MRS. MICHELLE RENEE CLEMENTS (NPI# 1669794889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669794889 |
| Entity Type | Individual |
| Full Name | MRS. MICHELLE RENEE CLEMENTS |
| Credential | RPH |
| Practice Address |
4100 52nd St Kenosha WI 53144-3900 |
| Practice Telephone | 2626580902 |
| Practice Fax Number | 2626580560 |
| Mailing Telephone | 2626580902 |
| Mailing Fax Number | 2626580560 |
| Enumeration Date | 2010-02-16 |
| Last Update Date | 2010-02-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 12439 | WI | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306257803 | Michelle A Clements | Family Medicine | 5415 Airport Rd, Roanoke, VA 24012-1303 | 2014-05-19 |
| 1659924298 | Michelle Angela Clements | Counselor | 1235 Montauk Hwy, Mastic, NY 11950-2917 | 2019-07-23 |
| Street Address |
4100 52ND ST |
| City | KENOSHA |
| State | WI |
| Zip Code | 53144-3900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225069362 | Transform Km LLC | Durable Medical Equipment & Medical Supplies | 4100 52nd St, Kenosha, WI 53144-3900 | 2006-07-06 |
| 1225690985 | Ryan Taylor Billman | Pharmacist | 4100 52nd St, Kenosha, WI 53144-3999 | 2019-07-02 |
| 1891158440 | Sears Holdings Corporation | Pharmacy | 4100 52nd St, Kenosha, WI 53144-3900 | 2016-03-31 |
| 1265754485 | Yelena Ivanova | Pharmacist | 4100 52nd St, Kenosha, WI 53144-3900 | 2010-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902410202 | Dpt Holdings LLC | Occupational Therapist | 3825 39th Ave #110, Kenosha, WI 53144 | 2020-09-03 |
| 1225641392 | Eunice Boatin | Social Worker | Kenosha Human Development Services, 3536 52nd Street, Kenosha, WI 53144 | 2020-08-28 |
| 1881250256 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 3621 Market Lane, Kenosha, WI 53144 | 2019-05-11 |
| 1124540067 | Kaitlyn King | Speech-Language Pathologist | 5219 88th Ave., Kenosha, WI 53144 | 2017-07-12 |
| 1174992721 | Claire Ann Adams | Acupuncturist | 5416 52nd Street, Kenosha, WI 53144 | 2015-09-24 |
| 1285017087 | Jessica Lynn Gillengerten | Acupuncturist | 4235 Green Bay Rd., Suite #10, Kenosha, WI 53144 | 2015-06-30 |
| 1750704656 | Amanda Kay Kreuzer | Occupational Therapy Assistant | 3109 30th Ave, Kenosha, WI 53144 | 2014-01-28 |
| 1841626785 | B7 Pharmacy Inc | Pharmacy | 3825 39th Ave Ste 100, Kenosha, WI 53144 | 2013-09-24 |
| 1124326764 | Wisconsin Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3710 57th Ave, Kenosha, WI 53144 | 2011-03-07 |
| 1982931291 | Roman Bilak | General Practice | 4126 - 7th Street, Kemosha, WI 53144 | 2009-11-06 |
| Find all providers in zip 53144 | ||||
| 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 |
|---|---|---|---|---|
| 1174122576 | Paul Suiven Mbinglo | Pharmacist | 6237 94th Ct, Kenosha, WI 53142-8225 | 2020-10-19 |
| 1215400031 | Philip C Berce | Pharmacist | 3535 30th Ave Ste 103, Kenosha, WI 53144-1632 | 2019-01-03 |
| 1124488457 | Laurie Birchell | Pharmacist | 9310 128th Ave, Kenosha, WI 53142-7338 | 2016-02-29 |
| 1780060582 | Joshua Haas | Pharmacist | 7701 Green Bay Road, Kenosha, IL 53142 | 2015-08-04 |
| 1366829947 | Madonna Eileen Janas-foreman | Pharmacist | 3207 80th St Ste 100, Kenosha, WI 53142-4908 | 2015-05-02 |
| 1306286935 | Mehul N Patel | Pharmacist | 7111 104th Ave Unit H, Kenosha, WI 53142-8302 | 2013-06-27 |
| 1932547999 | Gregory J Sitter | Pharmacist | 3825 39th Ave, Suite #100, Kenosha, WI 53144-5314 | 2013-06-11 |
| 1366796559 | James Kanetzke | Pharmacist | 5300 52nd Street, Kenosha, WI 53144-2398 | 2012-11-09 |
| 1356610166 | Michael J Gallo | Pharmacist | 7535 North Greenbay Rd, Kenosha, WI 53142 | 2011-12-22 |
| 1790052777 | Anupama Potineni | Pharmacist | 7535 N Greenbay Rd, Kenosha, WI 53142-1871 | 2011-11-19 |
| Find all providers in KENOSHA | ||||
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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.