JOHN BRONSELL RYAN BRONSELL (NPI# 1043873995) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1043873995 |
Entity Type | Individual |
Full Name | JOHN BRONSELL RYAN BRONSELL |
Credential | PHARMD |
Practice Address |
427 12th St Plummer ID 83851-4000 |
Practice Telephone | 2086861931 |
Practice Fax Number | 2086863311 |
Mailing Telephone | 2086866611 |
Enumeration Date | 2019-04-16 |
Last Update Date | 2019-04-16 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1835P2201X |
Pharmacist Specialization: Ambulatory Care |
P7445 | ID | Pharmacy Service Providers |
Street Address |
427 12TH ST |
City | PLUMMER |
State | ID |
Zip Code | 83851-4000 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053563619 | Kellie Renee Bergendahl | Dental Hygienist | 427 12th St, Plummer, ID 83851-4000 | 2008-10-15 |
1225697212 | Tonya Marie Amour-patton | Counselor | 427 12th St, Plummer, ID 83851-4000 | 2019-06-12 |
1023572963 | Michelle Kay Moore | Counselor | 427 12th St, Plummer, ID 83851-4000 | 2019-01-24 |
1710499504 | Sara Holland | Pharmacist | 427 12th St, Plummer, ID 83851-4000 | 2017-11-02 |
1902268238 | Andrew Ellis Gardner | Internal Medicine | 427 12th St, Plummer, ID 83851-4000 | 2016-03-25 |
1013237189 | Jamie Dee Smith | Counselor | 427 12th St, Plummer, ID 83851-4000 | 2010-06-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326575325 | Terrin Loe | Dental Hygienist | 358-786 Long Road, Plummer, ID 83851 | 2017-05-22 |
1639542830 | Selene Bonnell-hall | Physical Therapy Assistant | 1100 A Street, Plummer, ID 83851 | 2015-11-10 |
1609245059 | Caley Jordan | Pharmacist | 427 N 12 St, Plummer, ID 83851 | 2015-09-16 |
1861741282 | Plummer Gateway Fire Protection | Ambulance | 609 Poleyard Rd, Plummer, ID 83851 | 2012-08-30 |
1497040349 | Jason Ford Chapman | General Practice | 427 N. 12th St., Plummer, ID 83851 | 2011-06-17 |
1861797060 | Tiffany Marie Korrer | Physical Therapy Assistant | 1100 A. Street, Plummer, ID 83851 | 2011-01-19 |
1710290234 | Brian Meyer | Optometrist | 427 Nth 12th St, Plummer, ID 83851 | 2010-07-26 |
1386884369 | James Smith | Clinical Medical Laboratory | 1115 E. St, Plummer, ID 83851 | 2009-03-03 |
1134378169 | Robert Samuel Davis | Physician Assistant | 427 N 12th St., Plummer, ID 83851 | 2008-09-15 |
1013192210 | Nikole J Mills | Nurse Practitioner | 427 N. 12th Street, Plummer, ID 83851 | 2008-01-07 |
Find all providers in zip 83851 |
Taxonomy Code | 1835P2201X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacist |
Specialization | Ambulatory Care |
A licensed pharmacist who has demonstrated specialized knowledge and skill in the provision of integrated, accessible health care services by pharmacists and is accountable for addressing medication needs, developing sustained partnerships with patients, and practicing in the context of family and community. |
Notes: Source: Board of Pharmacy Specialties, www.bpsweb.org [7/1/2015: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528575453 | Joshua Todd Bishop | Pharmacist | 4715 W Deer Path Dr, Boise, ID 83714-8873 | 2017-12-31 |
1851944151 | Catherine Smith | Pharmacist | 500 W Fort St, Boise, ID 83702-4501 | 2019-07-17 |
1962965194 | Leanne Elizabeth Ertle | Pharmacist | 500 W Fort St, Boise, ID 83702-4501 | 2019-04-14 |
1750843579 | Joshua Joseph Davis | Pharmacist | 714 N College Rd Ste A, Twin Falls, ID 83301-5812 | 2019-04-01 |
1952825325 | Nicholas Jordan Wood | Pharmacist | 6565 W Emerald St, Boise, ID 83704-8737 | 2017-07-27 |
1063944726 | Mandi Nordhagen | Pharmacist | 700 W Ironwood Dr, Suite 228, Coeur D Alene, ID 83814-2656 | 2017-03-31 |
1679004675 | Jamie Cervi-skinner | Pharmacist | 700 W Ironwood Dr, Suite 246, Coeur D Alene, ID 83814-2656 | 2017-03-22 |
1982144424 | Carissa Hober | Pharmacist | 700 W Ironwood Dr, Suite 246, Coeur D Alene, ID 83814-2656 | 2017-03-02 |
1124470794 | Colt Darley | Pharmacist | 103 E College Ave, St Maries, ID 83861-2247 | 2016-07-07 |
1679923585 | Mark Romer | Pharmacist | 1600 N Main St, Meridian, ID 83642-1709 | 2016-06-21 |
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.