JOHN O'DWYER JR. (NPI# 1114068624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114068624 |
| Entity Type | Individual |
| Full Name | JOHN O'DWYER JR. |
| Credential | R.PH. |
| Practice Address |
157 S Lincoln Ave Aurora IL 60505-4264 |
| Practice Telephone | 6302402019 |
| Mailing Telephone | 6302402019 |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 183500000X | Pharmacist | 34730 | IL | Pharmacy Service Providers |
| X | 1835N1003X |
Pharmacist Specialization: Nutrition Support |
34730 | IL | Pharmacy Service Providers |
| X | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
34730 | IL | Pharmacy Service Providers |
| Street Address |
157 S LINCOLN AVE |
| City | AURORA |
| State | IL |
| Zip Code | 60505-4264 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285601450 | Luna P Navarez | Family Medicine | 157 S Lincoln Ave, Suite E, Aurora, IL 60505-4264 | 2006-03-07 |
| 1174902555 | Open Door Clinic | Counselor | 157 S Lincoln Ave, Suite K, Aurora, IL 60505-4264 | 2015-05-19 |
| 1215278304 | Shannon M Lane | Counselor | 157 S Lincoln Ave, Suite K, Aurora, IL 60505-4264 | 2013-03-14 |
| 1245516939 | Open Door Clinic | Internal Medicine | 157 S Lincoln Ave, Ste. #k, Aurora, IL 60505-4264 | 2011-10-26 |
| 1932375169 | Community Health Partnership of Illinois | Clinic/Center | 157 S Lincoln Ave, Suite D, Aurora, IL 60505-4264 | 2008-05-07 |
| 1568636686 | Mario F. Rincon, Dds, PC | Dentist | 157 S Lincoln Ave, Ste B, Aurora, IL 60505-4264 | 2008-04-18 |
| 1962525691 | Community Health Partnership of Illinois | Clinic/Center | 157 S Lincoln Ave, Suite C, Aurora, IL 60505-4264 | 2007-04-09 |
| 1760525729 | Mario F Rincon | Dentist | 157 S Lincoln Ave, Suite B, Aurora, IL 60505-4264 | 2007-02-15 |
| 1952442568 | Lincoln Medical Apothecary, Inc. | Pharmacy | 157 S Lincoln Ave, Aurora, IL 60505-4264 | 2007-02-08 |
| 1316992936 | Phi-nga Minh Le | Internal Medicine | 157 S Lincoln Ave, #d, Aurora, IL 60505-4264 | 2006-05-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538705330 | Johnathan Dunn | Counselor | 140 S. Lincoln Ave., Aurora, IL 60505 | 2019-11-27 |
| 1720638224 | Latanya Rush | Technician | 1664 Briarheath Dr, Aurora, IL 60505 | 2019-09-17 |
| 1285282103 | Susan Burroway | Technician | 815 Pearl St., Aurora, IL 60505 | 2019-09-04 |
| 1629624499 | Jean Amanda Nalwoga | Counselor | 1305 E New Indian Trail, Aurora, IL 60505 | 2019-08-16 |
| 1760987515 | Eric Raul Simental | Preventive Medicine | 1014 Claim St, Aurora, IL 60505 | 2018-03-26 |
| 1518408426 | Oluwole Michael Olubajo | Nurse's Aide | 716 Mountain Street, Apt#2e, Aurora, IL 60505 | 2017-03-10 |
| 1881017960 | Anthony Maranto | Counselor | 1305 E. Indian Trail Ct., Aurora, IL 60505 | 2014-01-27 |
| 1891121141 | Smithhealthcare Properties | Assisted Living Facility | 105 E Galena Bvld #3, Aurora, IL 60505 | 2013-09-18 |
| 1003253865 | Laura A Romero | Speech-Language Pathologist | 1770 Daisy St, Aurora, IL 60505 | 2013-06-03 |
| 1972878197 | Donald C. Kellner Dds-aurora PC | Dentist | 143 South Lincoln Ave, Suite A, Aurora, IL 60505 | 2012-03-21 |
| Find all providers in zip 60505 | ||||
| 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 |
|---|---|---|---|---|
| 1023620929 | Mohamad Kasar | Pharmacist | 2919 Shelly Ln, Aurora, IL 60504-5891 | 2020-08-20 |
| 1417590985 | Trang-anh Thuy Do | Pharmacist | 1600 E. Centretech Parkway, Aurora, CO 80011 | 2019-10-28 |
| 1215580899 | Sarah Mayer | Pharmacist | 1700 Wheeling St Ofc Fs-111i, Aurora, CO 80045-7211 | 2019-07-22 |
| 1376195362 | Katie Tuck | Pharmacist | 1700 North Wheeling Street (119), Fs-111o, Aurora, CO 80045 | 2019-07-10 |
| 1407411531 | Kathryn Weldon Gibson | Pharmacist | 3251 Revere St, Aurora, CO 80011-1856 | 2019-05-03 |
| 1972166130 | Charles Pratt | Pharmacist | 15240 E Iliff Ave, Aurora, CO 80014-4516 | 2019-04-15 |
| 1457834574 | Claudia Corona-guevara | Pharmacist | 12892 E Nevada Cir, Aurora, CO 80012-2467 | 2018-09-13 |
| 1033631767 | Remmy Giang Ngoc Nguyen | Pharmacist | 4004 S Killarney Way, Aurora, CO 80013-6087 | 2017-07-14 |
| 1942739222 | Jessica Toma | Pharmacist | 1952 W Galena Blvd, Aurora, IL 60506 | 2017-06-08 |
| 1659800670 | Alexander Tran | Pharmacist | 317 N Telluride St Bldg 7, Aurora, CO 80011-7809 | 2017-06-05 |
| Find all providers in AURORA | ||||
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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.