JACQUELYN BERNICK (NPI# 1811396328) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811396328 |
| Entity Type | Individual |
| Full Name | JACQUELYN BERNICK |
| Practice Address |
1700 Rice St Saint Paul MN 55113-6812 |
| Practice Telephone | 6512519811 |
| Enumeration Date | 2014-08-20 |
| Last Update Date | 2017-12-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 121980 | MN | Pharmacy Service Providers |
| Street Address |
1700 RICE ST |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55113-6812 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457334971 | Talisyn Jessica Flagg | Advanced Practice Midwife | 1700 Rice St, Saint Paul, MN 55113-6812 | 2005-11-29 |
| 1811504061 | Marcus Daniel Haug | Pharmacist | 1700 Rice St, Saint Paul, MN 55113-6812 | 2020-09-30 |
| 1154720795 | Getachew Mekonnen | Pharmacist | 1700 Rice St, Saint Paul, MN 55113-6812 | 2014-08-20 |
| 1194094797 | Tung Thanh Nguyen | Pharmacist | 1700 Rice St, Saint Paul, MN 55113-6812 | 2011-12-28 |
| 1093092009 | Michelle Fischbach | Pharmacist | 1700 Rice St, Saint Paul, MN 55113-6812 | 2011-11-04 |
| 1326239617 | Walgreen Co | Pharmacy | 1700 Rice St, Saint Paul, MN 55113-6812 | 2007-08-05 |
| 1396890539 | Laura Dronen | Chiropractor | 1700 Rice St, Suite B, Saint Paul, MN 55113-6812 | 2007-01-25 |
| 1255302543 | Catherine L Myers | Nurse Practitioner | 1700 Rice St, Suite L, Saint Paul, MN 55113-6812 | 2006-01-27 |
| 1215907803 | Susan J Lavell | Nurse Practitioner | 1700 Rice St, Suite L, Saint Paul, MN 55113-6812 | 2006-01-25 |
| 1750361846 | Planned Parenthood Minnesota, North Dakota, South Dakota | Specialist | 1700 Rice St, Suite L, Saint Paul, MN 55113-6812 | 2006-01-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396384376 | Zachary Mattson | Physician Assistant | Regus Coworking Space 2355 Highway 36 West, Suite 400, Office #427, Roseville, MN 55113 | 2019-12-23 |
| 1467010330 | Ahmed Issa | Student in an Organized Health Care Education/Training Program | 1550 Larpenteur Ave W, Apt 235, St Paul, MN 55113 | 2019-06-05 |
| 1821653833 | Suite Living Senior Care of Little Canada | Assisted Living Facility | 2740 Rice Street, Little Canada, MN 55113 | 2019-05-06 |
| 1902370505 | Diverse Assessments and Treatment, LLC | Psychologist | 1935 Cty Rd B2 W Ste 270, Roseville, MN 55113 | 2019-01-16 |
| 1588138473 | Applewood Home Health Care, LLC | Home Health | 2021 E Hennepin Avenue # 402-1, Minneapolis, MN 55113 | 2019-01-14 |
| 1699251520 | Optum Infusion Services 500, Inc. | Durable Medical Equipment & Medical Supplies | 2685 Patton Rd, Roseville, MN 55113 | 2018-07-13 |
| 1083104145 | Suite Living Senior Care of Roseville | Assisted Living Facility | 197 County Road B2 W, Roseville, MN 55113 | 2018-05-15 |
| 1477055796 | Sunrise Residential Services LLC | Home Health | 216 Maple Ln, Roseville, MN 55113 | 2018-03-02 |
| 1194223024 | Alissa Hoff | Specialist | 1595 Mn 36 - 584 10 Rosedale Center, Roseville, MN 55113 | 2018-01-25 |
| 1841705118 | Kingsland Care Services Incorporated | Case Management | 2301 Rice Street, Suite 101, Roseville, MN 55113 | 2017-12-08 |
| Find all providers in zip 55113 | ||||
| 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 |
|---|---|---|---|---|
| 1609486877 | Jonathon Montag | Pharmacist | 122 Wabasha St S, Saint Paul, MN 55107-1896 | 2020-08-03 |
| 1821608217 | Veasna Marcus Chak | Pharmacist | 2197 Old Hudson Rd, Saint Paul, MN 55119-4404 | 2020-07-31 |
| 1780205559 | Sarah Jastram | Pharmacist | 862 Smith Ave S, Saint Paul, MN 55107-3527 | 2020-05-02 |
| 1770118143 | Peter Nguyen | Pharmacist | 2080 Ford Parkway, Saint Paul, MN 55116-5511 | 2020-03-06 |
| 1063875441 | Rahel Kitilla | Pharmacist | 245 Maryland Ave E, Saint Paul, MN 55117-4617 | 2016-04-01 |
| 1548635881 | Morah Ngozi Nwaneri | Pharmacist | 1703 Bohland Ave, Saint Paul, MN 55116-2126 | 2015-12-12 |
| 1043683469 | Valerie Ann Pilgrim | Pharmacist | 2860 Jordan Dr, Saint Paul, MN 55125-2833 | 2015-11-06 |
| 1336523596 | Amy Rahm | Pharmacist | 240 Spring St Unit 515, Saint Paul, MN 55102-4707 | 2015-07-16 |
| 1649659939 | Seth Runkle | Pharmacist | 2080 Ford Pkwy, Saint Paul, MN 55116-1813 | 2015-05-20 |
| 1427452747 | Trish Kanous | Pharmacist | 1085 Dayton Ave, Saint Paul, MN 55104-6504 | 2014-10-15 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55113 |
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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.