EDWARD J PRAISA JR. (NPI# 1164951646) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164951646 |
| Entity Type | Individual |
| Full Name | EDWARD J PRAISA JR. |
| Credential | RPH |
| Practice Address |
101 N State St Marengo IL 60152-2217 |
| Practice Telephone | 8155687242 |
| Practice Fax Number | 8155687242 |
| Mailing Telephone | 8155687242 |
| Mailing Fax Number | 8155680428 |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2017-06-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 054004373 | IL | Pharmacy Service Providers |
| Street Address |
101 N STATE ST |
| City | MARENGO |
| State | IL |
| Zip Code | 60152-2217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659588358 | Rebecca Lynn Feuerborn | Pharmacist | 101 N State St, Marengo, IL 60152-2217 | 2007-05-16 |
| 1881808137 | Brandt Pharmacy Inc | Pharmacy | 101 N State St, Marengo, IL 60152-2217 | 2007-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609103787 | Katie E. Allen-wacker | Physical Therapy Assistant | 212 Lindow Lane, Suite M, Marengo, IL 60152 | 2009-11-10 |
| 1508951278 | George Robert Lane | Chiropractor | 401 Park Drive, Marengo, IL 60152 | 2006-10-04 |
| 1881792737 | Marengo Physical Therapy, Inc. | Clinic/Center | 212 Lindow Ln, Suite M, Marengo, IL 60152 | 2006-09-21 |
| 1154374650 | Quality Renal Care LLC | Clinic/Center | 910 B Greenlee Street, Marengo, IL 60152 | 2006-05-18 |
| 1598055808 | Cherniak Family Chiropractic, PC | Chiropractor | 203 W Prairie St, Marengo, IL 60152-2136 | 2011-04-08 |
| 1124298799 | Mwb Health Services Inc | Chiropractor | 111 N State St, Marengo, IL 60152-2217 | 2008-03-10 |
| 1669690400 | Manfred Strohschein | Dentist | 105 S State St, Marengo, IL 60152-2227 | 2007-04-24 |
| 1396890265 | Maurine Jasper | Counselor | 116 S State St, Marengo, IL 60152-2228 | 2007-01-23 |
| 1598968695 | James Edmund Sweet II | Dentist | 102 S State St, Marengo, IL 60152-2228 | 2007-06-06 |
| 1447220470 | Paul Allen Marnul | Optometrist | 211 S State St, Marengo, IL 60152-2229 | 2006-01-24 |
| Find all providers in zip 60152 | ||||
| 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 |
|---|---|---|---|---|
| 1982990602 | Masha Pechenik | Pharmacist | 18800 Ridge Ln, Marengo, IL 60152-9123 | 2011-06-21 |
| 1023307097 | Erin L Riffel | Pharmacist | 1035 Court Ave, Marengo, IA 52301-1439 | 2011-03-30 |
| 1518095892 | Cindy L Obryant | Pharmacist | 27 South Main St, Marengo, OH 43334 | 2007-03-01 |
| 1457489775 | Larry Jay Hildebrand | Pharmacist | 27 Main St 47, Marengo, OH 43334 | 2007-02-28 |
| 1235752940 | Neha Patel | Pharmacist | 20015 E Grant Hwy, Marengo, IL 60152-8207 | 2020-05-28 |
| 1265951982 | Laura Davis-rowley | Pharmacist | 73 Sportsman Dr, Marengo, OH 43334-1800 | 2017-09-13 |
| 1659588358 | Rebecca Lynn Feuerborn | Pharmacist | 101 N State St, Marengo, IL 60152-2217 | 2007-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760083414 | Cedomir Micic | Pharmacist | 1111 W 14th Pl Unit 126, Chicago, IL 60608-2796 | 2020-11-07 |
| 1831790674 | Cristopher Guzman | Pharmacist | 7122 40th St Ste 1, Stickney, IL 60402-5491 | 2020-11-06 |
| 1215538046 | Nancy Ann Blue | Pharmacist | 4101 N Vermilion St, Danville, IL 61834-5997 | 2020-11-06 |
| 1386245397 | Lynsey Perera | Pharmacist | 7610 N Orange Prairie Rd, Peoria, IL 61615-9324 | 2020-11-05 |
| 1629679899 | Rubegin F Torrevillas | Pharmacist | 731 Terry Rd, Glendale Heights, IL 60139-3330 | 2020-11-04 |
| 1730780214 | Rhonda Leigh Herrmann | Pharmacist | 13969 Moore Rd, Marion, IL 62959-6835 | 2020-11-03 |
| 1265033674 | Ghazala Raheel | Pharmacist | 4000 Route # 173, Zion, IL 60099 | 2020-11-03 |
| 1679174973 | Jeff Engwall | Pharmacist | 359 Knox Square Drive, Galesburg, IL 61401 | 2020-11-03 |
| 1609477280 | Marlene A Espinosa | Pharmacist | 2680 N, Il 83, Round Lake Beach, IL 60073 | 2020-11-02 |
| 1023619616 | Hetal Patel | Pharmacist | 3 S 100 Rt 53, Glen Ellyn, IL 60137 | 2020-11-02 |
| Find all providers with the same taxonomy | ||||
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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.