DR. JEREMY JON ALLEN (NPI# 1386996593) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386996593 |
| Entity Type | Individual |
| Full Name | DR. JEREMY JON ALLEN |
| Credential | PHARM.D. |
| Practice Address |
1500 Washington St Two Rivers WI 54241-3045 |
| Mailing Address |
412 Mabel St De Forest WI 53532-1215 |
| Practice Telephone | 9207941225 |
| Mailing Telephone | 6082126984 |
| Enumeration Date | 2012-10-11 |
| Last Update Date | 2012-10-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 16836-40 | WI | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558768747 | Jeremy Robert Allen | Marriage & Family Therapist | 5181 Ward Rd Ste 201, Wheat Ridge, CA 80033-2074 | 2014-12-03 |
| 1386774057 | Jeremy W Allen | Dentist | 908 W 5th St, Suite 114, London, KY 40741-2417 | 2007-03-06 |
| 1487704508 | Jeremy Peter Allen | Counselor | 463 William Street, Buffalo, NY 14204-1811 | 2007-01-11 |
| 1003308917 | Jeremy Gordon Allen | Community Health Worker | 2555 Silverton Rd Ne, Salem, OR 97301-0837 | 2018-06-06 |
| 1124205661 | Jeremy Allen | Physician Assistant | 100 Grand St, New Britain, CT 06052-2016 | 2008-01-28 |
| 1447287115 | Jeremy Allen | Family Medicine | 70 Plaza Dr, Pell City, AL 35125 | 2006-06-27 |
| Street Address |
1500 WASHINGTON ST |
| City | TWO RIVERS |
| State | WI |
| Zip Code | 54241-3045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023008166 | Marvin Robert Moore | Pharmacist | 1500 Washington St, Two Rivers, WI 54241-3045 | 2005-10-27 |
| 1376198739 | Catherine Tolar | Pharmacist | 1500 Washington St, Two Rivers, WI 54241-3045 | 2019-08-02 |
| 1730662180 | Alan Michael Duvall | Pharmacist | 1500 Washington St, Two Rivers, WI 54241-3045 | 2018-09-12 |
| 1053868380 | Tucker J Stewart | Pharmacist | 1500 Washington St, Two Rivers, WI 54241-3045 | 2016-09-02 |
| 1104202050 | Mackenzie Nigl | Pharmacist | 1500 Washington St, Two Rivers, WI 54241-3045 | 2015-08-03 |
| 1831506237 | Bryant Schobert | Pharmacist | 1500 Washington St, Two Rivers, WI 54241-3045 | 2014-07-17 |
| 1396185724 | Katie Lynn Schroeder | Pharmacist | 1500 Washington St, Two Rivers, WI 54241-3045 | 2013-06-29 |
| 1467740506 | Abigail Rose Johnson | Pharmacist | 1500 Washington St, Two Rivers, WI 54241-3045 | 2011-07-11 |
| 1932415874 | Giselle D'epiro | Pharmacist | 1500 Washington St, Two Rivers, WI 54241-3045 | 2010-08-30 |
| 1477750420 | Brenda Dianne Strawn | Pharmacist | 1500 Washington St, Two Rivers, WI 54241-3045 | 2007-07-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629617667 | Karrie May Kudrna Behrent | Counselor | Phoenix Behavioral Health Services LLC, 3120 Memorial Dr., Two Rivers, WI 54241 | 2019-12-21 |
| 1972147460 | Linda Sand | Technician | 11409 Wedge Dr., Two Rivers, WI 54241 | 2019-10-29 |
| 1710536446 | Margaret Smith | Technician | 1916 Roosevelt Ave, Two Rivers, WI 54241 | 2019-09-05 |
| 1770967572 | Baycare Clinic LLP | Ophthalmology | 1603 Washington Street, Two Rivers, WI 54241 | 2015-07-13 |
| 1194091322 | Fisher Chiropractic and Rehab Center LLC | Chiropractor | 1817 Washington Street, Two Rivers, WI 54241 | 2012-04-02 |
| 1396075016 | Holly Lynn Struck | Physical Therapist | 5300 Memorial Drive, Two Rivers, WI 54241 | 2009-12-31 |
| 1558451906 | David James Loritz | Dentist | 1413 22nd St, Two Rivers, WI 54241 | 2006-10-14 |
| 1598737744 | City of Two Rivers | Ambulance | 2122 Monroe St, Two Rivers, WI 54241 | 2006-02-02 |
| 1689156481 | Tyler Luedtke | Physical Therapist | 5300 Memorial Dr, Two Rivers, WI 54241 | 2018-08-29 |
| 1912426925 | Amy C Nowak | Nurse Practitioner | 2219 Garfield St, Two Rivers, WI 54241 | 2017-09-12 |
| Find all providers in zip 54241 | ||||
| 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 |
|---|---|---|---|---|
| 1194823385 | Brian Charles Jensen | Pharmacist | 2012 Crystal Spring Rd, Two Rivers, WI 54241-9368 | 2006-09-20 |
| 1023008166 | Marvin Robert Moore | Pharmacist | 1500 Washington St, Two Rivers, WI 54241-3045 | 2005-10-27 |
| 1548868771 | Kaytlyn Rae Kramer Dummer | Pharmacist | 2206 Washington St, Two Rivers, WI 54241-2241 | 2020-10-09 |
| 1831723162 | Jay Urban | Pharmacist | 2206 Washington St, Two Rivers, WI 54241-2241 | 2020-02-25 |
| 1376198739 | Catherine Tolar | Pharmacist | 1500 Washington St, Two Rivers, WI 54241-3045 | 2019-08-02 |
| 1730662180 | Alan Michael Duvall | Pharmacist | 1500 Washington St, Two Rivers, WI 54241-3045 | 2018-09-12 |
| 1053868380 | Tucker J Stewart | Pharmacist | 1500 Washington St, Two Rivers, WI 54241-3045 | 2016-09-02 |
| 1104202050 | Mackenzie Nigl | Pharmacist | 1500 Washington St, Two Rivers, WI 54241-3045 | 2015-08-03 |
| 1831506237 | Bryant Schobert | Pharmacist | 1500 Washington St, Two Rivers, WI 54241-3045 | 2014-07-17 |
| 1770915464 | Samuel Vang | Pharmacist | 5300 Memorial Dr, Suite 103, Two Rivers, WI 54241-3923 | 2013-08-05 |
| Find all providers in TWO RIVERS | ||||
| City | TWO RIVERS |
| Zip Code | 54241 |
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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.