SUSAN JAYNE IREK (NPI# 1861538472) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861538472 |
| Entity Type | Individual |
| Full Name | SUSAN JAYNE IREK |
| Credential | RPH |
| Practice Address |
840 Main Street Baldwin WI 54002 |
| Mailing Address |
N8081 County Road Q Knapp WI 54749-9026 |
| Practice Telephone | 7156842674 |
| Mailing Telephone | 7156659218 |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 13133 | WI | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | STATE LICENSE | 13133 | 01 |
| Street Address |
840 MAIN STREET |
| City | BALDWIN |
| State | WI |
| Zip Code | 54002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477099026 | Nichole Mattison | Radiologic Technologist | 1180 Oak St, Baldwin, WI 54002 | 2017-01-06 |
| 1497807929 | Dane L Rasmussen | Pharmacist | 840 Main St., Baldwin, WI 54002 | 2007-01-17 |
| 1114083912 | Douglas Earl Jacot | Chiropractor | 1640 Tenth Avenue, Baldwin, WI 54002 | 2006-12-28 |
| 1902907454 | Michael Lee Douglas | Family Medicine | 1110 Bergslien Street, Baldwin, WI 54002 | 2006-09-26 |
| 1427092196 | Shaima Sulemankhil | Family Medicine | 730 10th Ave., Baldwin, WI 54002 | 2006-06-15 |
| 1538114079 | Village of Baldwin | Ambulance | 630 Highway 12, Baldwin, WI 54002 | 2006-05-23 |
| 1861001083 | Marina Cheung Taylor | Physical Therapist | 990 Main Street, Suite #1, Baldwin, WI 54002 | 2020-07-23 |
| 1497245625 | Meghan Ann Becker | Physical Therapist | 650 Birch St, Baldwin, WI 54002 | 2018-05-14 |
| 1720599673 | Karli Rae Kerrschneider | Nurse Practitioner | 1100 Bergslien St, Baldwin, WI 54002 | 2017-10-18 |
| 1730446477 | Brittany Beeson | Family Medicine | 1100 Bergslien St, Baldwin, WI 54002 | 2012-04-19 |
| Find all providers in zip 54002 | ||||
| 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 |
|---|---|---|---|---|
| 1023628781 | Tracey Hodurski | Pharmacist | 3278 Bertha Dr, Baldwin, NY 11510-5001 | 2020-08-06 |
| 1578950002 | Dustin Brandon | Pharmacist | 634 Lincoln St, Baldwin, NY 11510-4323 | 2015-04-22 |
| 1912229774 | Irene Apostolou | Pharmacist | 2360 Milburn Ave, Baldwin, NY 11510-3322 | 2010-02-22 |
| 1275710030 | Edith S Bruno | Pharmacist | 668 Sunrise Hwy, Baldwin, NY 11510-3136 | 2008-01-23 |
| 1649478496 | Frank M Trotter | Pharmacist | 184b Professional Dr, Baldwin, GA 30511-4009 | 2007-07-03 |
| 1821200437 | Dana Lynn Timmers | Pharmacist | 2075 10th Ave W, Baldwin, WI 54002-5524 | 2007-05-04 |
| 1912020710 | Pilan L Hsu | Pharmacist | 4406 Old Farm Rd, Baldwin, MD 21013-9628 | 2007-04-08 |
| 1497807929 | Dane L Rasmussen | Pharmacist | 840 Main St., Baldwin, WI 54002 | 2007-01-17 |
| 1912017310 | Pattie Drug of Baldwin Inc | Pharmacist | 868 Michigan Ave, Baldwin, MI 49304-0310 | 2006-08-30 |
| 1942780242 | Hien Thanh-le Nguyen | Pharmacist | 1615 Michigan Ave, Baldwin, MI 49304-7984 | 2018-08-16 |
| Find all providers in BALDWIN | ||||
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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.