DR. DAVID MICHAEL MALENOWSKI I (NPI# 1023393220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023393220 |
Entity Type | Individual |
Full Name | DR. DAVID MICHAEL MALENOWSKI I |
Credential | PHARMD |
Practice Address |
1201 Miller Trunk Hwy Duluth MN 55811-5633 |
Mailing Address |
9307 Pequaywan Lake Rd Duluth MN 55803-9767 |
Practice Telephone | 2187278157 |
Practice Fax Number | 2187274261 |
Mailing Telephone | 2188488077 |
Mailing Fax Number | 2187274261 |
Enumeration Date | 2011-10-19 |
Last Update Date | 2011-10-19 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
117740 | MN | Pharmacy Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MN | 900060700 | 05 |
Street Address |
1201 MILLER TRUNK HWY |
City | DULUTH |
State | MN |
Zip Code | 55811-5633 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316952625 | Walgreen Co | Pharmacy | 1201 Miller Trunk Hwy, Duluth, MN 55811-5633 | 2006-07-29 |
1194337618 | Julia Sybrant | Pharmacist | 1201 Miller Trunk Hwy, Duluth, MN 55811-5633 | 2020-08-17 |
1801421326 | Christopher Pogliano | Pharmacist | 1201 Miller Trunk Hwy, Duluth, MN 55811-5633 | 2020-03-04 |
1033744735 | Nathan Baer | Pharmacist | 1201 Miller Trunk Hwy, Duluth, MN 55811-5633 | 2020-03-03 |
1033594494 | Michael Kozlovski | Pharmacist | 1201 Miller Trunk Hwy, Duluth, MN 55811-5633 | 2015-07-28 |
1457637753 | Craig W Juntti | Pharmacist | 1201 Miller Trunk Hwy, Duluth, MN 55811-5633 | 2011-10-31 |
1760768147 | Nicholas Hanson | Pharmacist | 1201 Miller Trunk Hwy, Duluth, MN 55811-5633 | 2011-10-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417515339 | Kyle Olson-merrick | Dentist | 320 W Myrtle St, Ste 100, Duluth, MN 55811 | 2019-06-05 |
1184288979 | Pdg, P.a. | Clinic/Center | 4891 Miller Truck Hwy., Suite 100, Hermantown, MN 55811 | 2019-04-26 |
1528589843 | Breanna Joy Greenly | Counselor | 4720 Burning Tree Road, Birch Tree Center, Duluth, MN 55811 | 2017-06-28 |
1396102398 | Debbie Christian | Registered Nurse | 4815 Burning Tree Rd Suite 100, Duluth, MN 55811 | 2016-01-21 |
1831556935 | Megan Marie Paris | Psychologist | 715 East Central Entrance, Duluth, MN 55811 | 2016-01-20 |
1740666908 | Angela Fedo | Physical Therapy Assistant | 2101 Trinity Rd, Duluth, MN 55811 | 2015-08-10 |
1649657479 | Kayla Stephenson | Specialist/Technologist | 5024 Morris Thomas Road, Hermantown, MN 55811 | 2015-04-30 |
1073918843 | Northern Lives Inc. | Assisted Living Facility | 4014 Trinity Road, Duluth, MN 55811 | 2014-10-23 |
1114326238 | Donald Hermanson | Specialist/Technologist | 801 Boulder Drive, Apt. 202, Duluth, MN 55811 | 2014-08-14 |
1679990857 | Jodie Little | Pharmacist | 801 W. Central Entrance, Shopko Pharmacy 2114, Duluth, MN 55811 | 2014-03-25 |
Find all providers in zip 55811 |
Taxonomy Code | 1835P0018X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacist |
Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386277820 | Cristina Madalina Niculas | Pharmacist | Kroger Pharmacy 476, 6555 Sugarloaf Parkway, Duluth, GA 30097 | 2020-02-12 |
1396170841 | Daniel Bruce Salzwedel | Pharmacist | 3355 Mcdaniel Rd Apt 1304, Duluth, GA 30096-8618 | 2013-09-03 |
1447858931 | Jimin Sun | Pharmacist | 3455 Peachtree Industrial Blvd, Duluth, GA 30096-6501 | 2020-10-15 |
1053919886 | Joseph Andrews | Pharmacist | 6555 Sugarloaf Pkwy, Duluth, GA 30097-4930 | 2020-10-14 |
1093326076 | Nganthuy Le Tran | Pharmacist | 3093 Steve Reynolds Blvd, Duluth, GA 30096-4501 | 2020-08-12 |
1508497132 | Carla Coomes Schafer | Pharmacist | 6555 Sugarloaf Pkwy, Duluth, GA 30097-4930 | 2020-02-02 |
1417588096 | Halliday Johnson Norman | Pharmacist | 3093 Steve Reynolds Blvd, Duluth, GA 30096-4501 | 2020-01-31 |
1295177640 | Cassandra Lynn Furr | Pharmacist | 420 E 1st St, Duluth, MN 55805-1901 | 2013-07-26 |
1609151240 | Timothy James Blanck | Pharmacist | 3980 Venture Dr, Duluth, GA 30096-5077 | 2011-10-14 |
1063791911 | Teri L Laurenti | Pharmacist | 3650 Steve Reynolds Blvd, Duluth, GA 30096-4506 | 2011-08-10 |
Find all providers in DULUTH |
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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.