DR. CODY WIBERG (NPI# 1770570210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770570210 |
| Entity Type | Individual |
| Full Name | DR. CODY WIBERG |
| Credential | PHARM.D., R.PH. |
| Practice Address |
2829 University Ave Se Suite 530 Minneapolis MN 55414-3250 |
| Mailing Address |
1011 College Ave Red Wing MN 55066-2437 |
| Practice Telephone | 6126172201 |
| Practice Fax Number | 6126172212 |
| Mailing Telephone | 6513883102 |
| Mailing Fax Number | 6126172212 |
| Enumeration Date | 2005-09-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 114077-8 | MN | Pharmacy Service Providers |
| Street Address |
2829 UNIVERSITY AVE SE SUITE 530 |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55414-3250 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407496516 | Liza N Meredith | Psychologist | Acacia Counseling and Wellness, 2724 University Ave Se Unit B, Minneapolis, MN 55414 | 2020-01-07 |
| 1346888732 | Danielle Lee Ann Vogler-bos | Naturopath | 575 Se 9th St, Suite #52, Minneapolis, MN 55414 | 2019-12-16 |
| 1164071148 | Amy C Moran | Psychologist | Acacia Counseling & Wellness, 2724 University Ave., Unit B, Minneapolis, MN 55414 | 2019-09-11 |
| 1346806585 | Kristen Bastug | Student in an Organized Health Care Education/Training Program | General Pediatrics and Adolescent Health, 1932k, 1717 Delaware Street Southeast, Suite 353, Minneapolis, MN 55414 | 2019-05-14 |
| 1053881698 | Lauren Michelle Scholder | Psychologist | 401 Main St Se Apt 7009, Minneapolis, MN 55414 | 2018-11-27 |
| 1427530666 | Kelli Howard | Psychologist | 2724 University Ave Se Unit B, Minneapolis, MN 55414 | 2018-09-04 |
| 1306370218 | Jiexiong Yang | Student in an Organized Health Care Education/Training Program | 814 Essex St Se, Minneapolis, MN 55414 | 2017-04-18 |
| 1598297699 | Patrick Curran | Student in an Organized Health Care Education/Training Program | 628 University Ave Se, Apt. 112, Minneapolis, MN 55414 | 2017-03-29 |
| 1679923957 | Jillian Theresa Tholen | Dietitian, Registered | 411 E Hennepin Ave, Minneapolis, MN 55414 | 2016-06-16 |
| 1073960290 | First Language Interpreter & Translation Services LLC | Interpreter | 2828 University Ave Se Suite 150, Minneapolis, MN 55414 | 2016-05-17 |
| Find all providers in zip 55414 | ||||
| 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 |
|---|---|---|---|---|
| 1992302426 | Jacob Hansen | Pharmacist | 711 Kasota Ave Se Ste A, Minneapolis, MN 55414-2842 | 2020-10-07 |
| 1871106211 | Victor Tam | Pharmacist | 6411 Newton Ave S, Minneapolis, MN 55423-1115 | 2020-08-25 |
| 1689286221 | Hoa Bui | Pharmacist | 4547 Hiawatha, Minneapolis, MN 55406 | 2020-08-17 |
| 1942818711 | Danielle Morgan | Pharmacist | 2525 Chicago Ave Ste 32-1667, Minneapolis, MN 55404-4518 | 2020-07-17 |
| 1407477748 | Amy Anderson | Pharmacist | 2101 Kennedy St Ne, Minneapolis, MN 55413-2606 | 2020-04-28 |
| 1114547643 | Kevin Reininger | Pharmacist | 730 S 8th St., Pharmacy Department, Minneapolis, MN 55415 | 2020-04-24 |
| 1093335630 | Emebeat A Tibebu | Pharmacist | 818 Washington Ave Se, Minneapolis, MN 55414-3035 | 2020-04-23 |
| 1922634252 | Nkuti Ndely | Pharmacist | 1300 W Lake St, Minneapolis, MN 55408-7200 | 2020-03-18 |
| 1174170229 | Rebeca Reyes Salaman | Pharmacist | 4555 Upton Ave N, Minneapolis, MN 55412-1047 | 2019-08-23 |
| 1003462540 | Louise Ballam Peterson | Pharmacist | 2801 Nicollet Ave, Minneapolis, MN 55408-2329 | 2019-08-12 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55414 |
Please comment or provide details below to improve the information on DR. CODY WIBERG.
| 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.