MR. GREGG WILLIAM WELLNER (NPI# 1417233016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417233016 |
| Entity Type | Individual |
| Full Name | MR. GREGG WILLIAM WELLNER |
| Credential | RPH |
| Practice Address |
N2360 Summerville Park Rd Lodi WI 53555-9621 |
| Practice Telephone | 8476829133 |
| Mailing Telephone | 8476829133 |
| Enumeration Date | 2011-10-26 |
| Last Update Date | 2011-10-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 14705-040 | WI | Pharmacy Service Providers |
| Street Address |
N2360 SUMMERVILLE PARK RD |
| City | LODI |
| State | WI |
| Zip Code | 53555-9621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730722208 | Cara Kjorlie | Licensed Practical Nurse | W12277 Cty J, Lodi, WI 53555 | 2019-10-28 |
| 1437282795 | Perry Allen Barrette | Dentist | 204 Pond St, Lodi, WI 53555 | 2007-03-14 |
| 1467417576 | Rian J Podein | Family Medicine | 160 Valley Drive, Lodi, WI 53555 | 2006-04-20 |
| 1992789523 | The Evangelical Lutheran Good Samaritan Society | Durable Medical Equipment & Medical Supplies | 700 Clark St, Lodi, WI 53555-1010 | 2005-12-06 |
| 1730643123 | Divine Rehabilitation and Nursing At Lodi LLC | Skilled Nursing Facility | 700 Clark St, Lodi, WI 53555-1010 | 2019-01-30 |
| 1467719203 | Colleen R Jones | Occupational Therapy Assistant | 700 Clark St, Lodi, WI 53555-1010 | 2012-04-18 |
| 1851545966 | Jean Elizabeth Gates | Occupational Therapist | 700 Clark St, Lodi, WI 53555-1010 | 2008-11-17 |
| 1376743385 | Marcie Marie Wenzel | Occupational Therapy Assistant | 700 Clark St, Lodi, WI 53555-1010 | 2007-07-19 |
| 1255531190 | Michelle Marie Kaschinske | Occupational Therapist | 700 Clark St, Lodi, WI 53555-1010 | 2007-07-19 |
| 1285828749 | Lodi School District | Local Education Agency (LEA) | 115 School St, Lodi, WI 53555-1046 | 2007-08-28 |
| Find all providers in zip 53555 | ||||
| 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 |
|---|---|---|---|---|
| 1477019271 | Jaspal Singh Samra | Pharmacist | 1007 Interlaken Dr, Lodi, CA 95242-9174 | 2019-02-16 |
| 1578039376 | Kyle Hoi-kyu Kwong | Pharmacist | 850 S Guild Ave Ste 100, Lodi, CA 95240-3170 | 2018-10-18 |
| 1689047250 | Cvs Pharmacy | Pharmacist | 2053 Katnich Ln, Lodi, CA 95242-4805 | 2015-11-04 |
| 1417341934 | Alma Ochoa | Pharmacist | 4400 E Morse Rd, Lodi, CA 95240-6845 | 2015-03-23 |
| 1043616733 | Wilai Hammond | Pharmacist | 1701 S Mills Ave Apt 101, Lodi, CA 95242-4262 | 2014-11-07 |
| 1508270083 | Joe Y Vuong | Pharmacist | 339 E Pine St ., Lodi, CA 93312 | 2014-06-12 |
| 1922411826 | Ashok Kumar Punati | Pharmacist | 520 W Lodi, Lodi, CA 94568 | 2014-06-09 |
| 1730514464 | Richard Barry Sirard | Pharmacist | 520 S Cherokee Lane, Lodi, CA 95240 | 2013-09-12 |
| 1083983399 | Jennifer Cheng | Pharmacist | 554 Harrison Ave Fl 2, Lodi, NJ 07644-1137 | 2011-12-16 |
| 1235413261 | Seon-jin Kim | Pharmacist | 20 Arnot Street, Lodi, NJ 07644 | 2011-10-10 |
| Find all providers in LODI | ||||
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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.