KENNETH RUSSELL SCHAEFER (NPI# 1831132315) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831132315 |
| Entity Type | Individual |
| Full Name | KENNETH RUSSELL SCHAEFER |
| Credential | RPH |
| Practice Address |
4202 Mountain Ln Wausau WI 54401-8500 |
| Practice Telephone | 7158488748 |
| Mailing Telephone | 7158488748 |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2008-09-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 7994040 | WI | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003189762 | Kenneth Schaefer | Pharmacist | 527 Linden Ct, Verona, WI 53593-1683 | 2012-02-10 |
| 1770777534 | Kenneth Richaed Schaefer | Dentist | 1605 Nueces St, Austin, TX 78701-1171 | 2007-09-04 |
| 1164580551 | Kenneth Barry Schaefer | Internal Medicine | 7 Petrus Ave, Staten Island, NY 10312-3709 | 2006-12-05 |
| 1982929675 | Kenneth Scott Schaefer | Physician Assistant | 9990 Double R Blvd, Suite 200, Reno, NV 89521-6014 | 2010-04-06 |
| 1538113006 | Kenneth R Schaefer | Internal Medicine | 13640 N Plaza Del Rio Blvd, Ste 220, Peoria, AZ 85381-4846 | 2006-05-20 |
| Street Address |
4202 MOUNTAIN LN |
| City | WAUSAU |
| State | WI |
| Zip Code | 54401-8500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164031464 | Central Wisconsin Endodontic Specialists LLC | Dentist | 2606 Stewart Avenue, #102, Wausau, WI 54401 | 2020-07-23 |
| 1376161976 | Family Foot and Ankle Clinic LLC | Podiatrist | 1901 Westwood Boulevard, Wausau, WI 54401 | 2020-07-09 |
| 1336701895 | Amy Kluetz | Counselor | 3000 Westhill Drive, Suite 100, Wausau, WI 54401 | 2019-07-05 |
| 1437640877 | Joseph T Fitz | Student in an Organized Health Care Education/Training Program | Aspirus Wausau Family Medicine, 425 Wind Ridge Drive, Wausau, WI 54401 | 2018-05-22 |
| 1699293241 | Amanda Nedd | Dietitian, Registered | 425 Pine Ridge Boulevard Suite 220 C, Wausau, WI 54401 | 2017-09-05 |
| 1396287447 | Dee Cha | Nurse Anesthetist, Certified Registered | 4851 Rachel Ln Apt 5, Wausau, WI 54401 | 2016-11-07 |
| 1013389618 | Grace Lutheran Foundation Inc | Skilled Nursing Facility | 2727 Plaza Dr., Wausau, WI 54401 | 2015-10-22 |
| 1881091163 | Judy Lao | Dental Hygienist | 413 North 17th Avenue, Wausau, WI 54401 | 2014-12-02 |
| 1295012011 | Allison Waraksa | Pharmacist | 504 S. 17th Ave, Wausau, WI 54401 | 2011-11-08 |
| 1881974053 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 504 S 17th Ave, Wausau, WI 54401 | 2011-08-19 |
| Find all providers in zip 54401 | ||||
| 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 |
|---|---|---|---|---|
| 1427657493 | Sarah R. Kozikowski | Pharmacist | 226100 Rib Mountain Dr, Wausau, WI 54401-3346 | 2020-10-21 |
| 1295334373 | James Michael Branning | Pharmacist | 226200 Rib Mountain Dr, Wausau, WI 54401-3347 | 2020-10-20 |
| 1023622982 | Lynn Marie Halambeck | Pharmacist | 425 Pine Ridge Blvd Ste 103, Wausau, WI 54401-4122 | 2020-09-08 |
| 1225474240 | Patricia L. Detert | Pharmacist | 2613 Bluebird Ln, Wausau, WI 54401-7171 | 2013-05-16 |
| 1295012011 | Allison Waraksa | Pharmacist | 504 S. 17th Ave, Wausau, WI 54401 | 2011-11-08 |
| 1891803524 | Cathy Hamann | Pharmacist | 2106 Grand Ave, Wausau, WI 54403-6912 | 2006-08-25 |
| 1932146743 | David James Burish | Pharmacist | 220 S 18th Ave, Wausau, WI 54401-4252 | 2006-06-01 |
| 1275581712 | John Ashton Beaudry | Pharmacist | 555 S 72nd Ave, Wausau, WI 54401-9038 | 2006-05-05 |
| 1891396487 | Debra Eileen Freitag | Pharmacist | 4000 Rib Mountain Dr, Wausau, WI 54401-7483 | 2020-11-02 |
| 1659970812 | Keri Griffin | Pharmacist | 4300 Rib Mountain Dr, Wausau, WI 54401-6604 | 2020-10-20 |
| Find all providers in WAUSAU | ||||
Please comment or provide details below to improve the information on KENNETH RUSSELL SCHAEFER.
| 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.