DR. TULLY ERWIN (NPI# 1356971162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356971162 |
| Entity Type | Individual |
| Full Name | DR. TULLY ERWIN |
| Credential | PHARMD |
| Practice Address |
256 South Lave Avenue Phillips WI 54555 |
| Practice Telephone | 7152607020 |
| Mailing Telephone | 7152607020 |
| Enumeration Date | 2020-01-21 |
| Last Update Date | 2020-01-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 27982 | NC | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | 19649-40 | WI | Pharmacy Service Providers |
| Street Address |
256 SOUTH LAVE AVENUE |
| City | PHILLIPS |
| State | WI |
| Zip Code | 54555 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326494543 | New Horizons North, Inc. | Voluntary or Charitable | 1215 N Airport Rd, Phillips, WI 54555 | 2016-05-06 |
| 1801106265 | Kelly Jean Witt-erickson | Social Worker | 548 North Lake Avenue, Phillips, WI 54555 | 2010-10-19 |
| 1629215314 | Roepke Physical Therapy Limited Partnership | Occupational Therapist | N 9691 Highway 13 N, Phillips, WI 54555 | 2009-01-16 |
| 1598922429 | Counseling & Development Center, Inc | Community/Behavioral Health | 171 Chestnut Street, Phillips, WI 54555 | 2008-05-19 |
| 1518134568 | Central Price Co Ambulance Service, Inc | Ambulance | 104c N Argyle, Phillips, WI 54555 | 2008-05-09 |
| 1235304395 | School District of Phillips | Local Education Agency (LEA) | 365 Highway 100, Phillips, WI 54555 | 2008-04-29 |
| 1942473780 | Haven House Community Support Center of Price County | Community/Behavioral Health | 548 N Lake Ave, Phillips, WI 54555 | 2008-04-11 |
| 1295947109 | Northern Sight Vision Clinic, LLC | Optometrist | 104a N. Argyle Ave, Phillips, WI 54555 | 2007-05-04 |
| 1902028541 | County of Price | Public Health or Welfare | 104 S Eyder Avenue, Phillips, WI 54555 | 2007-05-03 |
| 1770703035 | Lori A Severson | Chiropractor | 104-c North Argyle Avenue, Phillips, WI 54555 | 2007-04-27 |
| Find all providers in zip 54555 | ||||
| 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 |
|---|---|---|---|---|
| 1265070759 | Lauren Ashley Arndt | Pharmacist | 256 S Lake Ave, Phillips, WI 54555-1320 | 2019-12-15 |
| 1619342912 | Ken Scharmer | Pharmacist | 256 S Lake Ave, Phillips, WI 54555-1320 | 2015-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578164349 | Lynn Huynh | Pharmacist | 5695 Washington Ave, Racine, WI 53406 | 2020-11-06 |
| 1346841822 | Tam Dinh | Pharmacist | 7480 Karth Ct, Franklin, WI 53132-8509 | 2020-11-02 |
| 1356940845 | Colette A. Probasco | Pharmacist | N1021 Blues Ln, Hortonville, WI 54944-9265 | 2020-10-26 |
| 1104425784 | Seang Foo | Pharmacist | 875 E Wisconsin Ave # Ms 2870, Milwaukee, WI 53202-5404 | 2020-10-23 |
| 1053910067 | Mary Ellen F Pumper | Pharmacist | 861 County Rd F, Berlin, WI 54923 | 2020-10-21 |
| 1609475607 | Suchart Thammahong | Pharmacist | 734 Mclean Drive, Madison, Wi, WI 53718 | 2020-10-21 |
| 1427657493 | Sarah R. Kozikowski | Pharmacist | 226100 Rib Mountain Dr, Wausau, WI 54401-3346 | 2020-10-21 |
| 1063011252 | Kelsey Eickstaedt | Pharmacist | 15594 State Hwy 77, Hayward, WI 54843 | 2020-10-20 |
| 1295334373 | James Michael Branning | Pharmacist | 226200 Rib Mountain Dr, Wausau, WI 54401-3347 | 2020-10-20 |
| 1174122576 | Paul Suiven Mbinglo | Pharmacist | 6237 94th Ct, Kenosha, WI 53142-8225 | 2020-10-19 |
| 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.