FREDERICK MARVIN STIBBE (NPI# 1972101731) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972101731 |
| Entity Type | Individual |
| Full Name | FREDERICK MARVIN STIBBE |
| Practice Address |
1303 Charles St Park Rapids MN 56470-1241 |
| Mailing Address |
701 Villa Park Way West Fargo ND 58078-4364 |
| Practice Telephone | 7012009483 |
| Mailing Telephone | 7012009483 |
| Enumeration Date | 2020-10-14 |
| Last Update Date | 2020-10-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 113776 | MN | Pharmacy Service Providers |
| Street Address |
1303 CHARLES ST |
| City | PARK RAPIDS |
| State | MN |
| Zip Code | 56470-1241 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568593069 | Wal-mart Stores, Inc Dba Wal-mart | Technician/Technologist | 1303 Charles St, Park Rapids, MN 56470 | 2007-03-08 |
| 1265565394 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 1303 Charles St, Park Rapids, MN 56470-1241 | 2007-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720693542 | Joshua M Still | Physical Therapist | 829 Lake Ave S, Suite B, Park Rapids, MN 56470 | 2020-09-09 |
| 1730731464 | St Marys Regional Health Center | Clinic/Center | 1103 1st St E, Park Rapids, MN 56470 | 2019-07-12 |
| 1174091904 | Amanda Marie Slaikeu | Physical Therapist | 705 Pleasant Avenue South, Park Rapids, MN 56470 | 2018-11-09 |
| 1184965261 | Hubbard County Sheriff's Office | Secured Medical Transport (VAN) | 203 Court Ave, Park Rapids, MN 56470 | 2013-03-14 |
| 1134481666 | Michelle Lynn Rice | Physical Therapy Assistant | 600 Pleasant Ave, St. Joseph's Area Health Services, Park Rapids, MN 56470 | 2012-06-11 |
| 1790047355 | Amanda Dawn Runyan | Physical Therapist | 600 Pleasant Ave., St. Joseph's Area Health Services, Park Rapids, MN 56470 | 2012-06-11 |
| 1629330279 | Lois G. Mcclatchie | Physical Therapist | 600 Pleasant Avenue, St. Joseph's Area Health Services, Park Rapids, MN 56470 | 2012-06-11 |
| 1376832576 | Ryan G Strasburg | Nurse Anesthetist, Certified Registered | 506 Henrietta Ave N, Park Rapids, MN 56470 | 2011-03-29 |
| 1891966479 | Jay C Jorgenson Dds Pa | Dentist | 406 Pleasant Ave, Park Rapids, MN 56470 | 2008-03-21 |
| 1629250063 | Five Star Living of Park Rapids, LLC | Assisted Living Facility | 911 Crocus Hill Street, Birch Park Suites, Park Rapids, MN 56470 | 2007-11-28 |
| Find all providers in zip 56470 | ||||
| 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 |
|---|---|---|---|---|
| 1568847218 | April Marie Grieger | Pharmacist | 409 1st St W, Park Rapids, MN 56470-1307 | 2015-07-23 |
| 1245574219 | Kathleen M Tande | Pharmacist | 19105 County 40, Park Rapids, MN 56470-5112 | 2012-11-15 |
| 1093976581 | Michael L Vettel | Pharmacist | 620 Park Ave N, Park Rapids, MN 56470-1143 | 2008-06-18 |
| 1992318786 | Paul Mahling | Pharmacist | 101 Main Ave N, Park Rapids, MN 56470-1511 | 2020-08-31 |
| 1558722207 | Daniel Wayne Pifher | Pharmacist | 101 Main Ave N, Park Rapids, MN 56470-1511 | 2016-03-09 |
| 1295142123 | Paul Jilek | Pharmacist | 101 Main Ave N, Park Rapids, MN 56470-1511 | 2014-07-11 |
| 1952734493 | Lisa Petrie | Pharmacist | 101 Main Ave N, Park Rapids, MN 56470-1511 | 2013-08-20 |
| 1881971703 | Sara Marie Jansen Rowe | Pharmacist | 101 Main Ave N, Park Rapids, MN 56470-1511 | 2011-11-06 |
| 1659516771 | Jackie R Rehm | Pharmacist | 101 N Main St, Snyder Drug 5008, Park Rapids, MN 56470 | 2008-12-03 |
| 1154538098 | Bryan Kirk Ridgley | Pharmacist | 209 1st St W, Park Rapids, MN 56470-1504 | 2007-05-17 |
| Find all providers in PARK RAPIDS | ||||
| City | PARK RAPIDS |
| Zip Code | 56470 |
Please comment or provide details below to improve the information on FREDERICK MARVIN STIBBE.
| 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.