MR. DAVID JOHN LIGHT (NPI# 1962771642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962771642 |
| Entity Type | Individual |
| Full Name | MR. DAVID JOHN LIGHT |
| Credential | RPH |
| Practice Address |
17 Division St Waite Park MN 56387-1349 |
| Mailing Address |
6483 36th Ave Se Saint Cloud MN 56304-9409 |
| Practice Telephone | 3202031035 |
| Mailing Telephone | 3206565830 |
| Enumeration Date | 2011-12-24 |
| Last Update Date | 2011-12-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 112825 | MN | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811065444 | David Alan Light | Orthotist | 20 Howard St, Suite 7, San Angelo, TX 76901-3179 | 2006-12-01 |
| 1912957333 | David Martin Light | Physical Therapist | 1501 Corporate Dr Ste 110, Boynton Beach, FL 33426-6654 | 2006-05-10 |
| 1346243144 | David Walker Light Iv | Radiology | 12951 South Fwy, Houston, TX 77047-1923 | 2005-05-24 |
| 1245669134 | David Boyd Light | Nurse Practitioner | 12800 Garden Grove Blvd Ste F, Garden Grove, CA 92843-2008 | 2013-11-01 |
| 1154763548 | David Light | Chiropractor | 10470 W Cheyenne Ave, Suite 115, Las Vegas, NV 89129-8732 | 2013-07-25 |
| 1164861555 | David Light | Dentist | 14713 Sugura Dr, Winter Garden, FL 34787-9336 | 2013-06-18 |
| 1366647828 | David Matthew Light | Surgery | 833 Northern Blvd, Suite 160, Great Neck, NY 11021-5315 | 2007-06-15 |
| 1275742975 | David James Light | Chiropractor | 111 E Main St, Uniontown, PA 15401-3607 | 2007-05-21 |
| Street Address |
17 DIVISION ST |
| City | WAITE PARK |
| State | MN |
| Zip Code | 56387-1349 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760621197 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 17 Division St, Waite Park, MN 56387-1349 | 2009-02-09 |
| 1275145302 | Mary Elizabeth Giese | Pharmacist | 17 Division St, Waite Park, MN 56387-1349 | 2020-08-19 |
| 1376104604 | Jesse Robert Obright | Pharmacist | 17 Division St, Waite Park, MN 56387-1349 | 2019-06-26 |
| 1497022610 | Lisa Bullert | Pharmacist | 17 Division St, Waite Park, MN 56387-1349 | 2011-11-17 |
| 1235416967 | Andrea Renee Satterstrom | Pharmacist | 17 Division St, Waite Park, MN 56387-1349 | 2011-11-09 |
| 1609152214 | Jeremy Daniel Rogosheske | Pharmacist | 17 Division St, Waite Park, MN 56387-1349 | 2011-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962041269 | Kayli Marie Brzinski | Massage Therapist | 700 Division St, Waite Park, MN 56387 | 2020-01-03 |
| 1457836454 | Group Health Plan, Inc | Clinic/Center | 430 Great Oak Drive, Waite Park, MN 56387 | 2018-09-26 |
| 1467826016 | Nogob Transportion Inc | Non-emergency Medical Transport (VAN) | 427 Sundial Drive, Waite Park, MN 56387 | 2015-11-19 |
| 1790043271 | Ruth Marie Kuhlman | Psychologist | 110 2nd Street South, Suite 203, Waite Park, MN 56387 | 2012-05-02 |
| 1538463435 | Bjerke Counseling Services, LLC | Community/Behavioral Health | 110 Second Street, South, Suite 303, Waite Park, MN 56387 | 2011-01-06 |
| 1578799714 | Councseling Associates, Pa | Marriage & Family Therapist | 110 Second Street South, Suite 304, Waite Park, MN 56387 | 2009-06-02 |
| 1063678357 | Chiropractic Connection Pllc | Chiropractor | 2103 Frontage Rd N, #19, Waite Park, MN 56387 | 2008-08-06 |
| 1891972584 | Jill M Braaten | Chiropractor | 750 1st Street South, Suite 103, Waite Park, MN 56387 | 2008-01-25 |
| 1609053396 | Braaten Chiropractic LLC | Chiropractor | 750 1st. St. S. Ste 103, Waite Park, MN 56387 | 2008-01-25 |
| 1093849622 | Thomas Edward Monsen | Social Worker | 504 Industrial Boulevard, Waconia, MN 56387 | 2007-03-15 |
| Find all providers in zip 56387 | ||||
| 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 |
|---|---|---|---|---|
| 1083971329 | Clalien Marie Rose | Pharmacist | 40 2nd St S, Waite Park, MN 56387-1300 | 2012-04-11 |
| 1275145302 | Mary Elizabeth Giese | Pharmacist | 17 Division St, Waite Park, MN 56387-1349 | 2020-08-19 |
| 1376104604 | Jesse Robert Obright | Pharmacist | 17 Division St, Waite Park, MN 56387-1349 | 2019-06-26 |
| 1285002626 | Shane Stowe | Pharmacist | 113 Waite Ave S, Waite Park, MN 56387-1348 | 2015-09-02 |
| 1720455538 | Hau Lau | Pharmacist | 113 Waite Ave S, Waite Park, MN 56387-1348 | 2015-08-27 |
| 1720485774 | Jason Franke | Pharmacist | 113 Waite Ave S, Waite Park, MN 56387-1348 | 2014-11-19 |
| 1497022610 | Lisa Bullert | Pharmacist | 17 Division St, Waite Park, MN 56387-1349 | 2011-11-17 |
| 1235416967 | Andrea Renee Satterstrom | Pharmacist | 17 Division St, Waite Park, MN 56387-1349 | 2011-11-09 |
| 1609152214 | Jeremy Daniel Rogosheske | Pharmacist | 17 Division St, Waite Park, MN 56387-1349 | 2011-10-26 |
| 1710028154 | Holly Nanette Senn | Pharmacist | 113 Waite Ave S, Waite Park, MN 56387-1348 | 2007-02-09 |
| Find all providers in WAITE PARK | ||||
| City | WAITE PARK |
| Zip Code | 56387 |
Please comment or provide details below to improve the information on MR. DAVID JOHN LIGHT.
| 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.