MRS. EMILY JANE KOENEMANN (NPI# 1992345839) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992345839 |
| Entity Type | Individual |
| Full Name | MRS. EMILY JANE KOENEMANN |
| Credential | PHARMD |
| Practice Address |
1350 S Randolph St Garrett IN 46738-1971 |
| Mailing Address |
7430 Clingmans Trl Fort Wayne IN 46835-1418 |
| Practice Telephone | 2605539200 |
| Mailing Telephone | 2699298111 |
| Enumeration Date | 2020-01-08 |
| Last Update Date | 2020-01-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 5302034007 | MI | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | 26022154A | IN | Pharmacy Service Providers |
| Street Address |
1350 S RANDOLPH ST |
| City | GARRETT |
| State | IN |
| Zip Code | 46738-1971 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639620669 | Dekalb Memorial Pharmacare LLC | Pharmacy | 1350 S Randolph St, Garrett, IN 46738-1971 | 2016-10-14 |
| 1427698240 | Jacob Daniel Clendenen | Pharmacist | 1350 S Randolph St, Garrett, IN 46738-1971 | 2020-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730305467 | Jane Ellen Dannhausen | Nurse Practitioner | 1359 S. Randolph St., Garrett, IN 46738 | 2007-04-18 |
| 1528479946 | Ma Umiya LLC | Pharmacy | 112 N Randolph St, Garrett, IN 46738-1138 | 2014-05-20 |
| 1922078062 | Bret D Kueber | Family Medicine | 128 N. Randolph Street, Garrett, IN 46738-1138 | 2006-01-23 |
| 1104808005 | Kristi A Morris | Nurse Practitioner | 128 N Randolph St, Garrett, IN 46738-1138 | 2005-11-16 |
| 1295985828 | Gretchen H Jenkins | Nurse Practitioner | 128 N Randolph St, Garrett, IN 46738-1138 | 2008-09-18 |
| 1508937376 | Dekalb Memorial Hospital, Inc | Family Medicine | 128 N Randolph St, Garrett, IN 46738-1138 | 2006-11-13 |
| 1427004597 | T. Brett Mann | Dentist | 616 S Randolph St, Garrett, IN 46738-1458 | 2006-05-26 |
| 1346454717 | William H Schlemmer | Dentist | 125 S Randolph St, Garrett, IN 46738-1467 | 2007-05-09 |
| 1881246726 | Garrett Family Dentistry LLC | Dentist | 125 S Randolph St, Garrett, IN 46738-1467 | 2019-07-11 |
| 1215963962 | Garrett Pharmacare, LLC | Pharmacy | 100 S Randolph St, Garrett, IN 46738-1468 | 2006-06-24 |
| Find all providers in zip 46738 | ||||
| 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 |
|---|---|---|---|---|
| 1427698240 | Jacob Daniel Clendenen | Pharmacist | 1350 S Randolph St, Garrett, IN 46738-1971 | 2020-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033710728 | Joel Burke Hood | Pharmacist | 5034 E Timberwood Dr, Newburgh, IN 47630-3018 | 2020-11-08 |
| 1346841582 | Autumn Brooke Trifone | Pharmacist | 1795 In 163, Clinton, IN 47842 | 2020-11-04 |
| 1043811326 | Brunhilda K Waingeh | Pharmacist | 4008 Decker Ct, Sellersburg, IN 47172-9258 | 2020-11-04 |
| 1659972834 | Crenda Bottorff | Pharmacist | 1835 East Us 231 South, Crawfordsville, IN 47935 | 2020-11-04 |
| 1114528585 | Shannon Allcron | Pharmacist | 6770 E. Virginia St., Evansville, IN 47715 | 2020-11-03 |
| 1558962860 | Andrea Abbett | Pharmacist | 333 Boyd Blvd Laporte, In 46350, 211 S 75 E, Valparaiso, IN 46383 | 2020-11-03 |
| 1588265052 | Sarah Corder | Pharmacist | 2633 W 450 N, La Porte, IN 46350-7507 | 2020-11-02 |
| 1447851928 | Alicia Helene Wojciechowski | Pharmacist | 5829 N New Jersey St, Indianapolis, IN 46220-2534 | 2020-11-02 |
| 1871194472 | Megan Mccullough | Pharmacist | 10617 East Washington Street, Pharmacy At Walmart, Indianapolis, IN 46222 | 2020-11-02 |
| 1013518646 | Philip Anthony Card | Pharmacist | 823 W State Highway 46 Ste 1p1, Spencer, IN 47460-6748 | 2020-11-02 |
| Find all providers with the same taxonomy | ||||
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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.