MARK RAUMAN (NPI# 1013201276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013201276 |
| Entity Type | Individual |
| Full Name | MARK RAUMAN |
| Credential | R.PH. |
| Practice Address |
1188 W Boughton Rd Target Pharmacy T-0867 Bolingbrook IL 60440-1508 |
| Practice Telephone | 6303781011 |
| Enumeration Date | 2011-06-06 |
| Last Update Date | 2011-06-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 2001031809 | MO | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | 116292 | MN | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | 051.033683 | IL | Pharmacy Service Providers |
| Street Address |
1188 W BOUGHTON RD TARGET PHARMACY T-0867 |
| City | BOLINGBROOK |
| State | IL |
| Zip Code | 60440-1508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790707503 | Highland Park Cvs LLC | Durable Medical Equipment & Medical Supplies | 1188 W Boughton Rd, Bolingbrook, IL 60440-1508 | 2006-07-24 |
| 1043827363 | Kimberly Dang | Pharmacist | 1188 W Boughton Rd, Bolingbrook, IL 60440-1508 | 2020-09-30 |
| 1760867758 | Lindsey Malloy | Pharmacist | 1188 W Boughton Rd, Bolingbrook, IL 60440-1508 | 2015-07-20 |
| 1427449644 | Nina Clarizio | Pharmacy Technician | 1188 W Boughton Rd, Bolingbrook, IL 60440-1508 | 2015-02-10 |
| 1881084457 | Barbara Carlson | Pharmacy Technician | 1188 W Boughton Rd, Bolingbrook, IL 60440-1508 | 2015-02-03 |
| 1083004774 | Susan Groetsch | Pharmacy Technician | 1188 W Boughton Rd, Bolingbrook, IL 60440-1508 | 2015-02-02 |
| 1356731053 | Cinthia Vazquez | Pharmacy Technician | 1188 W Boughton Rd, Bolingbrook, IL 60440-1508 | 2015-02-02 |
| 1164718664 | Abalaine Delapena | Pharmacist | 1188 W Boughton Rd, T-0867, Bolingbrook, IL 60440-1508 | 2011-06-22 |
| 1346535994 | Laura Jean Bloodgood | Pharmacist | 1188 W Boughton Rd, T-0867, Bolingbrook, IL 60440-1508 | 2011-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275141251 | Derick Dermatology, LLC | Dermatology | 239 Remington Boulevard, Suite 225, Bolingbrook, IL 60440 | 2020-07-16 |
| 1851949150 | Rachel Nicole Weis | Student in an Organized Health Care Education/Training Program | 777 Falconridge Way, Bolingbrook, IL 60440 | 2019-08-29 |
| 1578072815 | Onna Ford-kendrick | Nurse Practitioner | 151 E. Briarcliff Rd, -, Bolingbrook, IL 60440 | 2017-09-28 |
| 1891245213 | Megan Lotarski | Specialist/Technologist | 6 Copper Ct, Bolingbrook, IL 60440 | 2016-10-10 |
| 1144775800 | Mitchell Quill | Chiropractor | 550 E Boughton Rd Ste 150, Bolingbrook, IL 60440 | 2016-08-23 |
| 1477914125 | Alessia L. Elerby | Specialist | 128 S Cass Ave, Westmont, IL 60440 | 2016-03-09 |
| 1982073821 | Melissa Perkins | Counselor | 511 Preston Drive, Bolingbrook, IL 60440 | 2015-09-22 |
| 1821467754 | Advanced Patient Care, LLC. | Pharmacy | 335-337 Remington Blvd., Bolingbrook, IL 60440 | 2015-09-22 |
| 1770998262 | Adventist Bolingbrook Hospital | Internal Medicine | 420 S Schmidt, Ste 230, Bolingbrook, IL 60440 | 2014-06-24 |
| 1467864512 | Alice II Salons | Specialist | 311 Quadr,., Bolingbrook, IL 60440 | 2014-05-23 |
| Find all providers in zip 60440 | ||||
| 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 |
|---|---|---|---|---|
| 1275133399 | Bhavish D Bodalia | Pharmacist | 4 Duval Ct, Bolingbrook, IL 60490-2087 | 2020-10-28 |
| 1326538208 | Kavin P Patel | Pharmacist | 645 Lavina Ct, Bolingbrook, IL 60440-9052 | 2018-05-16 |
| 1316288038 | Catherine A Unger | Pharmacist | 762 Lenox Ave, Bolingbrook, IL 60490-4986 | 2013-03-05 |
| 1881948396 | Dingchen Sha | Pharmacist | 236 Berkeley Dr, Bolingbrook, IL 60440-6122 | 2012-11-06 |
| 1194000687 | Lawrence Roger Lernor | Pharmacist | 830 East Boughton Rd, Bolingbrook, IL 60440-2355 | 2011-10-15 |
| 1598049207 | Ann Manas | Pharmacist | 11 Arbury Ct., Bolingbrook, IL 60440-6112 | 2011-09-30 |
| 1508147281 | Hiral Patel | Pharmacist | 13 Caribou Ct, Bolingbrook, IL 60490-1011 | 2011-09-07 |
| 1316228539 | Kevin Isaac | Pharmacist | 695 W Boughton Rd, Bolingbrook, IL 60440-1752 | 2011-09-01 |
| 1588950737 | Becca Mccann | Pharmacist | 1188 W. Boughton Rd, Bolingbrook, IL 60440-1508 | 2011-06-27 |
| 1801841150 | David E Zacher | Pharmacist | 1920 Danube Way, Bolingbrook, IL 60490 | 2006-05-24 |
| Find all providers in BOLINGBROOK | ||||
| City | BOLINGBROOK |
| Zip Code | 60440 |
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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.