DR. SUSAN ANDERSON (NPI# 1831581172) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831581172 |
| Entity Type | Individual |
| Full Name | DR. SUSAN ANDERSON |
| Credential | PHARM D |
| Practice Address |
4005 Vinewood Lane N Walgreens 02767 Plymouth MN 55442 |
| Practice Telephone | 7635539731 |
| Practice Fax Number | 7635539144 |
| Mailing Telephone | 7635539731 |
| Mailing Fax Number | 7635539144 |
| Enumeration Date | 2015-02-24 |
| Last Update Date | 2015-02-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 121755 | MN | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | MN BOARD OF PHARMACY LICENSE NUMBER | 121755 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407483837 | Susan Anderson | Durable Medical Equipment & Medical Supplies | 78 Parks Rd, Denville, NJ 07834-2470 | 2020-03-25 |
| 1356980783 | Susan Anderson | Speech-Language Pathologist | 18535 Miller Dr, Lansing, IL 60438-3311 | 2020-01-02 |
| 1538623269 | Susan Claire Gucciardi Anderson | Physician Assistant | 214 Saddle Ln, Lillington, NC 27546-6717 | 2019-01-28 |
| 1043709827 | Susan Marie Anderson | Chiropractor | 9727 Elk Grove Florin Rd Ste 140, Elk Grove, CA 95624-2291 | 2018-05-07 |
| 1578072914 | Susan Michelle Anderson | Counselor | 3400 W 16th St Ste S, Greeley, CO 80634-6872 | 2017-09-28 |
| 1548686041 | Susan Marie Anderson | Speech-Language Pathologist | 54 Yaples Orchard Dr, Chillicothe, OH 45601-1280 | 2014-03-09 |
| 1558673848 | Susan L. Anderson | Counselor | 300 Fairview Ave Ste 2, Ponca City, OK 74601-2056 | 2010-07-02 |
| 1831366541 | Susan Sylvi Anderson | Occupational Therapist | 632 Briarwood Cir, Hollywood, FL 33024-1327 | 2008-05-12 |
| 1114128162 | Susan Marie Anderson | Social Worker | 63 Glenna Little Trl, Huntington, NY 11743-1931 | 2007-05-29 |
| 1740493394 | Susan Elizabeth Anderson | Counselor | 365 Ericksen Ave Ne Ste 311, Bainbridge Island, WA 98110-1888 | 2007-05-08 |
| Street Address |
4005 VINEWOOD LANE N WALGREENS 02767 |
| City | PLYMOUTH |
| State | MN |
| Zip Code | 55442 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104121151 | Melody Joy Richards | Counselor | 13210 45th Ave North, Plymouth, MN 55442 | 2011-01-24 |
| 1912207556 | Pro Medical Services, Inc. | Home Health | 4190 Vinewood Lane N, Ste #111, Plymouth, MN 55442 | 2010-10-29 |
| 1245564269 | Angela Mae | Massage Therapist | 4455 North Highway 169 Suite 200, Four Seasons Family Chiropractic Clinic, Plymouth, MN 55442 | 2009-09-23 |
| 1518174218 | Four Seasons Family Chiropractic Clinic | Chiropractor | 4455 Hwy 169 N, Ste 200, Plymouth, MN 55442 | 2007-05-16 |
| 1003037235 | Owen W Johnson | Pharmacist | 4445 N. Nathan Lane, Plymouth, MN 55442 | 2007-05-02 |
| 1750502621 | Michelle Anne Schulz | Pharmacist | 4445 Nathan Lane N, Plymouth, MN 55442 | 2007-05-01 |
| 1336149095 | Michael Bradley Shinder | Chiropractor | 4455 N Hwy 169, Suite 200, Plymouth, MN 55442 | 2005-07-26 |
| 1639549025 | Bendu Seth | Massage Therapist | 7710 Brooklyn Blvd, Suite 201e, Brooklyn Park, MN 55442 | 2015-09-29 |
| 1902286222 | Bao Yang | Massage Therapist | 7710 Brooklyn Blvd, Brooklyn Park, MN 55442 | 2015-06-02 |
| 1144421835 | Valentini Chiropractic | Chiropractor | 4455 N Hwy 169, Suite 200, Plymouth, MN 55442 | 2007-05-30 |
| Find all providers in zip 55442 | ||||
| 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 |
|---|---|---|---|---|
| 1194331801 | Mohamed Nasser | Pharmacist | 48923 Tuscan Hills Dr, Plymouth, MI 48170-4885 | 2020-09-17 |
| 1114552379 | Molly M Mahoney | Pharmacist | 4110 Juneau Lane N, Plymouth, MN 55446 | 2020-03-09 |
| 1396383964 | Ranim Altaki | Pharmacist | 4980 Garland Ct N Apt C, Plymouth, MN 55446-2458 | 2019-12-14 |
| 1811547748 | Steven N Wolff | Pharmacist | Walmart #1978, 2505 North Oak Drive, Plymouth, IN 46563 | 2019-09-12 |
| 1467001917 | Timothy Charles Krause | Pharmacist | 4360 Kingsview Ln N, Plymouth, MN 55446-2734 | 2019-09-07 |
| 1932663234 | Allison Barker | Pharmacist | 6055 Nathan Ln N # 200a, Plymouth, MN 55442-1674 | 2019-01-31 |
| 1114398948 | Sapna Sutariya | Pharmacist | 47751 N Territorial Rd, Plymouth, MI 48170 | 2015-10-20 |
| 1427453125 | Samuel David Fine | Pharmacist | 4070 Goldenrod Ln, Plymouth, MN 55441 | 2014-10-24 |
| 1073912630 | Rachel Riley | Pharmacist | 4175 Vinewood Ln N # 16191, Plymouth, MN 55442-2624 | 2014-08-20 |
| 1326472663 | Tyler Masson | Pharmacist | 101 Boulder Point Dr Rm 1009, Plymouth, NH 03264-3170 | 2013-08-22 |
| Find all providers in PLYMOUTH | ||||
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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.