MR. LANCE M GOLLY (NPI# 1134465701) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134465701 |
| Entity Type | Individual |
| Full Name | MR. LANCE M GOLLY |
| Practice Address |
3245 Agency St Burlington IA 52601-1993 |
| Practice Telephone | 3197589991 |
| Practice Fax Number | 3197589989 |
| Mailing Telephone | 3197589991 |
| Mailing Fax Number | 3197589989 |
| Enumeration Date | 2012-12-29 |
| Last Update Date | 2012-12-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 17685 | IA | Pharmacy Service Providers |
| Street Address |
3245 AGENCY ST |
| City | BURLINGTON |
| State | IA |
| Zip Code | 52601-1993 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962418558 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3245 Agency St, Burlington, IA 52601-1993 | 2006-08-01 |
| 1003243775 | Laura Kathaleen Minard | Pharmacist | 3245 Agency St, Burlington, IA 52601-1993 | 2013-09-26 |
| 1144653585 | Andrea Marcella Perez | Pharmacist | 3245 Agency St, Burlington, IA 52601-1993 | 2013-08-20 |
| 1962787952 | Lisa M. King | Pharmacist | 3245 Agency St, Burlington, IA 52601-1993 | 2011-10-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033748017 | Quentin Eugene Hill | Technician | 528 South 7th St, Burlington, IA 52601 | 2020-04-02 |
| 1619320645 | Alisa Nicole Smith | Social Worker | 409 N. 4th St., Burlington, IA 52601 | 2016-07-14 |
| 1568870020 | Denise Reichman | Registered Nurse | 2509 Sunrise Ln, Burlington, IA 52601 | 2014-07-29 |
| 1891131355 | Ainsley Joyce Fedler | Speech-Language Pathologist | 9302 Glenmark Drive, Burlington, IA 52601 | 2013-05-10 |
| 1851640932 | Melissa A Rupp | Optometrist | 1035 Lawrence Drive, Suite 106, Burlington, IA 52601 | 2012-09-05 |
| 1508123068 | Advanced Home Health Care | Home Health | 550 S. Roosevelt, Burlington, IA 52601 | 2012-04-20 |
| 1144591926 | David Eric Johnson | Pharmacist | 201 South Central, Burlington, IA 52601 | 2012-01-25 |
| 1548537525 | Michael James Colgan | Pharmacist | 3245 Agency Street, Burlington, IA 52601 | 2011-11-19 |
| 1881971190 | Elaine Frances Lehman | Counselor | 724 North 3rd St., Burlington, IA 52601 | 2011-11-15 |
| 1992086508 | Jacqueline Gwen Robbins | Counselor | 4715 Sullivan Slough Road, Burlington, IA 52601 | 2011-09-09 |
| Find all providers in zip 52601 | ||||
| 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 |
|---|---|---|---|---|
| 1013517614 | William Reed | Pharmacist | 31413 County Road 720, Burlington, OK 73722-4475 | 2020-11-01 |
| 1053962720 | Edlyn Hwang | Pharmacist | 41 Burlington Mall Rd Inpatient Central Pharmacy, Burlington, MA 01805-0001 | 2019-09-24 |
| 1962914267 | Kerri Koleen Nichols | Pharmacist | 210 S Pine St Ste 1, Burlington, WI 53105-1914 | 2017-10-27 |
| 1861911968 | Michael Frey | Pharmacist | 2344 South Church St, Burlington, NC 27215 | 2017-09-11 |
| 1992229827 | Seth Isaac Barry | Pharmacist | 1009 W Main St., Burlington, NC 27217 | 2017-08-02 |
| 1326491556 | Kenneth Kausch | Pharmacist | 13 Borestone Ln, Burlington, VT 05408-1841 | 2016-07-23 |
| 1104292382 | Nancy Ann Huff | Pharmacist | Dept of Pharmacy 41 Mall Rd, Burlington, MA 01805-1011 | 2015-08-11 |
| 1366850257 | Brian Van Epps | Pharmacist | 158 Cherry St, Burlington, VT 05401-3818 | 2014-07-24 |
| 1811301484 | Crystal Lynn Dean-smith | Pharmacist | 2019 S Mebane St Apt A, Burlington, NC 27215-3902 | 2014-06-11 |
| 1407282304 | Ashley Taylor Phillips | Pharmacist | 2 West Route 130 South, Burlington, NJ 08016 | 2013-09-24 |
| Find all providers in BURLINGTON | ||||
| City | BURLINGTON |
| Zip Code | 52601 |
Please comment or provide details below to improve the information on MR. LANCE M GOLLY.
| 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.