ALYSSA NICOLE KLOTZ


Address: 1959 Suburban Ave, Saint Paul, MN 55119-7002
Phone: 6512099690

ALYSSA NICOLE KLOTZ (NPI# 1831399328) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1831399328
Entity Type Individual
Full Name ALYSSA NICOLE KLOTZ
Other Name ALYSSA NICOLE CODY
Credential PHARMD
Practice Address 1959 Suburban Ave
Saint Paul
MN 55119-7002
Practice Telephone 6512099690
Practice Fax Number 6512099695
Mailing Telephone 6512099690
Mailing Fax Number 6512099695
Enumeration Date 2007-07-23
Last Update Date 2007-08-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1835P1200X Pharmacist
Specialization: Pharmacotherapy
118887 MN Pharmacy Service Providers

Office Location

Street Address 1959 SUBURBAN AVE
City SAINT PAUL
State MN
Zip Code 55119-7002

Providers in the same location

NPI Name Taxonomy Address Enumeration
1649355587 Byerly's Inc Pharmacist 1959 Suburban Ave, Saint Paul, MN 55119-7002 2006-10-26
1528188513 Gregory W Smith Pharmacist 1959 Suburban Ave, Saint Paul, MN 55119-7002 2007-03-31

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Taxonomy Information

Taxonomy Code 1835P1200X
Grouping Pharmacy Service Providers
Classification Pharmacist
Specialization Pharmacotherapy

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1124413604 Philip Kohls Pharmacist 523 Lake Ave, Saint Paul, MN 55110-1631 2015-04-01
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
1710221106 Ashley Rae Niemczyk Pharmacist 640 Jackson St, Saint Paul, MN 55101-2502 2012-11-26
1346584737 Mikal Rutten Pharmacist 640 Jackson St, Mail Stop 12101b, Saint Paul, MN 55101-2502 2012-11-26
1184867566 Karen V Williams Pharmacist 401 Phalen Blvd, Saint Paul, MN 55130-5302 2009-04-14
1710169685 Ryan Duane Michels Pharmacist 2500 Como Ave, Saint Paul, MN 55108-1460 2007-12-03
1851310601 Aimee Husom Pharmacist 153 Cesar Chavez St, Attn: Pharmacy, Saint Paul, MN 55107-2226 2006-07-19
1518936434 Deanna M Gengler Pharmacist 153 Cesar Chavez St, Saint Paul, MN 55107-2226 2006-03-14
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Competitor

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City SAINT PAUL
Zip Code 55119

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Dataset Information

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.

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