington, Bangor Health Center, Bangor, MI 49013 | 2007-12-24 |
| 1245426808 | Karen Lee Replogle | Registered Nurse | 52101 34th Avenue, Bangor, MI 49013 | 2007-09-18 |
| 1518152560 | Virginia Douglas | Registered Nurse | 52101 34 Avenue, Bangor, MI 49013 | 2007-09-12 |
| 1992818835 | Intercare Community Health Network | Clinic/Center | 308 Charles St, Bangor, MI 49013 | 2006-08-16 |
| 1326058512 | Intercare Community Health Network | Clinic/Center | 50 Industrial Park Dr, Bangor, MI 49013 | 2006-08-09 |
| 1962439950 | Michele E Allen | Dentist | 308 Charles Street, Bangor, MI 49013 | 2006-06-27 |
| 1366051898 | Kasie M Broe | Social Worker | 52101 34th Avenue, Bangor, MI 49013 | 2020-07-30 |
| 1255985966 | Audria Gilliland | Registered Nurse | 52101 34th Avenue, Bangor, MI 49013 | 2019-07-31 |
| 1417319476 | Terri Lynn Harbin Ilg | Dental Hygienist | 308 Charles Street, Intercare Community Health Network, Bangor, MI 49013 | 2016-03-28 |
| Find all providers in zip 49013 | ||||
| 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 |
|---|---|---|---|---|
| 1336709377 | Jordan Christine Anderson | Pharmacist | 183 Center St, Bangor, ME 04401-4839 | 2019-06-20 |
| 1275056509 | Corey Michael Taylor | Pharmacist | 66 Court St Apt C, Bangor, ME 04401-4765 | 2017-07-19 |
| 1104372572 | Keith Robert Fairall | Pharmacist | 525 Fox Gap Rd, Bangor, PA 18013-5832 | 2016-08-26 |
| 1851761803 | Reagan Scott | Pharmacist | 111 Allen St Apt 4, Bangor, ME 04401-4477 | 2015-10-03 |
| 1144535352 | Lawrence A Sandi | Pharmacist | 682 Ohio St Apt 45, Bangor, ME 04401-3198 | 2010-08-11 |
| 1356675391 | Daniela Desantis | Pharmacist | 566 Union St, Bangor, ME 04401-3752 | 2009-09-23 |
| 1306076583 | Harini Pappu | Pharmacist | 226 Union St, Bangor, ME 04401-6160 | 2009-07-21 |
| 1629215470 | Shelly A Turner | Pharmacist | 438 Birch St, Bangor, ME 04401-4028 | 2009-01-15 |
| 1104092824 | Joyce Anna Beery | Pharmacist | 450 Blue Valley Dr, Bangor, PA 18013-1525 | 2008-05-02 |
| 1265537534 | Robin Brittelli | Pharmacist | 1012 Union St., Ste 5, Bangor, ME 04401-0000 | 2006-09-13 |
| Find all providers in BANGOR | ||||
Please comment or provide details below to improve the information on MR. TERRYL ENSIGN.
| 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.