ZYONNE THEO SERVO ARCENA (NPI# 1760025753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760025753 |
| Entity Type | Individual |
| Full Name | ZYONNE THEO SERVO ARCENA |
| Practice Address |
1300 Hospital Loop Belcourt ND 58316 |
| Mailing Address |
Po Box 116 Rolla ND 58367-0116 |
| Practice Telephone | 7014776111 |
| Mailing Telephone | 9548049628 |
| Enumeration Date | 2019-10-22 |
| Last Update Date | 2019-10-22 |
| 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 |
PS59567 | FL | Pharmacy Service Providers |
| Street Address |
1300 HOSPITAL LOOP |
| City | BELCOURT |
| State | ND |
| Zip Code | 58316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760468078 | Therese Mcmahan | Nurse Practitioner | 1300 Hospital Loop, Belcourt, ND 58316-0160 | 2005-12-19 |
| 1366074379 | Rachel Marie Modrow | Pharmacist | 1300 Hospital Loop, Belcourt, ND 58316 | 2020-02-07 |
| 1346882230 | Alicia May Dolbeare | Nurse Practitioner | 1300 Hospital Loop, Belcourt, ND 58316 | 2019-10-11 |
| 1689229346 | Abby Wilder | Pharmacist | 1300 Hospital Loop, Belcourt, ND 58316 | 2019-08-08 |
| 1871074492 | Andrew Kenneth Glatz | Pharmacist | 1300 Hospital Loop, Belcourt, ND 58316 | 2018-08-22 |
| 1811482334 | Jenna Leigh Larson | Family Medicine | 1300 Hospital Loop, Belcourt, ND 58316 | 2018-06-27 |
| 1790288025 | Mikisha Longie | Registered Nurse | 1300 Hospital Loop, Belcourt, ND 58316 | 2018-03-13 |
| 1891293965 | My-oanh Thi Nguyen | Pharmacist | 1300 Hospital Loop, Belcourt, ND 58316 | 2018-01-24 |
| 1578081238 | Marianne Young Eagle | Registered Nurse | 1300 Hospital Loop, Belcourt, ND 58316 | 2017-09-01 |
| 1952825952 | Christina Mae Morin | Registered Nurse | 1300 Hospital Loop, Belcourt, ND 58316 | 2017-08-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063012656 | Ryan Wickerham | Technician | 9862 46th Ave Ne 1191 Kent Addition, 1191, Belcourt, ND 58316 | 2020-10-31 |
| 1396345146 | Melinda Marie Desjarlais | Technician | 9826 46th Ave Ne, Belcourt, ND 58316 | 2020-10-30 |
| 1417591140 | Molly Sue Beyer | Nurse Practitioner | 1300 Hospital Loop Road, Belcourt, ND 58316 | 2019-11-06 |
| 1114430519 | John Robert Kerr | Dentist | Quentin N. Burdick Memorial Hospital 1300 Hospital Loop, Belcourt, ND 58316 | 2017-11-08 |
| 1174979694 | Jan Birkland | Case Manager/Care Coordinator | 4051 Highway 281, Belcourt, ND 58316 | 2016-05-13 |
| 1841644291 | Berry James Poitra | Pharmacist | Moonlight Drive Highway 5, Belcourt, ND 58316 | 2016-04-21 |
| 1114380748 | Bernice Delorme | Social Worker | Bldg 152, John Norquay Street, Belcourt, ND 58316 | 2016-03-31 |
| 1326425943 | Turtle Mountain Band of Chippewa | Private Vehicle | 1023 Chief Little Shell Street Ne, Belcourt, ND 58316 | 2015-05-04 |
| 1336535038 | Turlte Mountain Maternal Child Health Program | Case Management | Building 150 John Norquay Street, Belcourt, ND 58316 | 2015-04-09 |
| 1982006672 | Eugene Monette | Physical Therapist | 4278 Bia Road 8, Belcourt, ND 58316 | 2014-09-24 |
| Find all providers in zip 58316 | ||||
| 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 |
|---|---|---|---|---|
| 1396177259 | Susan M Mahoney-weber | Pharmacist | 706 38th St Nw Ste Def, Fargo, ND 58102-2953 | 2013-08-02 |
| 1225373798 | Zachary John Marty | Pharmacist | 213 3rd St Ne, Rolla, ND 58367-7140 | 2012-12-10 |
| 1174097364 | Brian Ament | Pharmacist | 2422 20th St Sw, Jamestown, ND 58401-6201 | 2019-01-22 |
| 1447746177 | Erik Michael Nelson | Pharmacist | 3101 N 11th St, Bismarck, ND 58503-0594 | 2018-07-05 |
| 1710311675 | Jessica Ann Dietz | Pharmacist | 2101 Elm St N, Fargo, ND 58102-2417 | 2013-08-28 |
| 1528372596 | Patrick Jon Netland | Pharmacist | 2101 Elm St N, 119 Pharmacy, Fargo, ND 58102-2417 | 2010-08-02 |
Please comment or provide details below to improve the information on ZYONNE THEO SERVO ARCENA.
| 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.