DEAN A LICHTY (NPI# 1073955902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073955902 |
| Entity Type | Individual |
| Full Name | DEAN A LICHTY |
| Credential | R.PH. |
| Practice Address |
48 Owanla Lane Tracy MN 56175 |
| Mailing Address |
48 Owanka Ln Tracy MN 56175-2033 |
| Practice Telephone | 5077633941 |
| Mailing Telephone | 5077633941 |
| Enumeration Date | 2013-07-19 |
| Last Update Date | 2013-07-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 112239 | MN | Pharmacy Service Providers |
| Street Address |
48 OWANLA LANE |
| City | TRACY |
| State | MN |
| Zip Code | 56175 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508368630 | Kong Meng Yang | Home Health | 600 Greenwood Ave Lot 26, Tracy, MN 56175 | 2018-03-05 |
| 1598243321 | Kortney Marie Krick | Nurse Practitioner | 249 5th St E, Tracy, MN 56175 | 2018-08-02 |
| 1578171138 | Samantha Anita Boeck | Pharmacist | 1095 Morgan St, Tracy, MN 56175-1037 | 2020-07-20 |
| 1730162918 | Tracy Nursing Home Inc | Skilled Nursing Facility | 487 2nd St, Tracy, MN 56175-1207 | 2005-11-22 |
| 1548708175 | Lewis Family Drug, LLC | Pharmacy | 1095 Morgan St, Tracy, MN 56175-1211 | 2017-02-02 |
| 1619202363 | Mark Seager | Durable Medical Equipment & Medical Supplies | 163 3rd St, Tracy, MN 56175-1211 | 2009-10-14 |
| 1255852745 | Zachariah Dale Iverson | Pharmacist | 131 3rd St, Tracy, MN 56175-1211 | 2017-07-05 |
| 1861679771 | John's Rx Drug, Inc | Pharmacy | 131 3rd St, Tracy, MN 56175-1211 | 2008-01-23 |
| 1457488769 | John's Rx Drug, Inc. | Pharmacist | 131 3rd St, Tracy, MN 56175-1211 | 2007-02-27 |
| 1235271859 | Tracy Chiropractic, P.a. | Chiropractor | 271 3rd St, Tracy, MN 56175-1213 | 2007-02-12 |
| Find all providers in zip 56175 | ||||
| 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 |
|---|---|---|---|---|
| 1790383503 | Jessica Ocegueda | Pharmacist | 326 W 21st St, Tracy, CA 95376-2520 | 2020-10-14 |
| 1740756089 | Taranpreet Takhar | Pharmacist | 8538 Waterwell Way, Tracy, CA 95304-8113 | 2018-10-14 |
| 1619401361 | Brian Win | Pharmacist | 632 Morton Way, Tracy, CA 95377-8555 | 2017-04-19 |
| 1962936328 | Duc Nguyen | Pharmacist | 2941 W. Lowell Ave, Apt# 21, Tracy, CA 95377 | 2017-04-12 |
| 1104360411 | Ravneet Kaur | Pharmacist | 515 S Derone Ln, Tracy, CA 95376-8115 | 2016-12-06 |
| 1992182935 | Lalaine Raquipiso | Pharmacist | 2064 Foxclove Dr, Tracy, CA 95376-6760 | 2015-04-29 |
| 1396153474 | Reny Matthew | Pharmacist | 3010 W Grantline Road, Tracy, CA 95304 | 2014-08-01 |
| 1083025746 | Dharani Narne | Pharmacist | 2550 S Tracy Blvd, Tracy, CA 95376-9102 | 2014-05-15 |
| 1750659942 | Bryant Pham | Pharmacist | 2160 W Grant Line Rd Ste 205, Tracy, CA 95377-7333 | 2011-12-02 |
| 1831489814 | Reem Sabe Abu Lubdeh | Pharmacist | 599 East Valpico Rd, Tracy, CA 95376 | 2011-04-12 |
| Find all providers in TRACY | ||||
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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.