KRISTINA LOUISE VONDRAK (NPI# 1174144067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174144067 |
| Entity Type | Individual |
| Full Name | KRISTINA LOUISE VONDRAK |
| Credential | PHARM D |
| Practice Address |
4029 Teton Trce Sioux City IA 51104-4329 |
| Practice Telephone | 7122230463 |
| Mailing Telephone | 7122230463 |
| Enumeration Date | 2020-05-01 |
| Last Update Date | 2020-05-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 20009 | IA | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | PHARMACIST LICENSE | 20009 | 01 |
| Street Address |
4029 TETON TRCE |
| City | SIOUX CITY |
| State | IA |
| Zip Code | 51104-4329 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578944435 | Family First Dental Associates of Iowa, P.C. | Dentist | 2100 Indian Hills Drive, Sioux City, IA 51104 | 2015-06-16 |
| 1740590785 | Khatu Vivienne Erlbacher | Pharmacist | 515 North Briar Path, Sioux City, IA 51104 | 2010-10-08 |
| 1730407545 | Randall Glen Wood | Emergency Medicine | 2720 Stone Park Blvd., Sioux City, IA 51104 | 2010-05-04 |
| 1790811024 | Fred R Rizk | Dentist | 1923 Nebraska Street, Siuox City, IA 51104 | 2007-02-23 |
| 1255474029 | Edilia Maria Marshall | Dentist | Summit Dental, 2114 Pierce St, Sioux City, IA 51104 | 2007-02-14 |
| 1063553410 | Thomas Leonard Tiedeman | Dentist | 2918 Hamilton Blvd, Upper D Suite 1, Sioux City, IA 51104 | 2007-02-09 |
| 1336209188 | Shawn Robert Walton | Dentist | 2410 Pierce Street, Sioux City, IA 51104 | 2006-12-11 |
| 1477649556 | Timothy R Kuntz | Dentist | 3012 Hamilton Blvd, Sioux City, IA 51104 | 2006-10-05 |
| 1528162732 | Duane Kent Nelson | Orthopaedic Surgery | 2800 Peirce St, Suite 101, Sioux City, IA 51104 | 2006-09-08 |
| 1659482206 | Shawn R Walton | Dentist | 2928 Hamilton Blvd, Suite 102, Sioux City, IA 51104 | 2006-08-31 |
| Find all providers in zip 51104 | ||||
| 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 |
|---|---|---|---|---|
| 1225657976 | Paul Jensen | Pharmacist | 3301 Floyd Blvd, Sioux City, IA 51108 | 2020-04-13 |
| 1053783001 | J Scott Sanford | Pharmacist | 4100 Seger Ave, Sioux City, IA 51106-3401 | 2015-10-28 |
| 1912300682 | Tamara Squier | Pharmacist | 4101 Lincoln Way, Sioux City, IA 51106-4007 | 2014-10-08 |
| 1407133432 | Bradford Charles Toben | Pharmacist | 2627 Pierce St, Sioux City, IA 51104-3727 | 2011-11-04 |
| 1649554932 | Samuel John Huff | Pharmacist | 6734 Kokopelli Pl, Sioux City, IA 51106 | 2011-10-05 |
| 1740590785 | Khatu Vivienne Erlbacher | Pharmacist | 515 North Briar Path, Sioux City, IA 51104 | 2010-10-08 |
| 1518175447 | Thomas B Dodds | Pharmacist | Leeds Pharmacy, 4029 Floyd Blvd, Sioux City, IA 51108-1501 | 2007-05-21 |
| 1194844225 | James H Rhodes | Pharmacist | 2705 Correctionville Rd, Sioux City, IA 51105-3627 | 2007-03-28 |
| 1497364475 | Jordyn B Anderson | Pharmacist | 4500 Sergeant Rd, Sioux City, IA 51106-4705 | 2020-07-27 |
| 1770100208 | Patrick Donat | Pharmacist | 1900 Hamilton Blvd, Sioux City, IA 51104-4149 | 2020-06-30 |
| Find all providers in SIOUX CITY | ||||
| City | SIOUX CITY |
| Zip Code | 51104 |
Please comment or provide details below to improve the information on KRISTINA LOUISE VONDRAK.
| 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.