HEATHER OPDAHL (NPI# 1790383479) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790383479 |
| Entity Type | Individual |
| Full Name | HEATHER OPDAHL |
| Practice Address |
Hy-vee Pharmacy 1320 9th Ave Se Watertown SD 57201 |
| Mailing Address |
44707 182nd St Hazel SD 57242-5206 |
| Practice Telephone | 6058860661 |
| Practice Fax Number | 6058860721 |
| Mailing Telephone | 6056283758 |
| Enumeration Date | 2020-10-14 |
| Last Update Date | 2020-10-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
5053 | SD | Pharmacy Service Providers |
| Street Address |
HY-VEE PHARMACY 1320 9TH AVE SE |
| City | WATERTOWN |
| State | SD |
| Zip Code | 57201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245878032 | Samantha Kay Kratovil | Dietitian, Registered | 4 19th St Ne, Watertown, SD 57201 | 2019-12-12 |
| 1326516501 | Edgewood Watertown Mc 2 LLC | Assisted Living Facility | 225 14 Ave Ne, Watertown, SD 57201 | 2018-11-06 |
| 1023503406 | Rhonda Jean Cyre | Occupational Therapy Assistant | 613 B 1st Ave Se, Watertown, SD 57201 | 2018-06-27 |
| 1083160717 | Joyce Anderson | Psychologist | 1124 Konrady Dr. Ne, Watertown, SD 57201 | 2016-09-01 |
| 1336584630 | Jeffrey Alan Dorrity | Otolaryngology | 1201 Mickelson Dr, Watertown, SD 57201 | 2013-05-01 |
| 1427397389 | Vickie Lynn Burchatz | Occupational Therapy Assistant | 415 Fourth Avenue Ne, Golden Living Center, Watertown, SD 57201 | 2013-02-12 |
| 1215292560 | Eagle Vision | Eyewear Supplier (Equipment, not the service) | 906 1/2 9th Ave Se, Watertown, SD 57201 | 2012-07-11 |
| 1669777462 | Eve Lynn Hensler | Audiologist | 405 18th Ave. Ne, Professional Hearing Services, Inc., Watertown, SD 57201 | 2011-01-26 |
| 1760792261 | Maria Redmond | Physical Therapist | 810 South Maple, Watertown, SD 57201 | 2010-10-18 |
| 1194918995 | Colette Wheeler | Occupational Therapist | 17330, 458th Ave, Watertown, SD 57201 | 2007-08-24 |
| Find all providers in zip 57201 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861025371 | Addie Marie Littrell | Pharmacist | 624 S Church Street, Pharmacy Department, Watertown, WI 53094 | 2020-02-13 |
| 1790265098 | Stefanos Daniel Torkos | Pharmacist | 485 Arsenal St, Watertown, MA 02472 | 2018-08-16 |
| 1992085328 | Samrah Naseem | Pharmacist | 485 Arsenal St, Watertown, MA 02472-5091 | 2011-08-17 |
| 1528374816 | Annie Ly Vong | Pharmacist | 485 Arsenal St, Watertown, MA 02472-5091 | 2010-08-24 |
| 1740505205 | Rosina D Vandewall | Pharmacist | 830 Washington St, Watertown, NY 13601-4034 | 2010-03-28 |
| 1255663530 | Stephanie Anne Ross | Pharmacist | 485 Arsenal St, Watertown, MA 02472-5091 | 2010-02-11 |
| 1922264308 | Marianne Y Lee | Pharmacist | 485 Arsenal St, Watertown, MA 02472-5091 | 2008-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689191363 | Ryan Anthony Waybright | Pharmacist | Po Box 5045, Sioux Falls, SD 57117-5045 | 2017-08-24 |
| 1699914523 | Timothy John Dodson | Pharmacist | 21633 Custer Trl, Nemo, SD 57759-7609 | 2009-02-17 |
| 1972102952 | Jessica Kotschegarow | Pharmacist | 2100 Broadway Ave, Yankton, SD 57078-1705 | 2020-10-21 |
| 1043845829 | Susan Mary Burbach | Pharmacist | 525 W Cherry St, Vermillion, SD 57069-1141 | 2020-03-11 |
| 1871137083 | Brandon David Hubert | Pharmacist | 2501 W 22nd St, Sioux Falls, SD 57105-1305 | 2019-10-30 |
| 1972159101 | Harrison Charles Johnson | Pharmacist | 113 Comanche Rd, Fort Meade, SD 57741-1002 | 2019-08-13 |
| 1124510771 | Cassie M Schmidt | Pharmacist | 500 N 5th St, Hot Springs, SD 57747-1480 | 2018-05-30 |
| 1902314990 | Robert Sayles | Pharmacist | 2501 W 22nd St, Sioux Falls, SD 57105-1305 | 2018-01-12 |
| 1710493507 | Karen M Richart | Pharmacist | 1730 N Garfield Ave, Pierre, SD 57501-5507 | 2017-12-16 |
| 1790297620 | Ashley Pederson | Pharmacist | 113 Comanche Rd, Fort Meade, SD 57741-1002 | 2017-11-01 |
| 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.