KELSEY EICKSTAEDT (NPI# 1063011252) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063011252 |
| Entity Type | Individual |
| Full Name | KELSEY EICKSTAEDT |
| Credential | PHARMD |
| Practice Address |
15594 State Hwy 77 Hayward WI 54843 |
| Mailing Address |
15594 State Hwy 77 Hayward WI 54843-5428 |
| Practice Telephone | 7156348309 |
| Mailing Telephone | 7156348309 |
| Enumeration Date | 2020-10-20 |
| Last Update Date | 2020-10-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 19965-40 | WI | Pharmacy Service Providers |
| Street Address |
15594 STATE HWY 77 |
| City | HAYWARD |
| State | WI |
| Zip Code | 54843 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245687417 | Gary Girard | Counselor | 15655 W County Hwy B, Hayward, WI 54843 | 2016-05-18 |
| 1164844379 | Elizabeth Anne Johnson | Counselor | 10594 Main Street #1021, Hayward, WI 54843 | 2014-01-08 |
| 1376776922 | Amy Marilyn Billman | Massage Therapist | 11128n Highway 27/77, Hayward, WI 54843 | 2009-08-31 |
| 1700016516 | Kyra Rhodes Larson | Dentist | 15541w Hwy 77 East, Hayward, WI 54843 | 2009-07-15 |
| 1235383985 | Sara Jane Drost | Dental Hygienist | 15910 W Company Lake Road, Hayward, WI 54843 | 2008-11-07 |
| 1982856076 | Align Therapy,llc | In Home Supportive Care | 10767 Nyman Avenue, Hayward, WI 54843 | 2008-10-21 |
| 1316112477 | Michael John Larson | Hearing Instrument Specialist | 15612 Windrose Lane, #200, Hayward, WI 54843 | 2008-04-29 |
| 1679748966 | Gwendolyn Vinopal | Physical Therapist | 16014w Sleepy Hollow Drive, Hayward, WI 54843 | 2008-04-28 |
| 1558546523 | Ruth Anne Gillmor | Social Worker | 10610 Main, Hayward, WI 54843 | 2008-01-08 |
| 1619187267 | County of Sawyer | Ambulance | 10676 Nyman Ave, Hayward, WI 54843 | 2007-05-23 |
| Find all providers in zip 54843 | ||||
| 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 |
|---|---|---|---|---|
| 1295394476 | Lily Yu | Pharmacist | 3160 Corporate Place, Hayward, CA 94545 | 2019-06-11 |
| 1083104889 | Kimngan Vu Nguyen | Pharmacist | 29190 Bowhill Rd, Hayward, CA 94544-6762 | 2018-05-16 |
| 1154820165 | Maria Luisa Nazareno | Pharmacist | 23455 Lynn St, Hayward, CA 94541-7426 | 2018-02-05 |
| 1548774573 | Kunjal Parekh | Pharmacist | 1429 Poppy Ln, Hayward, CA 94545-2597 | 2017-11-29 |
| 1003329210 | Brian Anh Lu | Pharmacist | 3121 Diablo Avenue, Hayward, CA 94545 | 2017-11-09 |
| 1639600570 | Elfriede Marie Jumper | Pharmacist | 1914 Barton Way, Hayward, CA 94545-1952 | 2017-03-22 |
| 1891146486 | Laila Jennifer Brewster | Pharmacist | 24344 Groom St, Hayward, CA 94544-1612 | 2016-06-25 |
| 1356755961 | Nhung Pham | Pharmacist | 167 Arundel Dr, Hayward, CA 94542-7907 | 2014-06-12 |
| 1104241710 | Tu Yen Nguyen | Pharmacist | 22555 Mission Blvd, Hayward, CA 94541 | 2014-02-19 |
| 1386996627 | Kristin R Xie | Pharmacist | 29173 Stratford Rd, Hayward, CA 94544-8712 | 2012-10-10 |
| Find all providers in HAYWARD | ||||
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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.