SUSAN JEAN ELENKIWICH (NPI# 1821250028) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821250028 |
| Entity Type | Individual |
| Full Name | SUSAN JEAN ELENKIWICH |
| Practice Address |
5230 Interlachen Blvd Edina MN 55436-1427 |
| Mailing Address |
3945 W 50th St Edina MN 55424-1203 |
| Practice Telephone | 9529208527 |
| Enumeration Date | 2008-06-28 |
| Last Update Date | 2008-06-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 113968 | MN | Pharmacy Service Providers |
| Street Address |
5230 INTERLACHEN BLVD |
| City | EDINA |
| State | MN |
| Zip Code | 55436-1427 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326697277 | Nancy L. Dahlien | Technician | 5825 Tracy Avenue, Edina, MN 55436 | 2019-09-04 |
| 1194232033 | Kathryn Lagrave Reaney | Social Worker | 5050 Lincoln Dr Ste 350, Edina, MN 55436 | 2017-12-31 |
| 1417403296 | Lori Walker | Marriage & Family Therapist | 5780 Lincoln Drive, Suite 108, Edina, MN 55436 | 2016-08-31 |
| 1417374729 | Alisha Englund | Nurse Practitioner | 5901 Lincoln Drive, Cbc-ehs-2, Edina, MN 55436 | 2014-03-25 |
| 1669894887 | Orthodontic Care Specialists, Pllc | Dentist | 4980 W. 77th St., Edina, MN 55436 | 2014-01-07 |
| 1184976920 | Meisa Interpreting & Translation Services LLC. | Case Management | 5656 Lincoln Dr, Edina, MN 55436 | 2012-10-03 |
| 1730466996 | Gina Louise Smith Hughes | Dentist | 5101 Vernon Avenue South, Suite 1 B, Edina, MN 55436 | 2011-11-15 |
| 1669642864 | Diagnostic Imaging | Clinic/Center | 5021 Vernon Ave So, Suite 300, Edina, MN 55436 | 2008-03-04 |
| 1821266529 | Proreads | Clinic/Center | 5021 Vernon Ave S, Suite 300, Edina, MN 55436 | 2008-02-15 |
| 1386729978 | Rem Hennepin Inc | Intermediate Care Facility, Mentally Retarded | 5100 William Avenue, Edina, MN 55436 | 2006-10-25 |
| Find all providers in zip 55436 | ||||
| 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 |
|---|---|---|---|---|
| 1619576626 | Jessica Margaret Dulli | Pharmacist | 5241 Lincoln Dr Apt 204, Edina, MN 55436-2702 | 2020-10-21 |
| 1174925291 | Stacey Hansen | Pharmacist | 5527 Zenith Ave S, Edina, MN 55410-2466 | 2014-09-19 |
| 1255769691 | Brittany Payeur | Pharmacist | 4401 W 76th St, Edina, MN 55435-5111 | 2013-10-22 |
| 1447536354 | Linda Joanne Maddaus-white | Pharmacist | 5121 Vernon Ave S, Edina, MN 55436-2104 | 2011-10-25 |
| 1316067531 | Susan Lynn Halloran | Pharmacist | 6123 Wooddale Ave, Edina, MN 55424-1810 | 2007-03-30 |
| 1013080704 | Matt Sneller | Pharmacist | 7208 Cornelia Dr, Edina, MN 55435-4160 | 2006-11-17 |
| 1194763284 | Lisa M Juran | Pharmacist | 7171 France Ave S, Edina, MN 55435-4306 | 2006-06-02 |
| 1619924560 | Gena Elizabeth Strasia | Pharmacist | 3945 W 50th St, Edina, MN 55424-1203 | 2006-05-27 |
| 1548269277 | Amy Michelle Busker | Pharmacist | 3400 W 66th St Ste 290, Edina, MN 55435-2133 | 2005-07-15 |
| 1831705409 | Trevor Lyle Hilk | Pharmacist | 6975 York Ave S, Edina, MN 55435-2517 | 2020-09-19 |
| Find all providers in EDINA | ||||
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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.