JENNIFER BERGAN (NPI# 1003429713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003429713 |
| Entity Type | Individual |
| Full Name | JENNIFER BERGAN |
| Credential | PHARMD |
| Practice Address |
4509 S Prince of Peace Pl Sioux Falls SD 57103-5830 |
| Mailing Address |
4044 S Tuscany Ct Sioux Falls SD 57103-7195 |
| Practice Telephone | 6053227709 |
| Mailing Telephone | 6052709315 |
| Enumeration Date | 2020-08-24 |
| Last Update Date | 2020-08-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 5702 | SD | Pharmacy Service Providers |
| Street Address |
4509 S PRINCE OF PEACE PL |
| City | SIOUX FALLS |
| State | SD |
| Zip Code | 57103-5830 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972072858 | Tasha Leigh Vanrooyen | Massage Therapist | 3400 Southeastern Avenue, Sioux Falls, SD 57103 | 2018-11-20 |
| 1407377328 | Minnehaha Health Supplies | Durable Medical Equipment & Medical Supplies | Sioux Falls - Cna Building, 101 South Reid Street, Suite 307, Sioux Falls, SD 57103 | 2017-06-30 |
| 1811378771 | African Community Center of Sioux Falls | Non-emergency Medical Transport (VAN) | 1515 East 10th Street, Sioux Falls, SD 57103 | 2015-06-16 |
| 1033596861 | Raichatou Ann Jackson | Clinical Nurse Specialist | 4308 Est 9th St, Sioux Falls, SD 57103 | 2015-04-30 |
| 1538551668 | Wendy Jo Kranzler | Occupational Therapist | 4500 Prince of Peace, Sioux Falls, SD 57103 | 2015-02-26 |
| 1932477205 | Alpha Sigma Health Group, Inc. | Home Health | 2804 East 26th Street, Lower Level, Sioux Falls, SD 57103 | 2011-12-01 |
| 1629207089 | Andrea R Tuley | Registered Nurse | 1312 E. 11th Street, Sioux Falls, SD 57103 | 2009-07-07 |
| 1891920054 | Great Plains Chiropractic & Wellness LLC | Chiropractor | 3233 S. Sycamore Ave., Sioux Falls, SD 57103 | 2009-05-18 |
| 1841430162 | Martin Frank Petereit | Radiology | 1600 E. Cedar Lane, Retired Radiologist, Sioux Falls, SD 57103 | 2009-02-26 |
| 1255518619 | Mobile Sonographers Inc | Spec/Tech, Cardiovascular | 2307 E Harriet Lea St, Sioux Falls, SD 57103 | 2008-01-29 |
| Find all providers in zip 57103 | ||||
| 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 |
|---|---|---|---|---|
| 1144715830 | Keaton Mark Moffitt | Pharmacist | 708 S Riverward Dr, Sioux Falls, SD 57106-4604 | 2018-06-26 |
| 1992299879 | Aaron Troy Zieske | Pharmacist | 7620 S Beal Ave, Sioux Falls, SD 57108-4993 | 2018-06-14 |
| 1538652466 | Kara Benson | Pharmacist | 4424 W Kinsley Pl, Sioux Falls, SD 57108-5452 | 2018-06-14 |
| 1912350331 | Dylan Stoebner | Pharmacist | 2201 W 6th St, Apt. #212, Sioux Falls, SD 57104-5860 | 2016-07-20 |
| 1083061493 | Jeff Meyer | Pharmacist | 7704 W 32nd St, Sioux Falls, SD 57106-5133 | 2016-05-16 |
| 1679957146 | Cassie Heisinger | Pharmacist | 5100 S Nevada Ave Apt 216, Sioux Falls, SD 57108-2282 | 2015-07-15 |
| 1497139273 | Sara Gossen | Pharmacist | 500 W 41st St, Sioux Falls, SD 57105-6402 | 2015-07-12 |
| 1811370745 | Else Umbreit | Pharmacist | 300 Cherapa Pl Ste 201, Sioux Falls, SD 57103-2272 | 2015-07-09 |
| 1225422603 | Joel Engle | Pharmacist | 2305 E 54th St, Sioux Falls, SD 57103-5422 | 2015-03-24 |
| 1730515081 | Karen Marie Hoffman | Pharmacist | 911 E 20th St Ste 200, Sioux Falls, SD 57105-1044 | 2013-09-18 |
| Find all providers in SIOUX FALLS | ||||
| City | SIOUX FALLS |
| Zip Code | 57103 |
Please comment or provide details below to improve the information on JENNIFER BERGAN.
| 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.