MICHAEL WAYNE LOGSDON (NPI# 1851642102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851642102 |
| Entity Type | Individual |
| Full Name | MICHAEL WAYNE LOGSDON |
| Credential | PHARMD |
| Practice Address |
120 Park Ave Hebron NE 68370 |
| Mailing Address |
120 Park Ave Hebron NE 68370-2019 |
| Practice Telephone | 4027684611 |
| Mailing Telephone | 4027684611 |
| Enumeration Date | 2012-09-26 |
| Last Update Date | 2019-08-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 13340 | NE | Pharmacy Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 120 Park Ave, Hebron, NE 68370 | 4027684611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669855235 | Michael J. Logsdon | Family Medicine | 500 Island Cottage Rd, Rochester, NY 14612 | 2015-07-01 |
| 1902816945 | Michael Logsdon | Counselor | 2021 New Rd, Linwood, NJ 08221-1045 | 2006-08-09 |
| Street Address |
120 PARK AVE |
| City | HEBRON |
| State | NE |
| Zip Code | 68370 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043291131 | Margaret M Johnson | Physician Assistant | 120 Park Ave, Hebron, NE 68370-2019 | 2005-11-07 |
| 1326679184 | Jayda Edgar | Registered Nurse | 120 Park Ave, Hebron, NE 68370-2019 | 2020-01-30 |
| 1184109324 | Jarie Sones | Nurse Practitioner | 120 Park Ave, Hebron, NE 68370-2019 | 2018-10-02 |
| 1093259541 | Kathryn Ann Retzlaff | Dietitian, Registered | 120 Park Ave, Hebron, NE 68370-2019 | 2016-12-16 |
| 1982013264 | Jessica Zimmerman | General Acute Care Hospital | 120 Park Ave, Hebron, NE 68370-2019 | 2014-08-12 |
| 1699034280 | Leann Heinrichs | Family Medicine | 120 Park Ave, Hebron, NE 68370-2019 | 2012-05-16 |
| 1811164858 | Chie Boyer | Speech-Language Pathologist | 120 Park Ave, Hebron, NE 68370-2019 | 2008-05-09 |
| 1972778991 | Traci Zelenka | Physical Therapy Assistant | 120 Park Ave, Hebron, NE 68370-2019 | 2008-04-30 |
| 1225168180 | Terry Lynn Schaldecker | Pharmacist | 120 Park Ave, Hebron, NE 68370 | 2007-03-07 |
| 1134236524 | Randolph William Waldman | Family Medicine | 120 Park Ave, Hebron, NE 68370-2019 | 2006-08-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346794864 | Jennalee Marie Harris | Counselor | 6150 Highway 136 Suite 1, Hebron, NE 68370 | 2016-08-12 |
| 1225041486 | City of Hebron | Ambulance | 5th & Jefferson, Hebron, NE 68370 | 2006-08-15 |
| 1043301138 | The County of Thayer | Ambulance | 225 N. 4th Street, Hebron, NE 68370-0201 | 2006-09-27 |
| 1932391729 | Blue Valley Lutheran Homes Society Inc | Assisted Living Facility | 1 Terrace Cir, Hebron, NE 68370-1071 | 2007-08-15 |
| 1265710008 | Aaron Dye | Physical Therapist | 147 Northside Cir, Hebron, NE 68370-1109 | 2011-07-27 |
| 1073709978 | Bradley Donald Cooper | Physical Therapist | 535 N 9th St, Hebron, NE 68370-1403 | 2007-09-24 |
| 1255707188 | Michelle Souerdyke | Speech-Language Pathologist | 930 Eads Ave, Hebron, NE 68370-1420 | 2015-08-14 |
| 1710460670 | Brenda Glunz | Psychologist | 930 Eads Ave, Hebron, NE 68370-1420 | 2018-09-07 |
| 1952506743 | Kelcey Berg | Dentist | 124 N 5th St, Hebron, NE 68370-1512 | 2007-06-20 |
| 1912292038 | Jim Cossaart Dds | Dentist | 124 N 5th St, Hebron, NE 68370-1512 | 2011-06-16 |
| Find all providers in zip 68370 | ||||
| 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 |
|---|---|---|---|---|
| 1841793924 | John Joseph Brier | Pharmacist | 149 Daly Rd, Hebron, CT 06248-1008 | 2018-03-14 |
| 1407125669 | Eric Morrone | Pharmacist | 711 Oak Brook Dr, Hebron, IN 46341-9603 | 2011-12-17 |
| 1215159892 | Wade A Kirk | Pharmacist | 96 Integrity Dr, Hebron, OH 43025-7013 | 2007-05-03 |
| 1114143898 | Mary E Beimesch | Pharmacist | 2096 Sheridan Dr, Hebron, KY 41048-8686 | 2007-04-18 |
| 1275049405 | Yolanda Stonom Smith | Pharmacist | 600 E Main St, Hebron, OH 43025-8006 | 2017-12-26 |
| 1851827547 | Joanna Lazor | Pharmacist | 600 E Main St, Pharmacy Dept., Hebron, OH 43025-8006 | 2017-05-02 |
| 1255867974 | David Dustin Hess | Pharmacist | 600 E Main St, Hebron, OH 43025-8006 | 2017-05-02 |
| 1790148450 | Kari Burgess | Pharmacist | 110 Main St, Hebron, CT 06248-1518 | 2016-03-31 |
| 1023471828 | Michelle Ladegard | Pharmacist | 110 Main St, Hebron, CT 06248-1518 | 2016-03-30 |
| 1144689043 | Elena Messer | Pharmacist | 3105 N Bend Rd, Hebron, KY 41048-8523 | 2016-02-19 |
| Find all providers in HEBRON | ||||
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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.