JACOB THOMAS LILLETVEDT (NPI# 1013574441) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1013574441 |
Entity Type | Individual |
Full Name | JACOB THOMAS LILLETVEDT |
Credential | PHARMACIST |
Practice Address |
519 S Haynes Ave Miles City MT 59301-4768 |
Mailing Address |
315 Charles St Apt 28 Miles City MT 59301-4158 |
Practice Telephone | 4062324627 |
Mailing Telephone | 4062623515 |
Enumeration Date | 2019-05-21 |
Last Update Date | 2019-05-21 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 183500000X | Pharmacist | PHA-PHA-LIC-5542 | MT | Pharmacy Service Providers |
Street Address |
519 S HAYNES AVE |
City | MILES CITY |
State | MT |
Zip Code | 59301-4768 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427004134 | Albertsons LLC | Durable Medical Equipment & Medical Supplies | 519 S Haynes Ave, Miles City, MT 59301-4768 | 2006-05-25 |
1578082236 | George Farag | Pharmacist | 519 S Haynes Ave, Miles City, MT 59301-4768 | 2017-09-14 |
1710396163 | Chai Chapmon | Pharmacist | 519 S Haynes Ave, Miles City, MT 59301-4768 | 2014-08-11 |
1548539083 | Jeena Christopherson | Pharmacist | 519 S Haynes Ave, Miles City, MT 59301-4768 | 2011-12-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013475011 | Pendelton House Assisted Living | Assisted Living Facility | 220 N Ceneter Ave, Miles City, MT 59301 | 2019-03-08 |
1124536453 | Dialysis Clinic Inc | Clinic/Center | 2708 Main Street, #4, Miles City, MT 59301 | 2018-01-22 |
1356760953 | Jessica Carter | General Acute Care Hospital | 2600 Wilson St, Miles City, MT 59301 | 2014-04-10 |
1164844833 | Yerger Family Dental, PC | Dentist | 2904 Mallet Ln, Miles City, MT 59301 | 2014-01-14 |
1679812937 | Peterson Psychological Services, Inc | Psychologist | 18 N. 8th St, Miles City, MT 59301 | 2013-02-06 |
1528208832 | Anita Roseann Leinen | Counselor | 2508 Wilson Sreet, Miles City, MT 59301 | 2009-02-26 |
1902074966 | Wagner Chiropractic, Pllc | Chiropractor | 213 N Haynes, Miles City, MT 59301 | 2008-02-13 |
1245355684 | Southeast Optical Inc | Technician/Technologist | 2000 Clark Street, Miles City, MT 59301 | 2007-03-21 |
1992835524 | Big Country Educational Cooperative | Local Education Agency (LEA) | 206 Kenwood, Miles City, MT 59301 | 2007-03-06 |
1629107453 | Dee Ann Mclellan-sams | Counselor | 2705 Main St, Choices-compassionate Care Counseling Center, Miles City, MT 59301 | 2007-03-05 |
Find all providers in zip 59301 |
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 |
---|---|---|---|---|
1659701647 | William Jeffrey Skidmore | Pharmacist | 3408 Comstock St, Miles City, MT 59301-5745 | 2013-11-12 |
1942502182 | Kaylee Jo Kleinsasser | Pharmacist | 561 Huffman Ln, Miles City, MT 59301-4119 | 2010-11-19 |
1962658641 | James A Gilbertson | Pharmacist | 1611 Tompy St, Miles City, MT 59301-4430 | 2008-08-13 |
1982253175 | James Michael Etchemendy | Pharmacist | 701 Main St, Miles City, MT 59301-3121 | 2019-09-10 |
1578082236 | George Farag | Pharmacist | 519 S Haynes Ave, Miles City, MT 59301-4768 | 2017-09-14 |
1336507771 | Michael Bricco | Pharmacist | 3205 Stower St, Miles City, MT 59301-5785 | 2016-01-31 |
1710396163 | Chai Chapmon | Pharmacist | 519 S Haynes Ave, Miles City, MT 59301-4768 | 2014-08-11 |
1548539083 | Jeena Christopherson | Pharmacist | 519 S Haynes Ave, Miles City, MT 59301-4768 | 2011-12-28 |
1730415563 | Amber M Anderson | Pharmacist | 3205 Stower St, Miles City, MT 59301-5785 | 2009-10-29 |
1225170673 | Lynn Paul | Pharmacist | 3205 Stower St, Wal-mart Pharmacy, Miles City, MT 59301-5785 | 2007-02-13 |
Find all providers in MILES CITY |
City | MILES CITY |
Zip Code | 59301 |
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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.