DAVID CHARLES PAULSEN (NPI# 1720144132) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720144132 |
| Entity Type | Individual |
| Full Name | DAVID CHARLES PAULSEN |
| Credential | PHARM D. |
| Practice Address |
5200 Fairview Blvd Wyoming MN 55092-8013 |
| Practice Telephone | 6519827235 |
| Practice Fax Number | 6519827236 |
| Mailing Telephone | 6519827235 |
| Mailing Fax Number | 6519827236 |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
116153-7 | MN | Pharmacy Service Providers |
| Street Address |
5200 FAIRVIEW BLVD |
| City | WYOMING |
| State | MN |
| Zip Code | 55092-8013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528061371 | Gunnar Jon Erickson | Ophthalmology | 5200 Fairview Blvd, Wyoming, MN 55092-8013 | 2005-05-24 |
| 1902414378 | Fairview Express Care | General Practice | 5200 Fairview Blvd, Wyoming, MN 55092-8013 | 2020-07-21 |
| 1023648235 | Cassandra L Etheridge | Physician Assistant | 5200 Fairview Blvd, Wyoming, MN 55092-8013 | 2020-01-16 |
| 1023652211 | Natasha Lackas | Speech-Language Pathologist | 5200 Fairview Blvd, Wyoming, MN 55092-8013 | 2019-10-31 |
| 1467019414 | Terrence Ellis | Clinical Exercise Physiologist | 5200 Fairview Blvd, Wyoming, MN 55092-8013 | 2019-05-24 |
| 1790341493 | Krystal Kraemer | Dietitian, Registered | 5200 Fairview Blvd, Wyoming, MN 55092-8013 | 2019-05-17 |
| 1225509037 | Lauren Downie | Dietitian, Registered | 5200 Fairview Blvd, Wyoming, MN 55092-8013 | 2018-12-06 |
| 1861977787 | Magdalen Rene Gadbois | Speech-Language Pathologist | 5200 Fairview Blvd, Wyoming, MN 55092-8013 | 2018-09-26 |
| 1285110338 | Marie Hudalla | Physical Therapist | 5200 Fairview Blvd, Wyoming, MN 55092-8013 | 2018-07-12 |
| 1023502697 | Molly Levy | Nurse Practitioner | 5200 Fairview Blvd, Wyoming, MN 55092 | 2018-06-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821696022 | Wyoming Family Dental | Dentist | 5378 East Viking Blvd., Wyoming, MN 55092 | 2020-10-12 |
| 1851909436 | Matthew Rohlf | Dentist | 5378 E Viking Blvd, Wyoming, MN 55092 | 2020-07-20 |
| 1669013280 | Christina Marie Orde | Technician | 4855 261st Street, Wyoming, MN 55092 | 2019-10-04 |
| 1609425966 | Faith Bouttell | Technician | 25423 Heims Lake Circle, Wyoming, MN 55092 | 2019-09-10 |
| 1275875031 | Fairview Express Care | Clinic/Center | 5130 Fairview Blvd, Suite 101, Wyoming, MN 55092 | 2013-03-20 |
| 1023385242 | St. Croix Orthopaedics, P.a. | Durable Medical Equipment & Medical Supplies | 5200 Fairview Blvd., Wyoming, MN 55092 | 2011-11-17 |
| 1902851876 | Tamara Piroska Petrac-halatsis | Obstetrics & Gynecology | 5200 Fairview Boulevard, Ob/gyn Department, Wyoming, MN 55092 | 2006-05-22 |
| 1376922070 | Carli Lynn Ceder | Physical Therapist | 5130 Fairview Blvd, Wyoming, MN 55092 | 2015-05-27 |
| 1396087433 | Fairview Health Services | Durable Medical Equipment & Medical Supplies | 5130 Fairview Blvd, Suite 104, Wyoming, MN 55092 | 2013-03-26 |
| 1598007726 | Fairview Health Services | Prosthetic/Orthotic Supplier | 5130 Fairview Blvd, Suite 103, Wyoming, MN 55092 | 2013-03-26 |
| Find all providers in zip 55092 | ||||
| Taxonomy Code | 1835P1200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacotherapy |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659771723 | Samantha J Jones | Pharmacist | 5500 Clyde Park Ave Sw, Wyoming, MI 49509-9525 | 2014-08-26 |
| 1215147335 | Jodie Elder | Pharmacist | 781 36th St Se, Wyoming, MI 49548-2319 | 2007-05-24 |
| 1083737134 | Ross Allen Eardley | Pharmacist | 5900 Byron Center Ave Sw, Wyoming, MI 49519-9606 | 2007-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710504139 | Jacob Stevens | Pharmacist | 19216 Freeport Ave, Cub Pharmacy, Elk River, MN 55330 | 2020-07-01 |
| 1215470943 | Kaitlyn Latour | Pharmacist | 3500 County Road 39 Nw, Maple Lake, MN 55358-3019 | 2016-11-29 |
| 1124413604 | Philip Kohls | Pharmacist | 523 Lake Ave, Saint Paul, MN 55110-1631 | 2015-04-01 |
| 1346671112 | Consultant Pharmacists Inc | Pharmacist | 1413 Hoot Lake Dr, Fergus Falls, MN 56537-3953 | 2013-12-04 |
| 1215377650 | Jennifer Ann Marquart | Pharmacist | 15517 Post Rd, Wayzata, MN 55391-2116 | 2013-06-30 |
| 1174860795 | Ruonan Zhang | Pharmacist | 1925 West County Road B2, Roseville, MN 55113 | 2013-01-16 |
| 1265700991 | Ali Mahamud | Pharmacist | 681 Central Ave W, Saint Paul, MN 55104-4821 | 2011-12-08 |
| 1760767834 | Agnes Njema Azeh | Pharmacist | 99 Maryland Ave W, Saint Paul, MN 55117-4528 | 2011-10-19 |
| 1003134495 | Beth J Alexander | Pharmacist | 1302 Palace Ave, Saint Paul, MN 55105-2952 | 2010-05-10 |
| 1225279763 | Rick John Melbye | Pharmacist | 3210 Rivershore Dr, Moorhead, MN 56560-5549 | 2009-03-12 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DAVID CHARLES PAULSEN.
| 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.