RONALD D VREDENBURG (NPI# 1477875771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477875771 |
| Entity Type | Individual |
| Full Name | RONALD D VREDENBURG |
| Credential | RPH |
| Practice Address |
2355 Us Highway 23 S Alpena MI 49707-4553 |
| Mailing Address |
11539 Sampson Rd Ossineke MI 49766-9758 |
| Practice Telephone | 9893568418 |
| Mailing Telephone | 9894715593 |
| Enumeration Date | 2010-02-28 |
| Last Update Date | 2010-02-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 5302026056 | MI | Pharmacy Service Providers |
| Street Address |
2355 US HIGHWAY 23 S |
| City | ALPENA |
| State | MI |
| Zip Code | 49707-4553 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740505122 | James Robert Antkowiak | Pharmacist | 2355 Us Highway 23 S, Alpena, MI 49707-4553 | 2010-03-29 |
| 1023049012 | Kmart Operations LLC | Pharmacy | 2355 Us Highway 23 S, Alpena, MI 49707-4553 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053969261 | Alisha Allen | Counselor | Charis Counseling Services of Northeast Michigan, Pllc, 311 N. 2nd Ave, Alpena, MI 49707 | 2019-08-30 |
| 1376015032 | Rachel Marie Vercnocke | Physical Therapist | Midmichigan Home Care, 1521 W. Chisholm Street, Alpena, MI 49707 | 2018-12-19 |
| 1245731405 | Alcona Citizens for Health, Inc. | Clinic/Center | 3036 French Rd, Alpena, MI 49707 | 2018-02-23 |
| 1750775417 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 1251 M32w W. Washington Ave., Alpena, MI 49707 | 2015-03-20 |
| 1962895136 | Florencio Cusip Agustin IIi | Physical Therapist | 437 W. Washington Ave, Alpena, MI 49707 | 2015-03-12 |
| 1659762110 | James L Counsellor | Counselor | 115 N First Ave Ste 101, Alpena, MI 49707 | 2015-02-05 |
| 1093002099 | Geraldine Zachos Williams | Chiropractor | 525 S. State Ave, Alpena, MI 49707 | 2011-06-29 |
| 1023310224 | Steven A Machulis | Specialist/Technologist, Other | 225 Long Lake Ave, Alpena, MI 49707 | 2010-11-22 |
| 1578727335 | Allan Paul Frank | Internal Medicine | 2079 South State, Alpena, MI 49707 | 2008-07-10 |
| 1215116025 | Rong Lawson | Family Medicine | Alpena Medical Arts, PC, 211 Long Rapids Road, Alpena, MI 49707 | 2007-10-29 |
| Find all providers in zip 49707 | ||||
| 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 |
|---|---|---|---|---|
| 1093209587 | Keith Allan Misiak | Pharmacist | 2236 Us Highway 23 S, Alpena, MI 49707-4544 | 2018-06-18 |
| 1790159267 | William Burns | Pharmacist | 3238 Lake Winyah Rd, Alpena, MI 49707-8118 | 2015-11-21 |
| 1164665568 | John P. Radocy | Pharmacist | 2140 Us Highway 23 S, Alpena, MI 49707-4542 | 2009-04-14 |
| 1437197225 | Nancy Marsden Bauer | Pharmacist | 2140 Us Highway 23 S., Alpena, MI 49707 | 2006-06-03 |
| 1083239909 | Mitchell Gregory May | Pharmacist | 1011 M 32 W, Alpena, MI 49707-8169 | 2020-06-16 |
| 1831720507 | Denielle Kay Fitch | Pharmacist | 2140 Us Highway 23 S, Alpena, MI 49707-4542 | 2020-01-30 |
| 1487284139 | Alexandria Mary Reid | Pharmacist | 2140 Us Highway 23 S, Alpena, MI 49707-4542 | 2020-01-22 |
| 1629596291 | Jaime Lee Cadarette | Pharmacist | 1202 W Chisholm St, Alpena, MI 49707-1620 | 2017-09-05 |
| 1366979932 | Michael Lamb | Pharmacist | 1202 W Chisholm St, Alpena, MI 49707-1620 | 2017-05-15 |
| 1154855146 | Alex Senchuk | Pharmacist | 1202 W Chisholm St, Alpena, MI 49707-1620 | 2017-04-17 |
| Find all providers in ALPENA | ||||
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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.