DR. JAMIE MALSTROM (NPI# 1841663267) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841663267 |
| Entity Type | Individual |
| Full Name | DR. JAMIE MALSTROM |
| Credential | PHARMD |
| Practice Address |
824 N 11th St Montevideo MN 56265-1629 |
| Practice Telephone | 3203218250 |
| Practice Fax Number | 3203218357 |
| Mailing Telephone | 3203218250 |
| Mailing Fax Number | 3203218357 |
| Enumeration Date | 2015-11-06 |
| Last Update Date | 2015-11-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 118159 | MN | Pharmacy Service Providers |
| Street Address |
824 N 11TH ST |
| City | MONTEVIDEO |
| State | MN |
| Zip Code | 56265-1629 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417959768 | Nicholas David Donham Krueger | Family Medicine | 824 N 11th St, Montevideo, MN 56265-1629 | 2005-06-01 |
| 1710593009 | Michelle Schuldt | Nurse Practitioner | 824 N 11th St, Montevideo, MN 56265-1629 | 2020-09-22 |
| 1013555887 | Mackenzie Snortum | Nurse Practitioner | 824 N 11th St, Montevideo, MN 56265-1629 | 2019-12-12 |
| 1619523131 | Ashley M Jerve | Nurse Practitioner | 824 N 11th St, Montevideo, MN 56265-1629 | 2019-08-12 |
| 1457903551 | Stephanie Baldwin | Nurse Practitioner | 824 N 11th St, Montevideo, MN 56265-1629 | 2019-07-10 |
| 1538672522 | Monica Anne Stamper | Nurse Practitioner | 824 N 11th St, Montevideo, MN 56265-1629 | 2017-11-13 |
| 1275057978 | Ccm Health | Clinic/Center | 824 N 11th St, Montevideo, MN 56265-1629 | 2017-08-03 |
| 1225483563 | Leesa Rae Novotny | Family Medicine | 824 N 11th St, Montevideo, MN 56265 | 2016-04-24 |
| 1871908715 | Brandon Osbon | Family Medicine | 824 N 11th St, Montevideo, MN 56265 | 2014-06-30 |
| 1659783389 | Jessica A Stettner | Nurse Practitioner | 824 N 11th St, Montevideo, MN 56265-1629 | 2014-05-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003370495 | Amber Bruns | Behavioral Analyst | 2419 Washington Ave., Montevideo, MN 56265 | 2019-01-30 |
| 1124405857 | Jenna Susanne Marquardt | Dental Therapist | 209 South 1st Street, Montevideo, MN 56265 | 2015-05-01 |
| 1952554974 | West Central Smiles Pa | Dentist | 123 1/2 N. First St., Montevideo, MN 56265 | 2008-11-04 |
| 1114086188 | Lisa Joy Decathelineau | Marriage & Family Therapist | 1234 Mn-7, Montevideo, MN 56265 | 2006-12-06 |
| 1033294699 | Rem - Southwest Services Inc | Intermediate Care Facility, Mentally Retarded | 585 Gravel Road, Montevideo, MN 56265 | 2006-10-25 |
| 1952492035 | James Kevin Zenk | Dentist | 1317 Grove Ave, Montevideo, MN 56265 | 2006-09-27 |
| 1366420820 | Caroline Moniza | Psychologist | 2419 Washington Ave, Montevideo, MN 56265 | 2006-01-05 |
| 1164428496 | Gina Louise Kontz | Audiologist-Hearing Aid Fitter | 408 N 1st St Ste 2, Montevideo, MN 56265 | 2005-06-22 |
| 1083175442 | Swwc Service Cooperatives | Early Intervention Provider Agency | 2419 Washington Ave, Montevideo, MN 56265 | 2019-03-28 |
| 1679053110 | Hearing Care By Gina LLC | Audiologist | 408 N 1st St Ste 2, Montevideo, MN 56265 | 2018-08-15 |
| Find all providers in zip 56265 | ||||
| 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 |
|---|---|---|---|---|
| 1548512536 | Carol Arends | Pharmacist | 1409 E Highway 7, Montevideo, MN 56265-1715 | 2012-10-15 |
| 1407454457 | Wes Ethan Stettner | Pharmacist | 3001 E Highway 7, Montevideo, MN 56265-4556 | 2020-10-13 |
| 1114412913 | Kelsey Anne Schlieman | Pharmacist | 724 E Highway 7, Montevideo, MN 56265-1638 | 2018-06-25 |
| 1821544271 | Jordan Randall Hanson | Pharmacist | 3001 E Highway 7, Suite 100, Montevideo, MN 56265-4556 | 2016-08-26 |
| 1194104323 | Cheryl Curtiss | Pharmacist | 1234 E Highway 7, Montevideo, MN 56265-1705 | 2015-05-20 |
| 1043645112 | Jacob John Marz | Pharmacist | 1234 E Highway 7, Montevideo, MN 56265-1705 | 2013-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588265649 | Candace Louise Haugtvedt | Pharmacist | 321 Us-10 West, Detroit Lakes, MN 56501 | 2020-11-05 |
| 1295334217 | Mary Jane Andersen | Pharmacist | 3300 Hwy 210 W, Fergus Falls, MN 56537 | 2020-10-21 |
| 1679172522 | Cari Michelle Labonne | Pharmacist | 4202 Creekwood Pl, Hermantown, MN 55811-3692 | 2020-10-21 |
| 1073112983 | Katie Sue Fairchild | Pharmacist | 2301 E Frontage Rd, Litchfield, MN 55355 | 2020-10-21 |
| 1609475615 | Blaine Perry Ecker | Pharmacist | 3300 Highway 210 W., 3300 Highway 210 West, Fergus Falls, MN 56537 | 2020-10-21 |
| 1619576626 | Jessica Margaret Dulli | Pharmacist | 5241 Lincoln Dr Apt 204, Edina, MN 55436-2702 | 2020-10-21 |
| 1649879875 | Dale Rudolph | Pharmacist | 320 22nd Ave Ne, Waseca, MN 56093-2670 | 2020-10-19 |
| 1134728520 | Herve Bertrand Kengne Mbakam | Pharmacist | 1800 Windsor Dr S, Shakopee, MN 55379-8073 | 2020-10-18 |
| 1821696402 | Leah Fischer | Pharmacist | 817 11th St N, New Ulm, MN 56073-1374 | 2020-10-15 |
| 1003414780 | Loren Leroy Carver | Pharmacist | 424 3rd St N, Stillwater, MN 55082-4836 | 2020-10-14 |
| Find all providers with the same taxonomy | ||||
| City | MONTEVIDEO |
| Zip Code | 56265 |
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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.