STEPHEN DOUGLAS HERBST (NPI# 1770805111) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770805111 |
| Entity Type | Individual |
| Full Name | STEPHEN DOUGLAS HERBST |
| Credential | PHARMD |
| Practice Address |
801 N Rochester St Mukwonago WI 53149-1142 |
| Practice Telephone | 2623634001 |
| Practice Fax Number | 2623635699 |
| Mailing Telephone | 2623634001 |
| Mailing Fax Number | 2623635699 |
| Enumeration Date | 2010-02-26 |
| Last Update Date | 2010-02-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | S013150 | AZ | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | 13448-040 | WI | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376662460 | Stephen Henry Herbst | Chiropractor | 206 Ash Street, Van Buren, MO 63965 | 2007-03-28 |
| Street Address |
801 N ROCHESTER ST |
| City | MUKWONAGO |
| State | WI |
| Zip Code | 53149-1142 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568501609 | Miller Pharmacy, Inc. | Pharmacist | 801 N Rochester St, Mukwonago, WI 53149-1142 | 2007-02-05 |
| 1396068201 | David C Brown | Pharmacist | 801 N Rochester St, Mukwonago, WI 53149-1142 | 2010-03-05 |
| 1700109873 | Tracy Lyn Anonich | Pharmacist | 801 N Rochester St, Mukwonago, WI 53149-1142 | 2010-03-03 |
| 1598087926 | Patricia Ann Vandehey | Pharmacist | 801 N Rochester St, Mukwonago, WI 53149-1142 | 2010-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720433790 | Orthopaedic Associates of Wisconsin Sc | Physical Medicine & Rehabilitation | 1231 S Rochester St Ste 100, Mukwonago, WI 53149 | 2016-04-27 |
| 1952724304 | Therapeutic Healing, LLC | Clinic/Center | S77 W30705 Mosher Dr., Mukwonago, WI 53149 | 2014-01-21 |
| 1659667087 | Joan Maria Stevenson | Occupational Therapist | 111 Aktinson St., Unit 2, Mukwonago, WI 53149 | 2011-06-23 |
| 1770873515 | Kimberly Lynn Schmor | Licensed Practical Nurse | 833 Pinehurst Dr, Mukwonago, WI 53149 | 2011-04-13 |
| 1952619959 | Jennifer Ann Crnkovich | Nurse Practitioner | W307 S7835 Applewood Lane, Mukwonago, WI 53149 | 2010-09-24 |
| 1841460839 | Wendy Schmidt | Occupational Therapist | 1231 S Rochester St Ste 210, Mukwonago, WI 53149 | 2008-03-05 |
| 1659589570 | Pamela Ann Mcwilliams | Dentist | 603 North Rochester St., Mukwonago, WI 53149 | 2007-05-21 |
| 1891823787 | Rosalind J Boyer-cole | Anesthesiology | S86w26640 Rustic View Ln, Mukwonago, WI 53149 | 2007-03-01 |
| 1184777435 | Michael F Connor | Dentist | 603 N Rochester Street, Mukwonago, WI 53149 | 2007-01-19 |
| 1912057159 | Leah Mary Hudson | Occupational Therapist | 103 Apollo Ct, Mukwonago, WI 53149 | 2007-01-11 |
| Find all providers in zip 53149 | ||||
| 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 |
|---|---|---|---|---|
| 1295155174 | Nicholas Ladell | Pharmacist | 1407 Applewood Cir, Mukwonago, WI 53149-1934 | 2014-04-18 |
| 1851667653 | Joanne Antonopoulos | Pharmacist | W248s8510 Stonehill Dr, Mukwonago, WI 53149-8873 | 2012-03-26 |
| 1740551274 | Thomas T Kulinski | Pharmacist | W311s8976 Cherokee Pass, Mukwonago, WI 53149-8840 | 2012-01-13 |
| 1124302427 | Ernest Joseph Tanel | Pharmacist | W312s8764 Meyer Dr, Mukwonago, WI 53149-8830 | 2011-10-05 |
| 1336369115 | Joel Lee Kaczinski | Pharmacist | W327s8163 Memory Ln, Mukwonago, WI 53149-8606 | 2007-04-26 |
| 1568501609 | Miller Pharmacy, Inc. | Pharmacist | 801 N Rochester St, Mukwonago, WI 53149-1142 | 2007-02-05 |
| 1144828138 | Joshua Amelunk | Pharmacist | 250 Wolf Run, Mukwonago, WI 53149-8470 | 2020-10-13 |
| 1184222978 | Rebecca Scharringhausen | Pharmacist | 250 Wolf Run, Mukwonago, WI 53149-8470 | 2020-10-13 |
| 1639777550 | Tanner Paque | Pharmacist | 250 Wolf Run, Mukwonago, WI 53149-8470 | 2020-10-13 |
| 1245838226 | Katherine Seeley | Pharmacist | 250 Wolf Run, Mukwonago, WI 53149-8470 | 2020-10-13 |
| Find all providers in MUKWONAGO | ||||
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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.