RYAN LEE RATHKE (NPI# 1407109630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407109630 |
| Entity Type | Individual |
| Full Name | RYAN LEE RATHKE |
| Credential | RPH |
| Practice Address |
601 Reed Ave Manitowoc WI 54220-2026 |
| Practice Telephone | 9206865237 |
| Mailing Telephone | 9206865237 |
| Enumeration Date | 2012-10-25 |
| Last Update Date | 2012-10-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 13296-40 | WI | Pharmacy Service Providers |
| Street Address |
601 REED AVE |
| City | MANITOWOC |
| State | WI |
| Zip Code | 54220-2026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326084484 | Patricia J Cantagallo | Family Medicine | 601 Reed Ave, Manitowoc, WI 54220-2026 | 2006-06-20 |
| 1609283076 | Adriana M Siehr | Nurse Practitioner | 601 Reed Ave, Manitowoc, WI 54220-2026 | 2014-07-17 |
| 1710011291 | Dennis B Phillips | Preventive Medicine | 601 Reed Ave, Manitowoc, WI 54220-2026 | 2007-03-15 |
| 1598813834 | Aurora Medical Group, Inc. | Durable Medical Equipment & Medical Supplies | 601 Reed Ave, Manitowoc, WI 54220-2026 | 2007-01-05 |
| 1851466759 | Mark J Capriolo | Internal Medicine | 601 Reed Ave, Manitowoc, WI 54220-2026 | 2006-11-24 |
| 1467552414 | Thomas E Brooks | Nurse Practitioner | 601 Reed Ave, Manitowoc, WI 54220-2026 | 2006-09-22 |
| 1316054695 | Amy J Schleunes | Nurse Practitioner | 601 Reed Ave, Manitowoc, WI 54221-1270 | 2006-08-24 |
| 1952418063 | Richard W Theobald | Internal Medicine | 601 Reed Ave, Manitowoc, WI 54221-1270 | 2006-08-24 |
| 1689781874 | Rajesh Sharma | Internal Medicine | 601 Reed Ave, Manitowoc, WI 54221-1270 | 2006-08-24 |
| 1144337247 | Tresa A Teehan | Internal Medicine | 601 Reed Ave, Manitowoc, WI 54221-1270 | 2006-08-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235614843 | Katherine Borchardt | Registered Nurse | 3520 Foxfire Ct, Manitowoc, WI 54220 | 2018-09-28 |
| 1285128215 | Aurora Pharmacy Inc | Pharmacy | 3509 Dewey Street, Suite 100, Manitowoc, WI 54220 | 2018-06-22 |
| 1477937274 | Baycare Clinic LLP | Psychiatry & Neurology | 4801 Expo Drive, Manitowoc, WI 54220 | 2015-07-13 |
| 1831593821 | Brittany Camille Schultz | Acupuncturist | 2510 Washington Street, Manitowoc, WI 54220 | 2014-10-20 |
| 1710311261 | Brian E Weitz | Physical Therapy Assistant | 960 S. Rapids Rd., Manitowoc, WI 54220 | 2013-09-01 |
| 1134499080 | Total Renal Care Inc | Clinic/Center | 3303 Dewey St, Manitowoc, WI 54220 | 2012-01-10 |
| 1679858534 | Lisa M Noworatzky | Marriage & Family Therapist | 926 S. 8th St., Manitowoc, WI 54220 | 2011-10-11 |
| 1306177225 | Cynthia Fay Wenzel | Licensed Practical Nurse | 915 East Linden Avenue, Manitowoc, WI 54220 | 2010-01-15 |
| 1851550628 | Roundys Supermarkets Inc | Pharmacy | 3300 Calumet Ave, Manitowoc, WI 54220 | 2008-06-05 |
| 1851566079 | Jennifer C Mcwilliams | Registered Nurse | 1004 Nth 8th St., Manitowoc, WI 54220 | 2008-04-29 |
| Find all providers in zip 54220 | ||||
| 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 |
|---|---|---|---|---|
| 1417966896 | Joylyn Nicole Moore | Pharmacist | 909 S 8th St, Manitowoc, WI 54220-4504 | 2006-08-05 |
| 1578163119 | Casey Schreiner | Pharmacist | 3300 Calumet Ave, Manitowoc, WI 54220-5426 | 2020-10-30 |
| 1063011567 | Eric James Thieme | Pharmacist | 4115 Calumet Ave, Manitowoc, WI 54220-5400 | 2020-10-26 |
| 1083213334 | Craig Bishop | Pharmacist | 4115 Calumet Ave, Manitowoc, WI 54220-5400 | 2020-10-19 |
| 1174121537 | Michael Bonin | Pharmacist | 4115 Calumet Ave, Manitowoc, WI 54220-5400 | 2020-10-16 |
| 1740888254 | Velislava Fatchikova | Pharmacist | 4115 Calumet Ave, Manitowoc, WI 54220-5491 | 2020-10-16 |
| 1306444146 | Jeremiah Carolfi | Pharmacist | 4115 Calumet Ave, Manitowoc, WI 54220-5400 | 2020-10-14 |
| 1831711837 | Corey Michael Dietz | Pharmacist | 701 E Reed Ave, Manitowoc, WI 54220-2129 | 2020-05-12 |
| 1679195945 | Colton Larson | Pharmacist | 701 E Reed Ave, Manitowoc, WI 54220-2129 | 2020-05-10 |
| 1669007068 | Jacob Daniel Werbeckes | Pharmacist | 2702 Calumet Ave, Manitowoc, WI 54220-5547 | 2020-03-05 |
| Find all providers in MANITOWOC | ||||
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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.