MR. JASON BRUNKO (NPI# 1790181717) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790181717 |
| Entity Type | Individual |
| Full Name | MR. JASON BRUNKO |
| Credential | PHARMD |
| Practice Address |
171 Red Oak Dr Aitkin MN 56431-7432 |
| Mailing Address |
7273 Clearwater Rd Apt 108 Baxter MN 56425-5906 |
| Practice Telephone | 2184294344 |
| Practice Fax Number | 2184294346 |
| Mailing Telephone | 6514288187 |
| Enumeration Date | 2014-11-18 |
| Last Update Date | 2020-05-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 121306 | MN | Pharmacy Service Providers |
| Street Address |
171 RED OAK DR |
| City | AITKIN |
| State | MN |
| Zip Code | 56431-7432 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497377287 | Aitkin Community Hospital, Inc. | Pharmacy | 171 Red Oak Dr, Aitkin, MN 56431-7432 | 2020-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952952731 | Cathleen Ann Twistol | Technician | 41544 270th Place, Aitkin, MN 56431 | 2019-09-24 |
| 1801051685 | Sean Robert Carl Fleming | Dentist | 1050 Minnesota Avenue South, Aitkin, MN 56431 | 2008-07-22 |
| 1144354531 | Avalon Programs, LLC | Substance Abuse Rehabilitation Facility | 3 3rd Street Ne, Aitkin, MN 56431 | 2007-03-15 |
| 1366522138 | William E Stein | Dentist | 18 3rd St Sw, Aitkin, MN 56431 | 2006-10-16 |
| 1831282557 | John T Mateyka | Pharmacist | 124 Minn Ave N, Aitkin, MN 56431 | 2006-10-02 |
| 1134231590 | Aitkin Pharmacy Services, LLC | Pharmacy | 25 2nd Street, Ne, Aitkin, MN 56431 | 2006-08-31 |
| 1679959068 | Sharon Richardson | Counselor | 520 Nw 5th Street, Brainerd, MN 56431 | 2015-08-07 |
| 1518379288 | Mclean Severson | Dentist | 1050 Minnesota Avenue South, Aitkin, MN 56431 | 2014-05-28 |
| 1679844260 | Jennifer Klee | Physical Therapist | 200 Bunker Hill Dr, Riverwood Healthcare Center, Aitkin, MN 56431 | 2012-01-13 |
| 1902960875 | Aitkin Community Hospital, Inc. | Clinic/Center | 200 Bunker Hill Dr, Aitkin, MN 56431 | 2006-12-21 |
| Find all providers in zip 56431 | ||||
| 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 |
|---|---|---|---|---|
| 1578183943 | Janet Barnick | Pharmacist | 25 2nd Ave Se, Aitkin, MN 56431-1728 | 2020-04-25 |
| 1275759847 | Randy T Nicoski | Pharmacist | Riverwood Healthcare Center, 200 Bunker Hill Drive, Aitkin, MN 56431-1865 | 2007-04-18 |
| 1831282557 | John T Mateyka | Pharmacist | 124 Minn Ave N, Aitkin, MN 56431 | 2006-10-02 |
| 1750708053 | Tim Johnson | Pharmacist | 190 Southgate Dr, Aitkin, MN 56431-7407 | 2014-03-25 |
| 1952728552 | Gregory Braaten | Pharmacist | 190 Southgate Dr, Aitkin, MN 56431-7407 | 2014-03-21 |
| 1568620433 | Shawn Mccusker | Pharmacist | 200 Bunker Hill Dr, Aitkin, MN 56431-1865 | 2008-05-28 |
| 1720254485 | Linda Sue Benson | Pharmacist | 200 Bunker Hill Dr, Aitkin, MN 56431-1865 | 2008-05-02 |
| 1205921137 | Thomas Paul Kujawa | Pharmacist | 200 Bunker Hill Dr, Aitkin, MN 56431-1865 | 2006-10-04 |
| 1841384450 | Patrick L Holder | Pharmacist | 124 Minn Ave N, Aitkin, MN 56431 | 2006-10-03 |
| 1902991318 | John E Fossen | Pharmacist | 124 Minn Ave N, Aitkin, MN 56431 | 2006-10-03 |
| Find all providers in AITKIN | ||||
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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.