SARA ANN CHELLEVOLD (NPI# 1336417237) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336417237 |
| Entity Type | Individual |
| Full Name | SARA ANN CHELLEVOLD |
| Credential | PHARMD |
| Practice Address |
2931 S Fish Hatchery Rd Fitchburg WI 53711-6499 |
| Practice Telephone | 6082770087 |
| Practice Fax Number | 6082770162 |
| Mailing Telephone | 6082770087 |
| Mailing Fax Number | 6082770162 |
| Enumeration Date | 2011-12-06 |
| Last Update Date | 2011-12-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 14668-40 | WI | Pharmacy Service Providers |
| Street Address |
2931 S FISH HATCHERY RD |
| City | FITCHBURG |
| State | WI |
| Zip Code | 53711-6499 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366457426 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2931 S Fish Hatchery Rd, Fitchburg, WI 53711-6499 | 2006-07-29 |
| 1699309807 | Kashmira A Shah | Pharmacist | 2931 S Fish Hatchery Rd, Fitchburg, WI 53711-6499 | 2020-02-26 |
| 1043844566 | Jake Lehmann | Pharmacist | 2931 S Fish Hatchery Rd, Fitchburg, WI 53711-6499 | 2020-02-24 |
| 1619384880 | Erin Keyes | Pharmacist | 2931 S Fish Hatchery Rd, Fitchburg, WI 53711-6499 | 2014-07-18 |
| 1073954301 | Dena Abdelhameed | Pharmacist | 2931 S Fish Hatchery Rd, Fitchburg, WI 53711-6499 | 2013-07-15 |
| 1255606620 | Tobin Joseph Chambers | Pharmacist | 2931 S Fish Hatchery Rd, Fitchburg, WI 53711-6499 | 2012-03-18 |
| 1760750681 | Tina Patel | Pharmacist | 2931 S Fish Hatchery Rd, Fitchburg, WI 53711-6499 | 2011-12-06 |
| 1760750806 | Audrey Ramoino | Pharmacist | 2931 S Fish Hatchery Rd, Fitchburg, WI 53711-6499 | 2011-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487296307 | Exact Sciences Laboratories, LLC | Clinical Medical Laboratory | 650 Forward Drive, Madison, WI 53711 | 2019-10-11 |
| 1508417916 | Cassandra D Pasquariello | Psychologist | Department of Athletics, 1440 Monroe Street, Madison, WI 53711 | 2019-09-26 |
| 1972161628 | Leah Bastian | Marriage & Family Therapist | 2935 S Fish Hatchery Rd # 244, Madison, WI 53711 | 2019-05-29 |
| 1457810673 | Leah Smith | Specialist/Technologist | 1436 Monroe Street, Madison, WI 53711 | 2019-03-18 |
| 1669942249 | Patrick Soltvedt Bohn | Physician Assistant | 1034 Waban Hill, Madison, WI 53711 | 2018-11-27 |
| 1760975395 | Alysha Rolli | Dentist | 2945 Triverton Pike Dr, Fitchburg, WI 53711 | 2018-06-08 |
| 1265922561 | Farence Rogers | Student in an Organized Health Care Education/Training Program | 1475 Engineering Dr. Madison, Madison, WI 53711 | 2018-05-14 |
| 1588015358 | Kristen Siskovich | Speech-Language Pathologist | 2927 Fish Hatchery Rd., Fitchburg, WI 53711 | 2016-06-23 |
| 1598132383 | Shari Eberhardt | Nurse Practitioner | Journey Mental Health Center, 25 Kessel Ct, Madison, WI 53711 | 2015-08-27 |
| 1649646506 | Oak Park Place of Nakoma, LLC | Skilled Nursing Facility | 4327 Nakoma Road, Madison, WI 53711 | 2015-08-14 |
| Find all providers in zip 53711 | ||||
| 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 |
|---|---|---|---|---|
| 1912569476 | Erica Guetzlaff | Pharmacist | 5510 Research Park Dr Ste 150, Fitchburg, WI 53711-5380 | 2019-07-05 |
| 1609385202 | Taylor Lee Watterson | Pharmacist | 3000 Cahill Main # 114, Fitchburg, WI 53711-7132 | 2017-09-26 |
| 1205248473 | Daniel Ricci | Pharmacist | 3000 Cahill Main Ste 114, Fitchburg, WI 53711-7133 | 2014-05-22 |
| 1902220841 | Pooja Amin | Pharmacist | 81 Shawna St, Fitchburg, MA 01420-3683 | 2014-02-12 |
| 1154752988 | Bonny Kimball | Pharmacist | 5152 Anton Dr, 213, Fitchburg, WI 53719-1772 | 2013-12-04 |
| 1245508464 | Richard Ottmer | Pharmacist | 2960 Cahill Main, Fitchburg, WI 53711 | 2011-12-02 |
| 1922384536 | Lauren Mcquiston | Pharmacist | 2920 Fitchrona Rd, Fitchburg, WI 53719-1802 | 2011-10-26 |
| 1568748531 | Kelly Nest | Pharmacist | 3000 Cahill Main, Apt 7, Fitchburg, WI 53711-7132 | 2011-10-22 |
| 1710269568 | Leslie Hartman | Pharmacist | 478 Kimball St # 1, Fitchburg, MA 01420-7646 | 2011-09-16 |
| 1689906919 | Tim K Chin | Pharmacist | 140 Whalon St, Fitchburg, MA 01420-7158 | 2010-02-11 |
| Find all providers in FITCHBURG | ||||
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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.