DR. KHRYSTYNE NOELDNER (NPI# 1962062174) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962062174 |
| Entity Type | Individual |
| Full Name | DR. KHRYSTYNE NOELDNER |
| Practice Address |
1013 S Kalamazoo St Paw Paw MI 49079-8258 |
| Practice Telephone | 2694156014 |
| Mailing Telephone | 2694156014 |
| Enumeration Date | 2019-06-19 |
| Last Update Date | 2019-06-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 5302042010 | MI | Pharmacy Service Providers |
| Street Address |
1013 S KALAMAZOO ST |
| City | PAW PAW |
| State | MI |
| Zip Code | 49079-8258 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093132003 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 1013 S Kalamazoo St, Paw Paw, MI 49079-8258 | 2014-03-27 |
| 1215537170 | Jocelyn George | Pharmacist | 1013 S Kalamazoo St, Paw Paw, MI 49079-8258 | 2020-10-29 |
| 1518584754 | Jodie H Tran | Pharmacist | 1013 S Kalamazoo St, Paw Paw, MI 49079-8258 | 2020-07-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700359387 | Elizabeth Ann Heskett | Social Worker | Bronson Lakeview Family Care, 451 Health Parkway, Suite B, Paw Paw, MI 49079 | 2019-01-07 |
| 1346775269 | Timothy Adli Kanaan | Counselor | 816 E Michigan Ave Ste 103, Paw Paw, MI 49079 | 2017-04-28 |
| 1558655464 | Tamayi Bwititi | Family Medicine | 451 Health Pkwy Ste G, Paw Paw, MI 49079 | 2011-06-08 |
| 1942401047 | Jenny Adina Grunberg | Dentist | 54055 County Rd 653, Paw Paw, MI 49079 | 2007-05-29 |
| 1912058918 | David James Potts | Psychologist | 181 West Michigan Ave Suite 3, Mapleview Consultation Center P.c, Paw Paw, MI 49079 | 2007-01-16 |
| 1760438378 | Starhealth Multi-specialty Group, P.C. Pharmacy | Pharmacist | 451 Health Parkway, Paw Paw, MI 49079 | 2006-05-25 |
| 1528029568 | Jayantilal J Bathani | Pediatrics | 505 Hazen St, Ste 203, Paw Paw, MI 49079 | 2006-03-29 |
| 1548231202 | Gregory Cassidy | Physician Assistant | 125 N Kalamazoo St, #82, Paw Paw, MI 49079 | 2006-01-31 |
| 1649782418 | Amber Bemis | Occupational Therapy Assistant | 801 Hazen Street, Suite C, Paw Paw, MI 49079 | 2017-11-01 |
| 1073047122 | Theresa Arnold | Social Worker | 181 W Michigan Ave Ste 3, Paw Paw, MI 49079 | 2017-04-15 |
| Find all providers in zip 49079 | ||||
| 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 |
|---|---|---|---|---|
| 1467627455 | Bradley Kent Dagen Jr. | Pharmacist | 319 E Michigan Ave, Paw Paw, MI 49079-1426 | 2008-04-29 |
| 1265449698 | Debra Diane Fergeson | Pharmacist | 847 S Kalamazoo St, Paw Paw, MI 49079-9230 | 2006-08-01 |
| 1760438378 | Starhealth Multi-specialty Group, P.C. Pharmacy | Pharmacist | 451 Health Parkway, Paw Paw, MI 49079 | 2006-05-25 |
| 1215537170 | Jocelyn George | Pharmacist | 1013 S Kalamazoo St, Paw Paw, MI 49079-8258 | 2020-10-29 |
| 1518584754 | Jodie H Tran | Pharmacist | 1013 S Kalamazoo St, Paw Paw, MI 49079-8258 | 2020-07-04 |
| 1326572082 | Rebecca Romph | Pharmacist | 322 E Michigan Ave, Paw Paw, MI 49079-1408 | 2017-04-19 |
| 1649702085 | Michelle Olson | Pharmacist | 322 E Michigan Ave, Paw Paw, MI 49079-1408 | 2017-04-03 |
| 1730611179 | Joseph Henry Romph | Pharmacist | 322 E Michigan Ave, Paw Paw, MI 49079-1408 | 2017-04-03 |
| 1598139966 | Scott Talmage | Pharmacist | 319 E Michigan Ave, Paw Paw, MI 49079-1426 | 2015-11-22 |
| 1699184234 | Ruben Martinez Arreguin | Pharmacist | 319 E Michigan Ave, Paw Paw, MI 49079-1426 | 2014-08-07 |
| Find all providers in PAW PAW | ||||
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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.