TIMOTHY WAYNE DANIELSON (NPI# 1992304067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992304067 |
| Entity Type | Individual |
| Full Name | TIMOTHY WAYNE DANIELSON |
| Other Name | TIM WAYNE DANIELSON |
| Credential | RPH |
| Practice Address |
4433 Vanguard Dr Sheboygan WI 53083-6067 |
| Mailing Address |
636 County Highway H Fredonia WI 53021-9610 |
| Practice Telephone | 9204599470 |
| Mailing Telephone | 2623431417 |
| Enumeration Date | 2020-10-20 |
| Last Update Date | 2020-10-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 8932-40 | WI | Pharmacy Service Providers |
| Street Address |
4433 VANGUARD DR |
| City | SHEBOYGAN |
| State | WI |
| Zip Code | 53083-6067 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821274275 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 4433 Vanguard Dr, Sheboygan, WI 53083-6067 | 2008-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629341748 | Wendy Marie Kirst | Licensed Practical Nurse | 2639 North 9th Street, Sheboygan, WI 53083 | 2012-02-21 |
| 1194912493 | Assisted Living Concepts Inc | Assisted Living Facility | 1231 Eisner Avenue, Sheboygan, WI 53083 | 2007-10-01 |
| 1629265350 | David P Mayer | Dentist | 2705 N 8th Street, Sheboygan, WI 53083 | 2007-09-26 |
| 1760683510 | Ginger Adams | Physical Therapy Assistant | 3431 North 13th Street, Sheboygan, WI 53083 | 2007-05-30 |
| 1295947778 | Jodi Lynn Wagner | Occupational Therapist | 2629 North 7th Street, Sheboygan, WI 53083 | 2007-05-04 |
| 1306067491 | School District of Howards Grove | Local Education Agency (LEA) | 403 Audubon Road, Howards Grove, WI 53083 | 2007-05-02 |
| 1902023955 | Aurora Health Care Central, Inc. | Community/Behavioral Health | 2629 N 7th St., Sheboygan, WI 53083 | 2007-04-19 |
| 1497860498 | Charles J Gehring Jr. | Anesthesiology | 4945 Blackstock Rd, Sheboygan, WI 53083 | 2006-08-20 |
| 1760595300 | Tina Marie Ottman-boykin | Counselor | 2801 Calumet Drive, Sheboygan, WI 53083 | 2006-08-17 |
| 1588043186 | Abby M Safranski | Family Medicine | 620 S Wisconsin Dr, Howards Grove, WI 53083 | 2015-05-28 |
| Find all providers in zip 53083 | ||||
| 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 |
|---|---|---|---|---|
| 1831790898 | Tresa Wynveen | Pharmacist | 3711 S Taylor Dr, Sheboygan, WI 53081-8495 | 2020-11-05 |
| 1548869522 | Neal Walter Verhulst | Pharmacist | 3711 S Taylor Dr, Sheboygan, WI 53081-8495 | 2020-10-21 |
| 1770182727 | Corrine Ringle | Pharmacist | 3711 S Taylor Dr, Sheboygan, WI 53081-8495 | 2020-10-21 |
| 1225650344 | Garret Winter | Pharmacist | 1108 N 14th St, Sheboygan, WI 53081-3213 | 2020-05-12 |
| 1376164111 | Jesse Blahnik | Pharmacist | 1108 N 14th St, Sheboygan, WI 53081-3213 | 2020-05-04 |
| 1881229284 | Ninnapa Slezak | Pharmacist | 2702 Calumet Dr, Sheboygan, WI 53083-3835 | 2020-03-05 |
| 1528692019 | Elizabeth Catherine Kelling | Pharmacist | 1029 N 14th St, Sheboygan, WI 53081-3813 | 2020-02-24 |
| 1407480056 | Manpreet S Rai | Pharmacist | 1029 N 14th St, Sheboygan, WI 53081-3813 | 2020-02-22 |
| 1144853763 | Joseph S Higgins Jr. | Pharmacist | 2702 Calumet Dr, Sheboygan, WI 53083-3835 | 2020-02-21 |
| 1194357392 | Alicia Davister | Pharmacist | 924 N Taylor Dr, Sheboygan, WI 53081-4202 | 2020-02-06 |
| Find all providers in SHEBOYGAN | ||||
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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.