SUSAN L BICKMORE (NPI# 1881850725) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881850725 |
| Entity Type | Individual |
| Full Name | SUSAN L BICKMORE |
| Credential | PHARM.D. |
| Practice Address |
1752 Terrace Dr Roseville MN 55113-1315 |
| Practice Telephone | 6516361714 |
| Practice Fax Number | 6516363342 |
| Mailing Telephone | 6516361714 |
| Mailing Fax Number | 6516363342 |
| Enumeration Date | 2008-07-30 |
| Last Update Date | 2008-07-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 113986 | MN | Pharmacy Service Providers |
| Street Address |
1752 TERRACE DR |
| City | ROSEVILLE |
| State | MN |
| Zip Code | 55113-1315 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467617720 | Cathy Marie Spencer | Pharmacist | 1752 Terrace Dr, Roseville, MN 55113-1315 | 2008-07-25 |
| 1891950184 | Matthew Edward Bross | Pharmacist | 1752 Terrace Dr, Roseville, MN 55113-1315 | 2008-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396384376 | Zachary Mattson | Physician Assistant | Regus Coworking Space 2355 Highway 36 West, Suite 400, Office #427, Roseville, MN 55113 | 2019-12-23 |
| 1467010330 | Ahmed Issa | Student in an Organized Health Care Education/Training Program | 1550 Larpenteur Ave W, Apt 235, St Paul, MN 55113 | 2019-06-05 |
| 1821653833 | Suite Living Senior Care of Little Canada | Assisted Living Facility | 2740 Rice Street, Little Canada, MN 55113 | 2019-05-06 |
| 1902370505 | Diverse Assessments and Treatment, LLC | Psychologist | 1935 Cty Rd B2 W Ste 270, Roseville, MN 55113 | 2019-01-16 |
| 1588138473 | Applewood Home Health Care, LLC | Home Health | 2021 E Hennepin Avenue # 402-1, Minneapolis, MN 55113 | 2019-01-14 |
| 1699251520 | Optum Infusion Services 500, Inc. | Durable Medical Equipment & Medical Supplies | 2685 Patton Rd, Roseville, MN 55113 | 2018-07-13 |
| 1083104145 | Suite Living Senior Care of Roseville | Assisted Living Facility | 197 County Road B2 W, Roseville, MN 55113 | 2018-05-15 |
| 1477055796 | Sunrise Residential Services LLC | Home Health | 216 Maple Ln, Roseville, MN 55113 | 2018-03-02 |
| 1194223024 | Alissa Hoff | Specialist | 1595 Mn 36 - 584 10 Rosedale Center, Roseville, MN 55113 | 2018-01-25 |
| 1841705118 | Kingsland Care Services Incorporated | Case Management | 2301 Rice Street, Suite 101, Roseville, MN 55113 | 2017-12-08 |
| Find all providers in zip 55113 | ||||
| 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 |
|---|---|---|---|---|
| 1053928143 | Daina Saati | Pharmacist | 1617 Grey Owl Cir, Roseville, CA 95661-4006 | 2020-09-23 |
| 1134766330 | Wazhma Mahshour | Pharmacist | 4165 Shorthorn Way, Roseville, CA 95747-4204 | 2019-12-06 |
| 1639734460 | John Dennis Snider Iv | Pharmacist | Sutter Roseville Medical Center Emergency Department, 1 Medical Plaza Dr, Roseville, CA 95661-3037 | 2019-05-07 |
| 1558830067 | Christine Marie Dakkak | Pharmacist | Raley's Pharmacy #227, 1915 Douglas Blvd, Roseville, CA 95661-0000 | 2018-11-14 |
| 1265932503 | Zeeshan H Toor | Pharmacist | 16970 E 13 Mile Rd, Roseville, MI 48066-7719 | 2018-02-13 |
| 1164958781 | Cesar A Olmedo | Pharmacist | 8800 Sierra College Blvd, Apt 633, Roseville, CA 95661-6414 | 2017-05-02 |
| 1568997641 | Joline Trinh | Pharmacist | 1030 Pleasant Grove Boulevard, Roseville, CA 95678 | 2017-04-26 |
| 1629509203 | Banafsheh Asadi Lee | Pharmacist | 1608 Avondale Dr, Roseville, CA 95747-8389 | 2017-03-24 |
| 1639543614 | Vy Nguyen | Pharmacist | 516 Amberly Ct, Roseville, CA 95747-9530 | 2015-11-13 |
| 1922478874 | Thuan Do | Pharmacist | 3030 Centre Pointe Dr Ste 800, Roseville, MN 55113-1142 | 2015-10-05 |
| Find all providers in ROSEVILLE | ||||
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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.