JACOB BALKUM (NPI# 1619508694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619508694 |
| Entity Type | Individual |
| Full Name | JACOB BALKUM |
| Practice Address |
1123 N Van Buren St Milwaukee WI 53202-3269 |
| Practice Telephone | 4143479219 |
| Mailing Telephone | 4143479219 |
| Enumeration Date | 2020-01-29 |
| Last Update Date | 2020-01-29 |
| 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 |
19910-40 | WI | Pharmacy Service Providers |
| Street Address |
1123 N VAN BUREN ST |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53202-3269 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184772444 | Roundys Supermarkets Inc | Pharmacy | 1123 N Van Buren St, Milwaukee, WI 53202-3269 | 2007-01-05 |
| 1083135495 | Charity Tessen | Pharmacist | 1123 N Van Buren St, Milwaukee, WI 53202-3269 | 2017-07-06 |
| 1780136226 | Victoria Strong | Pharmacist | 1123 N Van Buren St, Milwaukee, WI 53202-3269 | 2016-11-01 |
| 1285088922 | Michael Vogt | Pharmacist | 1123 N Van Buren St, Milwaukee, WI 53202-3269 | 2016-04-19 |
| 1346602323 | James Kerry Engelmeier I | Pharmacist | 1123 N Van Buren St, Milwaukee, WI 53202-3269 | 2016-03-28 |
| 1689035370 | Hoda F Saedi | Pharmacist | 1123 N Van Buren St, Milwaukee, WI 53202-3269 | 2016-03-09 |
| 1093112591 | Jay Plavnick | Pharmacist | 1123 N Van Buren St, Milwaukee, WI 53202-3269 | 2014-11-26 |
| 1275930059 | Boris Rempel | Pharmacist | 1123 N Van Buren St, Milwaukee, WI 53202-3269 | 2014-11-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053958298 | Melanie Ann Pare | Occupational Therapist | 1414 N. Prospect Ave., Milwaukee, WI 53202 | 2019-12-06 |
| 1568921278 | Sword Health Inc | Health Educator | 1020 North Broadway, Milwaukee, WI 53202 | 2019-03-13 |
| 1619446408 | First Priority Home Care, LLC | Home Health | 342 W. Water Street, Suite 600, Milwaukee, WI 53202 | 2018-11-21 |
| 1346747169 | Creative Counseling of Milwaukee | Counselor | 2266 E Prospect Ave, Suite 304, Milwaukee, WI 53202 | 2018-04-09 |
| 1043692700 | Matthew Weinlander | Psychiatry & Neurology | 827 N Cass St # 9, Milwaukee, WI 53202 | 2015-06-18 |
| 1437572831 | Pathfinder Medical Group | Family Medicine | 216 Milwaukee St, Suite 2d, Milwaukee, WI 53202 | 2014-01-22 |
| 1669819785 | Kate Savage Anzia | Counselor | 2266 North Prospect Avenue, Suite 326, Ravenswood Clinic, Milwaukee, WI 53202 | 2013-05-30 |
| 1164773222 | Rutell Counseling Services, L.L.C. | Counselor | 759 N. Milwaukee St., Suite 600, Milwaukee, WI 53202 | 2012-09-28 |
| 1548563760 | Susan Rose Westergren | Pharmacist | 1400 E. Brady St, Walgreens, Milwaukee, WI 53202 | 2010-12-09 |
| 1174848816 | Brian D Eiche | Emergency Medicine | 111 E. Wisconsin Ave. Ste 2100, Infinity Healthcare, Milwaukee, WI 53202 | 2010-04-06 |
| Find all providers in zip 53202 | ||||
| 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 |
|---|---|---|---|---|
| 1871980193 | Alan R Rosenthal | Pharmacist | 6930 N Beech Tree Dr, Milwaukee, WI 53209 | 2015-04-24 |
| 1831586700 | Erika Aldag | Pharmacist | 235 E Pittsburgh Ave Apt 310, Milwaukee, WI 53204-4335 | 2015-04-18 |
| 1790383784 | Emily Harr | Pharmacist | 9200 N Green Bay Rd, Milwaukee, WI 53209-1104 | 2020-10-13 |
| 1689294274 | Jordan Williams | Pharmacist | 5000 W Chambers St, Milwaukee, WI 53210-1650 | 2020-04-23 |
| 1265052450 | Marwa Bakr | Pharmacist | 2700 S 60th St, Milwaukee, WI 53219-3151 | 2020-04-17 |
| 1003441361 | Belaynesh Dejene Feleke | Pharmacist | 5929 W Lisbon Ave, Milwaukee, WI 53210-2267 | 2020-03-06 |
| 1205461860 | Katie Robison | Pharmacist | 3860 S 27th St, Milwaukee, WI 53221-1307 | 2020-03-04 |
| 1316571896 | Jonathan D Krueger | Pharmacist | 3237 S 16th St, Milwaukee, WI 53215-4526 | 2020-02-24 |
| 1477049369 | Sabrina Haskell | Pharmacist | 5000 W National Ave, Milwaukee, WI 53295-0001 | 2018-07-03 |
| 1144718081 | Michelle Schafer | Pharmacist | 5000 W National Ave, Milwaukee, WI 53295-5100 | 2018-04-26 |
| Find all providers in MILWAUKEE | ||||
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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.