BRANDON TYRA (NPI# 1861902751) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1861902751 |
Entity Type | Individual |
Full Name | BRANDON TYRA |
Practice Address |
5000 W National Ave Milwaukee WI 53295-0001 |
Practice Telephone | 4143842000 |
Enumeration Date | 2017-10-05 |
Last Update Date | 2017-10-05 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 183700000X | Pharmacy Technician | Pharmacy Service Providers |
Street Address |
5000 W NATIONAL AVE |
City | MILWAUKEE |
State | WI |
Zip Code | 53295-0001 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790787943 | Laura Tobon | Registered Nurse | 5000 W National Ave, Milwaukee, WI 53295-0001 | 2005-06-01 |
1356942445 | John F Rose | Recreation Therapist | 5000 W National Ave, Milwaukee, WI 53295-0001 | 2020-11-04 |
1306447487 | Alan Newell Hoenk | Recreation Therapist | 5000 W National Ave, Milwaukee, WI 53295-0001 | 2020-11-04 |
1659972008 | David Escamilla | Pharmacist | 5000 W National Ave, Milwaukee, WI 53295-0001 | 2020-11-03 |
1720689086 | Inez Elizabeth Pabian | Pharmacist | 5000 W National Ave, Milwaukee, WI 53295-0001 | 2020-11-03 |
1043810302 | Kristine Kulas | Art Therapist | 5000 W National Ave, Milwaukee, WI 53295-0001 | 2020-10-27 |
1336749753 | Marisa Ann Straub | Art Therapist | 5000 W National Ave, Milwaukee, WI 53295-0001 | 2020-10-26 |
1720687221 | Courtney Zeller | Recreation Therapist | 5000 W National Ave, Milwaukee, WI 53295-0001 | 2020-10-26 |
1174122964 | Kari Slawson | Dietitian, Registered | 5000 W National Ave, Milwaukee, WI 53295-0001 | 2020-10-22 |
1245839356 | Makenzie Kojis | Music Therapist | 5000 W National Ave, Milwaukee, WI 53295-0001 | 2020-10-20 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457858573 | Nina Sathasivam-rueckert | Psychologist | Zablocki Va Medical Center 5000 West National Avenue, Milwaukee, WI 53295 | 2018-04-06 |
1306350269 | Nicole Marien Van Horn | Clinical Nurse Specialist | Milwaukee Va Medical Center (zablocki), 5000 W. National Ave, Milwaukee, WI 53295 | 2017-11-29 |
1275829582 | Emily Rose Allred | Registered Nurse | 500 National Ave, Milwaukee, WI 53295 | 2011-06-24 |
1104912666 | Steve Eigen | Social Worker | 5000 W. National, Milwaukee, WI 53295 | 2006-10-04 |
1225121700 | Vicki L Nelson | Social Worker | 5000 W.national Ave, Milwaukee, WI 53295 | 2006-10-02 |
1003908617 | Beth Ayers | Physical Therapist | 5000 W National Ave., Milwaukee, WI 53295 | 2006-09-29 |
1730286295 | Regina Robin Anderson-spann | Social Worker | 5000 W. National Avenue, Milwaukee, WI 53295 | 2006-09-19 |
1891723904 | Allyn J Coleman | Dentist | Clement J. Zablocki Va Medical Center, 5000 W National Avenue, Milwaukee, WI 53295 | 2006-06-29 |
1356347686 | Wendy R. Janssen | Nurse Practitioner | 5000 W. National Ave, Milwaukee, WI 53295 | 2005-06-22 |
1629073507 | Susan Kathlenn Kartes | Nurse Practitioner | 5000 West National Avenue, Milwaukee, WI 53295 | 2005-06-16 |
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Taxonomy Code | 183700000X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacy Technician |
A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. |
Notes: Source: Pharmacy Technician Certification Board, www.ptcb.org [1/1/2006: modified definition, modified source] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255951448 | Hossam Ali | Pharmacy Technician | 2700 S 60th St, Milwaukee, WI 53219-3151 | 2020-04-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578109062 | Jamie Ann Ver Hagen | Pharmacy Technician | 218800 Fawn Rd Lot 81, Mosinee, WI 54455-4352 | 2019-11-20 |
1861831810 | James Robert Mccormick | Pharmacy Technician | 2720 S 163rd St, New Berlin, WI 53151-3610 | 2013-06-21 |
1265777999 | Linda Joyce Lundberg | Pharmacy Technician | 11134n Hwy 77, Essentia Health Hayward Pharmacy, Hayward, WI 54843-5325 | 2012-12-06 |
1952335515 | Nicole L Halvorson | Pharmacy Technician | 1800 Robin Ave, S207, Oshkosh, WI 54902-8765 | 2006-07-10 |
1295356020 | Matthew Parish | Pharmacy Technician | 1969 W Hart Rd, Beloit, WI 53511-2230 | 2020-05-04 |
1649816026 | James Allen Worthey | Pharmacy Technician | 2001 N Central Ave, Marshfield, WI 54449-8337 | 2019-11-20 |
1821651563 | Leighton A Becher | Pharmacy Technician | 1900 South Ave, La Crosse, WI 54601-5496 | 2019-04-18 |
1548714462 | Katrina Wellnitz | Pharmacy Technician | 160 Business Park Cir, Stoughton, WI 53589-3392 | 2016-08-09 |
1598126088 | Ian Stewart Hamilton | Pharmacy Technician | 341 State St, Suite G, Madison, WI 53703-2057 | 2016-03-11 |
1477948016 | Patricia Nagy | Pharmacy Technician | 2500 Overlook Ter, Madison, WI 53705-2254 | 2015-03-31 |
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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.