JENNIFER LYNN RYAN (NPI# 1831460021) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831460021 |
| Entity Type | Individual |
| Full Name | JENNIFER LYNN RYAN |
| Credential | RPH |
| Practice Address |
925 W Fulton St Waupaca WI 54981-1479 |
| Practice Telephone | 7152589228 |
| Practice Fax Number | 7152580987 |
| Mailing Telephone | 7152589228 |
| Mailing Fax Number | 7152580987 |
| Enumeration Date | 2012-01-19 |
| Last Update Date | 2012-01-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 12687-040 | WI | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700408473 | Jennifer Abigail Ryan | Registered Nurse | 43 Perkins Ct, Greer, SC 29651-5090 | 2020-05-15 |
| 1518528694 | Jennifer Ann Ryan | Nurse's Aide | 4380 Sw Macadam Ave Ste 530, Portland, OR 97239-6408 | 2019-06-27 |
| 1780240770 | Jennifer Ryan | Registered Nurse | 302 Heimer Rd, San Antonio, TX 78232-4887 | 2019-05-15 |
| 1093222499 | Jennifer Leigh Ryan | Speech-Language Pathologist | 44 Elm St Ste 10, Huntington, NY 11743-3403 | 2018-01-08 |
| 1801165030 | Jennifer Ryan | Speech-Language Pathologist | 219 Belvidere St, Saint Johnsbury, VT 05819-2354 | 2011-12-16 |
| 1225312564 | Jennifer Ryan | Licensed Practical Nurse | 80 N Fulton St, Auburn, NY 13021-2018 | 2011-10-05 |
| 1457584930 | Jennifer J Ryan | Occupational Therapy Assistant | 2400 Hexall Ct, Virginia Beach, VA 23454-6511 | 2009-08-31 |
| 1083862197 | Jennifer Lynn Ryan | Counselor | 30 Controls Drive, Suite 10, Shelton, CT 06484-5434 | 2008-09-03 |
| 1508027087 | Jennifer Ann Ryan | Speech-Language Pathologist | 2713 Tomahawk Dr, Waterford, MI 48328-3186 | 2008-06-18 |
| 1649482688 | Jennifer J Ryan | Physical Therapist | 919 E Valley Ln, Arlington Heights, IL 60004-3327 | 2007-05-03 |
| Street Address |
925 W FULTON ST |
| City | WAUPACA |
| State | WI |
| Zip Code | 54981-1479 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144235292 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 925 W Fulton St, Waupaca, WI 54981-1479 | 2006-07-29 |
| 1497389613 | Carol Kulaga | Pharmacist | 925 W Fulton St, Waupaca, WI 54981-1479 | 2020-02-26 |
| 1134753619 | Nicholas Malinowski | Pharmacist | 925 W Fulton St, Waupaca, WI 54981-1479 | 2020-02-24 |
| 1437782042 | Lindsey Reno | Pharmacist | 925 W Fulton St, Waupaca, WI 54981-1479 | 2020-02-21 |
| 1699163386 | Danielle Evers | Pharmacist | 925 W Fulton St, Waupaca, WI 54981-1479 | 2015-01-03 |
| 1619398336 | Cody Schmidt | Pharmacist | 925 W Fulton St, Waupaca, WI 54981-1479 | 2013-12-23 |
| 1114203312 | Aaron Wayne Plachetka | Pharmacist | 925 W Fulton St, Waupaca, WI 54981-1479 | 2011-11-01 |
| 1306122841 | Kenneth E Kimpel | Pharmacist | 925 W Fulton St, Waupaca, WI 54981-1479 | 2011-10-28 |
| 1518243286 | Charles H Dinkel | Pharmacist | 925 W Fulton St, Waupaca, WI 54981-1479 | 2011-10-26 |
| 1407132160 | Sarah Ann Nackers | Pharmacist | 925 W Fulton St, Waupaca, WI 54981-1479 | 2011-10-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366096141 | Renee Elizabeth Winn | Speech-Language Pathologist | 800 Riverside Drive Dr. 902 Building, Speech Therapy, Waupaca, WI 54981 | 2019-07-30 |
| 1891263216 | Stephanie Rice | Dental Hygienist | N4008 Morgan Dr, Waupaca, WI 54981 | 2018-11-03 |
| 1972092989 | Renew Physical Therapy and Wellness, LLC | Physical Therapist | N2919 County Road Qq, Waupaca, WI 54981 | 2018-05-04 |
| 1366942195 | Lanna Boyle | Physical Medicine & Rehabilitation | E1132 Hillcrest Dr, Waupaca, WI 54981 | 2018-02-19 |
| 1710333893 | Thedacare Medical Center - Waupaca, Inc. | General Acute Care Hospital | N2610 Wi 22, Waupaca, WI 54981 | 2016-05-09 |
| 1750743365 | Kimberly Marie Kraeger | Counselor | Waupaca County Dhhs, 811 Harding St, Waupaca, WI 54981 | 2016-03-23 |
| 1619211596 | Kari Anna Esbensen | Counselor | N2919 Cty Qq, Waupaca, WI 54981 | 2012-11-16 |
| 1396027629 | Roots Wholistic Health | Chiropractor | 717 Churchill St., Waupaca, WI 54981 | 2011-09-13 |
| 1629387006 | Barton Jerome Blum | General Practice | E1803 Melody Lane, Waupaca, WI 54981 | 2010-10-01 |
| 1710219357 | Anne Marie Collins-reed | Social Worker | 315 River Road, New London, WI 54981 | 2010-02-08 |
| Find all providers in zip 54981 | ||||
| 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 |
|---|---|---|---|---|
| 1457785818 | Dennise Ross | Pharmacist | 115 N Western Ave, Waupaca, WI 54981-2201 | 2013-08-21 |
| 1760698542 | Professional Pharmacy Associates | Pharmacist | 105 N Western Ave Ste 3, Waupaca, WI 54981-2201 | 2007-05-16 |
| 1003858218 | Bruce Boushon | Pharmacist | 825 W Fulton St, Waupaca, WI 54981-1471 | 2006-06-12 |
| 1497389613 | Carol Kulaga | Pharmacist | 925 W Fulton St, Waupaca, WI 54981-1479 | 2020-02-26 |
| 1134753619 | Nicholas Malinowski | Pharmacist | 925 W Fulton St, Waupaca, WI 54981-1479 | 2020-02-24 |
| 1437782042 | Lindsey Reno | Pharmacist | 925 W Fulton St, Waupaca, WI 54981-1479 | 2020-02-21 |
| 1326433459 | Randall Liljegren | Pharmacist | 825 W Fulton St, Waupaca, WI 54981-1471 | 2015-04-06 |
| 1235520826 | Stephanie Roehrig | Pharmacist | 825 W Fulton St, Waupaca, WI 54981-1471 | 2015-02-18 |
| 1699163386 | Danielle Evers | Pharmacist | 925 W Fulton St, Waupaca, WI 54981-1479 | 2015-01-03 |
| 1972915148 | George Breitenstein | Pharmacist | 115 N Western Ave, Waupaca, WI 54981-2201 | 2014-05-22 |
| Find all providers in WAUPACA | ||||
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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.