JULIE CORRADI (NPI# 1346600962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1346600962 |
Entity Type | Individual |
Full Name | JULIE CORRADI |
Credential | PHARMD |
Practice Address |
5219 St. Johns Drive Nett Lake MN 55772 |
Mailing Address |
5484 Mcniven Rd Chisholm MN 55719-8401 |
Practice Telephone | 2187573295 |
Mailing Telephone | 2189694710 |
Enumeration Date | 2016-02-24 |
Last Update Date | 2016-02-24 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1835P2201X |
Pharmacist Specialization: Ambulatory Care |
122346 | MN | Pharmacy Service Providers |
Street Address |
5219 ST. JOHNS DRIVE |
City | NETT LAKE |
State | MN |
Zip Code | 55772 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396286357 | Joe Witt | Psychologist | 5219 St. John Drive, Nett Lake, MN 55772 | 2017-03-10 |
1205134152 | Melissa Joan Grzybowski | Dietitian, Registered | 5219 St. John's Drive, Nett Lake, MN 55772 | 2011-03-02 |
1871713321 | Bois Forte Reservation Tribal Council | Clinic/Center | 13071 Nett Lake Road, Suite B, Nett Lake, MN 55772 | 2007-04-26 |
1972666469 | Bois Forte Medical Clinic | Clinic/Center | 5219 St John Dr, Nett Lake, MN 55772 | 2006-12-18 |
1073530150 | Bois Forte Reservation Tribal Government | Family Medicine | 5219 St. John Dr, Nett Lake, MN 55772 | 2006-07-16 |
1649270901 | Bois Forte Reservation Tribal Council | Community/Behavioral Health | 13071 Nett Lake Road, Suite B, Nett Lake, MN 55772 | 2005-07-28 |
1912170549 | Peggy J Hiestand Harri | Dietitian, Registered | 13071 Nett Lake Rd, Nett Lake, MN 55772 | 2008-04-03 |
1528288073 | Bois Forte Human Services | Social Worker | 13090 Westley Drive, Suite B, Nett Lake, MN 55772 | 2007-04-26 |
1255815387 | Bois Forte Reservation Tribal Council | Non-emergency Medical Transport (VAN) | 5344 Lake Shore Dr, Nett Lake, MN 55772-1200 | 2018-09-25 |
1821153347 | St. Louis & Koochiching Cos Ind School Dist 707 | Local Education Agency (LEA) | 13090 Westley Drive, Nett Lake, MN 55772-8122 | 2006-12-26 |
Find all providers in zip 55772 |
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] |
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1386160109 | Hayley Retaskie | Pharmacist | 2025 Sloan Pl Ste 35, Saint Paul, MN 55117-2092 | 2017-08-15 |
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1154773265 | Kailee Donner | Pharmacist | 701 Park Ave Rll. 120, Minneapolis, MN 55415 | 2016-07-13 |
1386993871 | Oluwaseyi Faseemo | Pharmacist | 314 Elton Hills Dr Nw, Rochester, MN 55901-2476 | 2012-08-30 |
1063011021 | Zeleke Belay Goshu | Pharmacist | 15300 Grove Cir N, Maple Grove, MN 55369-4469 | 2020-10-21 |
1972111003 | Alexandra Michele Vecchia | Pharmacist | 6545 France Ave S, Edina, MN 55435-2131 | 2020-07-15 |
1669091278 | Athena Brindle Cannon | Pharmacist | 1020 W Broadway Ave, Minneapolis, MN 55411-2504 | 2020-04-14 |
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.