ANTHONY LANE WACHOLZ (NPI# 1922538842) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922538842 |
| Entity Type | Individual |
| Full Name | ANTHONY LANE WACHOLZ |
| Credential | PHARMD |
| Practice Address |
1703 Madison Ave Mankato MN 56001-5447 |
| Mailing Address |
23808 State Highway 13 New Richland MN 56072-2916 |
| Practice Telephone | 5073457215 |
| Practice Fax Number | 5075190929 |
| Mailing Telephone | 5074611753 |
| Enumeration Date | 2017-06-13 |
| Last Update Date | 2019-11-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 123252 | MN | Pharmacy Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 223 State St N, Waseca, MN 560932930 | 5074611753 |
| Street Address |
1703 MADISON AVE |
| City | MANKATO |
| State | MN |
| Zip Code | 56001-5447 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568938041 | Brianna Bakken | Pharmacist | 1703 Madison Ave, Mankato, MN 56001-5447 | 2018-10-22 |
| 1598282303 | Thrifty Drug Stores Inc | Pharmacy | 1703 Madison Ave, Mankato, MN 56001-5447 | 2017-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154935435 | Kelly Nicole Ricke | Physical Medicine & Rehabilitation | 1 Civic Center Plaza, Hockey Office Complex, Mankato, MN 56001 | 2020-09-03 |
| 1649816786 | Ashley Lynn Walters | Technician, Other | 501 Madison Ave., Mankato, MN 56001 | 2019-11-25 |
| 1720631716 | Dovetail Traslation LLC | Interpreter | 212 Dublin Ct, Same As Above, Mankato, MN 56001 | 2019-07-19 |
| 1093377871 | Lindsey Keithahn | Counselor | 2100 Bassett Drive, Mankato, MN 56001 | 2019-07-02 |
| 1255803813 | Amy Marie Williams | Acupuncturist | 709 S. Front Street, Suite 5, Mankato, MN 56001 | 2018-12-20 |
| 1518437573 | Ashley Blanchard | Acupuncturist | Vida Salon Suites 1351 Madison Avenue, Suite F/ Suite 206, Mankato, MN 56001 | 2018-12-03 |
| 1831687235 | Christian Goetz | Specialist/Technologist | 401-477 South Rd, Mankato, MN 56001 | 2018-05-01 |
| 1366949141 | Minnesota State College and Universities | Specialist/Technologist | 135 Myers Field House, Mankato, MN 56001 | 2018-04-09 |
| 1780191775 | Kevin David Nelson | Pharmacist | 111 Redtail Ct Apt 308, Mankato, MN 56001 | 2017-12-29 |
| 1972014231 | Rylee Wagner | Speech-Language Pathologist | Mankato Clinic Pediatric Therapy Services, 150 St. Andrews Court, Suite 310, Mankato, MN 56001 | 2017-10-13 |
| Find all providers in zip 56001 | ||||
| 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 |
|---|---|---|---|---|
| 1780191775 | Kevin David Nelson | Pharmacist | 111 Redtail Ct Apt 308, Mankato, MN 56001 | 2017-12-29 |
| 1548688286 | Angela Evenson | Pharmacist | 1850 Madison Ave, Mankato, MN 56001-5448 | 2014-03-31 |
| 1558783787 | Heidi Johnson | Pharmacist | 108 Panther Ln, Mankato, MN 56001-8649 | 2014-01-07 |
| 1912277278 | Sarah E Caven | Pharmacist | 1800 E Madison Ave, Mankato, MN 56001-6883 | 2012-01-04 |
| 1689956542 | Philip John Meyer | Pharmacist | 1270 E Madison Ave, Mankato, MN 56001-5228 | 2011-09-15 |
| 1245563550 | Ahmed Saad Bahgat | Pharmacist | 104 Martin Cir, Mankato, MN 56001-5731 | 2009-09-18 |
| 1245456862 | Tania Rae Wieseler | Pharmacist | 410 S 5th St Ste P1, Mankato, MN 56001 | 2007-04-18 |
| 1912989732 | Jeanne M Steil | Pharmacist | 600 Maywood Ave, 21 Carkoski Commons, Mankato, MN 56001-7008 | 2005-11-17 |
| 1811596059 | Kiman Dinh | Pharmacist | 1025 Marsh St, Mankato, MN 56001-4752 | 2020-10-20 |
| 1548868151 | Michelle Lee Stearns | Pharmacist | 1881 Madison Ave, Mankato, MN 56001-6200 | 2020-10-15 |
| Find all providers in MANKATO | ||||
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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.