ANN MARY ISACC (NPI# 1912318148) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912318148 |
| Entity Type | Individual |
| Full Name | ANN MARY ISACC |
| Credential | MS,PHARM D,BCPS,CGP |
| Practice Address |
3107 Market Pl Onalaska WI 54650-6756 |
| Mailing Address |
853 Aspen Valley Dr Onalaska WI 54650-8219 |
| Practice Telephone | 6087818355 |
| Enumeration Date | 2014-05-09 |
| Last Update Date | 2014-05-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
15324-40 | WI | Pharmacy Service Providers |
| N | 1835G0303X |
Pharmacist Specialization: Geriatric |
15324-40 | WI | Pharmacy Service Providers |
| Street Address |
3107 MARKET PL |
| City | ONALASKA |
| State | WI |
| Zip Code | 54650-6756 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629095773 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 3107 Market Pl, Onalaska, WI 54650-6756 | 2006-07-16 |
| 1912508102 | Easton Kopmeier | Pharmacist | 3107 Market Pl, Onalaska, WI 54650-6756 | 2020-11-04 |
| 1730788696 | Justin O'driscoll | Pharmacist | 3107 Market Pl, Onalaska, WI 54650-6756 | 2020-10-21 |
| 1235738196 | Ruchi Patel | Pharmacist | 3107 Market Pl, Onalaska, WI 54650-6756 | 2020-10-21 |
| 1750980769 | Yan Gao | Pharmacist | 3107 Market Pl, Onalaska, WI 54650-6756 | 2020-10-21 |
| 1447859434 | Sarah Davis | Pharmacist | 3107 Market Pl, Onalaska, WI 54650-6756 | 2020-10-20 |
| 1386243681 | Tyler Brett Sawall | Pharmacist | 3107 Market Pl, Onalaska, WI 54650-6756 | 2020-10-19 |
| 1194956748 | Onalaska Vision Associates, Inc. | Optometrist | 3107 Market Pl, Onalaska, WI 54650-6756 | 2009-07-30 |
| 1063593176 | Wal-mart Stores East, Lp | Technician/Technologist | 3107 Market Pl, Onalaska, WI 54650-6724 | 2006-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568824027 | Kyle Quillin | Student in an Organized Health Care Education/Training Program | 236 Kevin Ct, Onalaska, WI 54650 | 2016-03-24 |
| 1831577881 | Katelyn Nicole Patten | Counselor | 575 Lester Ave, Onalaska, WI 54650 | 2015-05-11 |
| 1619369758 | Amelia Vruble | Registered Nurse | 1047 Terrace Drive, Onalaska, WI 54650 | 2015-02-26 |
| 1699186528 | C. Nathan Vannatta | Physical Therapist | 3111 Gunersen Dr, Onalaska, WI 54650 | 2014-05-13 |
| 1770867640 | Claire Sweet | Pharmacist | 9400 Hwy 16, Target T-0620, Onalaska, WI 54650 | 2011-10-10 |
| 1306140439 | Jared I Darveaux | Internal Medicine | 311 Gundersen Dr, Onalaska, WI 54650 | 2011-01-04 |
| 1326299488 | Demetrios Spyridon Theodoropoulos | Allergy & Immunology | 2727 Midwest Drive, Onalaska, WI 54650 | 2008-10-08 |
| 1114190618 | Nancy Ellen Reithel | Physical Therapist | 610 Westwood Drive, Onalaska, WI 54650 | 2008-04-07 |
| 1902972896 | Maplewood Dental | Dentist | 1202 County Trunk Ph, Suite 300, Onalaska, WI 54650 | 2006-11-24 |
| 1245309327 | Benjamin John Breidenbach | Chiropractor | 1640 George St, Lacrosse, WI 54650 | 2006-11-06 |
| Find all providers in zip 54650 | ||||
| Taxonomy Code | 1835P1200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacotherapy |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295123735 | Nate Smith | Pharmacist | 2536 Kendall Ave, Madison, WI 53705-3847 | 2015-01-07 |
| 1710382809 | Betsy Hoida | Pharmacist | 2485 Greenbrier Rd., Green Bay, WI 54311 | 2014-10-31 |
| 1497187181 | Sarah J Wilczek | Pharmacist | 699 S Green Bay Rd, Neenah, WI 54956-3153 | 2013-08-05 |
| 1528311206 | Meaghan A Mcmurray | Pharmacist | 10932 N Port Washington Rd, Mequon, WI 53092-5031 | 2012-10-18 |
| 1417225731 | Lisa Marie Mlodzik | Pharmacist | 1316 30th Ct, Kenosha, WI 53144-3064 | 2011-12-01 |
| 1083891584 | Tricia Lyn Dissmore | Pharmacist | 806 Greenwood St, Holmen, WI 54636-8003 | 2008-01-28 |
| 1477608354 | Allan T. Mailloux | Pharmacist | 10 E Doty St Ste 210, Madison, WI 53703-3354 | 2007-01-24 |
| 1518062884 | Kristin Ann Higgins | Pharmacist | 726 London Rd, Deerfield, WI 53531-9572 | 2006-09-13 |
| 1295849420 | Brian D Schafer | Pharmacist | 129 Old Abe Road, Lac Du Flambeau, WI 54538 | 2006-08-17 |
| 1619985983 | Anthony G Staresinic | Pharmacist | 2650 Novation Pkwy, Suite 400, Madison, WI 53713-3399 | 2006-08-03 |
| Find all providers with the same taxonomy | ||||
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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.