DR. ALARIC MICHAEL NIELSON (NPI# 1578163069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1578163069 |
Entity Type | Individual |
Full Name | DR. ALARIC MICHAEL NIELSON |
Practice Address |
158 Schoolcraft St Lake Linden MI 49945-1328 |
Practice Telephone | 4793608604 |
Mailing Telephone | 4793608604 |
Enumeration Date | 2020-10-26 |
Last Update Date | 2020-10-26 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
54786 | TX | Pharmacy Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | PHARMACIST LICENSE | 54786 | 01 |
Street Address |
158 SCHOOLCRAFT ST |
City | LAKE LINDEN |
State | MI |
Zip Code | 49945-1328 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689037475 | Morgan Nicole Codere | Specialist/Technologist | 1200 Calumet St, Lake Linden, MI 49945 | 2016-03-30 |
1750495727 | Aspirus Keweenaw Enterprise | Pharmacy | 220 Calumet St, Lake Linden, MI 49945 | 2006-08-18 |
1740603885 | Upper Great Lakes Family Health Center | Clinic/Center | 945 Ninth Street, Lake Linden, MI 49945-1100 | 2014-01-25 |
1811919251 | Thomas Mcconnon | Emergency Medicine | 945 9th St, Lake Linden, MI 49945-1100 | 2006-07-24 |
1003475344 | Jenny M Bausano | Nurse Practitioner | 945 9th St, Lake Linden, MI 49945-1100 | 2019-06-11 |
1154758167 | Portage Physician Practices Inc | Clinic/Center | 945 9th St, Lake Linden, MI 49945-1100 | 2013-10-04 |
1386970481 | Portage Health Inc. | Family Medicine | 945 9th St, Lake Linden, MI 49945-1100 | 2009-10-23 |
1033413612 | Pieter Nieuwenhuis | Physical Therapist | 1310 Front St, Lake Linden, MI 49945-1220 | 2010-12-22 |
1538552005 | At Home Companions, Inc. | Home Health | 1150 Garden St, Lake Linden, MI 49945-1292 | 2015-03-09 |
1649320524 | Aspirus Keweenaw | Clinic/Center | 110 Calumet Street, Lake Linden, MI 49945-1308 | 2007-01-11 |
Find all providers in zip 49945 |
Taxonomy Code | 1835P0018X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacist |
Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598380529 | Daniel Asare Offei | Pharmacist | 2539 Sagewood Ave Ne Unit 718, Grand Rapids, MI 49525-2952 | 2020-06-16 |
1013540426 | Aiman Abueida | Pharmacist | 17000 Executive Plaza Dr Ste 201, Dearborn, MI 48126-2793 | 2020-02-14 |
1336770866 | Azadeh Ali Moghaddam | Pharmacist | 5951 Sunrise Dr, Ypsilanti, MI 48197-7498 | 2020-02-03 |
1811527104 | Bailey Elaine Johnson | Pharmacist | 626 W Front St, Traverse City, MI 49684-2210 | 2020-01-25 |
1588202089 | Kenneth Alexander | Pharmacist | 40339 Grand River Ave # 110, Novi, MI 48375 | 2019-12-15 |
1760020333 | Deborah Handrinos Njus | Pharmacist | 19028 Stonewater Blvd, Northville, MI 48168-8560 | 2019-12-14 |
1255978037 | Dana Trudell | Pharmacist | 829 W 4th St, Pinconning, MI 48650-8907 | 2019-11-29 |
1174169270 | Debra Joyce Lammers | Pharmacist | 531 West Main Street, Milan, MI 48160 | 2019-11-23 |
1467098533 | Thomas Aaron | Pharmacist | 4194 Glenbrook Ct, Sterling Heights, MI 48310-3378 | 2019-11-22 |
1174164826 | Amy Sandhu Khan | Pharmacist | 5860 N Canton Center Rd Ste 340, Canton, MI 48187-2687 | 2019-10-03 |
Find all providers with the same taxonomy |
City | LAKE LINDEN |
Zip Code | 49945 |
Please comment or provide details below to improve the information on DR. ALARIC MICHAEL NIELSON.
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.