MR. DAVID EDWARD DETIENNE RPH
NPI 1174663363
Pharmacist in Webster, WI

NPI Status: Active since February 07, 2007

Contact Information

4404 STATE ROAD 70
WEBSTER, WI
ZIP 54893
Phone: (715) 349-8554

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  • Individual
  • Male
  • Pharmacist

About DAVID DETIENNE

This page provides the complete NPI Profile along with additional information for David Detienne, a provider established in Webster, Wisconsin with a medical specialization in Pharmacist. The healthcare provider is registered in the NPI registry with number 1174663363 assigned on February 2007. The practitioner's primary taxonomy code is 183500000X with license number 11821-040 (WI). The provider is registered as an individual and his NPI record was last updated 18 years ago.

NPI
1174663363
Provider Name
MR. DAVID EDWARD DETIENNE RPH
Gender
Male
Entity Type
Individual
Location Address
4404 STATE ROAD 70 WEBSTER, WI 54893
Location Phone
(715) 349-8554
Mailing Address
329 W WISCONSIN AVE GRANTSBURG, WI 54840
Mailing Phone
(715) 463-3743
Is Sole Proprietor?
No
Enumeration Date
02-07-2007
Last Update Date
07-08-2007
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A pharmacist like David Detienne fills prescription medications, verifying instructions from physicians and offers expertise in the safe use of prescriptions. Pharmacists instruct patients on how to take a prescribed medicine and educate patients about potential side effects. Pharmacists might also conduct health and wellness screenings, provide immunizations, oversee the medications given to patients, and provide advice on healthy lifestyles.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pharmacist

Taxonomy Code
183500000X
Type
Pharmacy Service Providers
License No.
11821-040
License State
WI
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
11821-040OTHER (01)WIWISCONS PHARMACIST LICENS

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1174663363
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
211441266312
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 4 + 4 + 1 + 2 + 6 + 6 + 3 + 1 + 2 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1174663363 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1750349239 REY R PALOP M.D.
Individual
Family Medicine4404 STATE ROAD 70
WEBSTER, WI 54893
(715) 349-8554
1861414039DR. TIN-CHEUNG HO MD
Individual
Family Medicine4404 STATE ROAD 70
WEBSTER, WI 54893
(715) 349-8557
1164515367MS. JENNIFER LYNNE BALDINI RD,CD
Individual
Dietitian, Registered4404 STATE ROAD 70
WEBSTER, WI 54893
(715) 349-8554
1700979630MS. PAMELA JO NICHOLS R.N.
Individual
Registered Nurse4404 STATE ROAD 70
WEBSTER, WI 54893
(715) 349-8554
1225121288MRS. PATTI MATAXEN MSN,RN
Individual
Registered Nurse4404 STATE ROAD 70
WEBSTER, WI 54893
(715) 349-8554
1811080740MRS. DAWN RENEE DURAND R.N.
Individual
Registered Nurse4404 STATE ROAD 70
WEBSTER, WI 54893
(715) 349-8554
1487723763 SHELLEY LYNN HAMMES CADC III
Individual
Counselor (Addiction (Substance Use Disorder))4404 STATE ROAD 70
WEBSTER, WI 54893
(877) 455-1901
1821138066MRS. KATHLEEN ANN DITTMAR LPN
Individual
Licensed Practical Nurse4404 STATE ROAD 70
WEBSTER, WI 54893
(715) 349-8554
1225179427MRS. ERICA ANN DORIOTT LPN
Individual
Licensed Practical Nurse4404 STATE ROAD 70
WEBSTER, WI 54893
(715) 349-8554
1053522003DR. JODINE CATHERINE ANDERSON D.D.S.
Individual
Dentist (General Practice)4404 STATE ROAD 70
WEBSTER, WI 54893
(715) 349-8554
1245411107 JULIA A STEINER R.N.
Individual
Registered Nurse4404 STATE ROAD 70
WEBSTER, WI 54893
(715) 349-8554
1760644801DR. TIMOTHY WILLIAM JOHNSON D.D.S.
Individual
Dentist4404 STATE ROAD 70
WEBSTER, WI 54893
(715) 349-8554
1073778858MR. JOSEPH WILIAM TEMBREULL DDS
Individual
Dentist4404 STATE ROAD 70
WEBSTER, WI 54893
(715) 349-8554
1033365747 MELODY LYNN BASSETT R.N.
Individual
Registered Nurse4404 STATE ROAD 70
WEBSTER, WI 54893
(715) 349-8554
1972749299 MELISSA K GRIMSBY R.N.
Individual
Registered Nurse4404 STATE ROAD 70
WEBSTER, WI 54893
(715) 349-8554
1861710691 LISA R PERRY RN
Individual
Registered Nurse4404 STATE ROAD 70
WEBSTER, WI 54893
(715) 349-8554
1730493149MRS. KATIE ARLENE BELISLE L.P.N.
Individual
Licensed Practical Nurse4404 STATE ROAD 70
WEBSTER, WI 54893
(715) 349-8554
1033414693MR. JOSHUA COSMO ROBINSON R.N.
Individual
Registered Nurse4404 STATE ROAD 70
WEBSTER, WI 54893
(715) 349-8554
1235477100 BRENDA LEE RACHNER LPN
Individual
Licensed Practical Nurse4404 STATE ROAD 70
WEBSTER, WI 54893
(715) 349-8554
1639418270 DONA LUNDMARK RN
Individual
Registered Nurse4404 STATE ROAD 70
WEBSTER, WI 54893
(715) 349-8554

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174663363, enumerated in the NPI registry as an "individual" on February 07, 2007

The provider is located at 4404 State Road 70 Webster, Wi 54893 and the phone number is (715) 349-8554

The provider's speciality is Pharmacist with taxonomy code 183500000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on February 07, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.