MR. TIMOTHY MICHAEL RICHARDSON (NPI# 1174743876) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174743876 |
| Entity Type | Individual |
| Full Name | MR. TIMOTHY MICHAEL RICHARDSON |
| Credential | RPH |
| Practice Address |
101 W Vallette St Elmhurst IL 60126-4419 |
| Mailing Address |
5404 N Nashville Ave Chicago IL 60656-2209 |
| Practice Telephone | 6308341260 |
| Mailing Telephone | 7736316651 |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | IL | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528427580 | Timothy Richardson | Physical Therapy Assistant | 8331 Maple Hill Ln, Tuscaloosa, AL 35405-8694 | 2016-02-18 |
| 1184855967 | Timothy Richardson | Dentist | 4122 Quest Dr, Eugene, OR 97402-8768 | 2009-07-28 |
| 1326276858 | Timothy Gerard Richardson | Chiropractor | 11348 Tara Blvd Ste 100, Hampton, GA 30228-6277 | 2009-06-23 |
| 1407378136 | Timothy Richardson | Physician Assistant | 915 Anderson Dr, Aberdeen, WA 98520-1006 | 2017-07-14 |
| 1962885632 | Timothy Richardson | Emergency Medicine | 1901 W Harrison St, Chicago, IL 60612-3714 | 2015-06-30 |
| 1124448667 | Timothy Richardson | Student in an Organized Health Care Education/Training Program | 5201 Harry Hines Blvd, Graduate Medical Education, Dallas, TX 75235-7708 | 2014-04-23 |
| 1164446548 | Timothy Richardson | Dermatology | 36867 Cook St, Suite 101, Palm Desert, CA 92211-6064 | 2006-07-27 |
| 1053354753 | Timothy John Richardson | Internal Medicine | 1 Va Ctr, Mdp 11, Augusta, ME 04330-6719 | 2006-06-13 |
| Street Address |
101 W VALLETTE ST |
| City | ELMHURST |
| State | IL |
| Zip Code | 60126-4419 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417933003 | Donald Albert Meyer | Pharmacist | 101 W Vallette St, Elmhurst, IL 60126-4419 | 2005-12-16 |
| 1134475106 | Timothy Scott Hass | Pharmacist | 101 W Vallette St, Elmhurst, IL 60126-4419 | 2012-07-27 |
| 1396026746 | Amy Harriman | Pharmacist | 101 W Vallette St, Elmhurst, IL 60126-4419 | 2011-08-30 |
| 1497935878 | Nudak Ventures, LLC | Pharmacy | 101 W Vallette St, Ste 140, Elmhurst, IL 60126-4419 | 2007-11-14 |
| 1588879167 | Nudak Ventures LLC | Pharmacy | 101 W Vallette St, Elmhurst, IL 60126-4419 | 2007-05-14 |
| 1700941200 | Nudak Ventures LLC | Pharmacy | 101 W Vallette St, Elmhurst, IL 60126-4419 | 2006-12-26 |
| 1629149778 | Gail A Cody | Pharmacist | 101 W Vallette St, Elmhurst, IL 60126-4419 | 2006-11-12 |
| 1861571044 | Dale Norman Foster | Pharmacist | 101 W Vallette St, Elmhurst, IL 60126-4419 | 2006-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154931434 | Andrew D Chastain | Physical Therapy Assistant | 188 N. Industrial Drive, Suite 112, Elmhurst, IL 60126 | 2020-08-03 |
| 1407464472 | Kevin M. Dunn | Physical Therapy Assistant | 188 N, Industrial Dr, Suite 112, Elmhurst, IL 60126 | 2020-07-16 |
| 1699236414 | Rosario Garcia | Nurse Practitioner | 1200 York St, Elmhurst, IL 60126 | 2019-03-26 |
| 1003390857 | Lauren M Gorski | Physical Therapist | 275 N. York Rd, Suite 300, Elmhurst, IL 60126 | 2018-09-18 |
| 1073041240 | Kyle Patrick Harmon | Dentist | 127 W Vallette St, Elmhurst, IL 60126 | 2017-05-31 |
| 1083065031 | Mariah Lynn Kyro | Behavioral Analyst | 650 W. Grand Avenue Suite 207, Elmhurst, IL 60126 | 2016-06-30 |
| 1841661261 | Randi N. Rockell | Nurse Practitioner | 155 E. Brush Hill Rd., Elmhurst Memorial Hospital, Elmhurst, IL 60126 | 2015-10-12 |
| 1508254897 | Soles Therapy Services Corp | Speech-Language Pathologist | 627 N York Street, Unit E, Elmhurst, IL 60126 | 2015-01-08 |
| 1629466560 | Amy J Pawlik | Physical Therapist | 263 N. York Rd., Suite 200, Elmhurst, IL 60126 | 2014-12-30 |
| 1265771349 | Ladawna Goering | Nurse Practitioner | 133 E Brush Hill, Suite 310, Elmhurst, IL 60126 | 2013-02-08 |
| Find all providers in zip 60126 | ||||
| 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 |
|---|---|---|---|---|
| 1912527771 | Amena Patwary | Pharmacist | 4040 79th St Apt B506, Elmhurst, NY 11373-1131 | 2020-04-22 |
| 1215588892 | Anne N/a Lau | Pharmacist | 4512 79th St, Elmhurst, NY 11373-3534 | 2019-09-24 |
| 1699233486 | Souphone Pone Rattana | Pharmacist | 474 W Commonwealth Ln, Elmhurst, IL 60126-4954 | 2019-03-11 |
| 1558832097 | Kristin Qianqian Yin | Pharmacist | 4022 Aske St, Elmhurst, NY 11373-1748 | 2018-12-10 |
| 1114496957 | Andrew Hoon Chung | Pharmacist | 7611a Broadway, Elmhurst, NY 11373-1032 | 2018-11-23 |
| 1508371220 | John Hagan | Pharmacist | 380 S Fairview Ave, Elmhurst, IL 60126-3711 | 2017-12-04 |
| 1235584889 | Sajitha Purathur | Pharmacist | 153 E Schiller St, Elmhurst, IL 60126-2869 | 2016-05-02 |
| 1952775587 | Michelle Gentilella | Pharmacist | 8449 57th Ave, Elmhurst, NY 11373-4833 | 2015-11-19 |
| 1417326117 | Amy Secord | Pharmacist | 733 S Hillside Ave, Elmhurst, IL 60126-4719 | 2015-09-23 |
| 1740666114 | Mohammad Zaman I | Pharmacist | 8622 56th Ave, Elmhurst, NY 11373-4830 | 2015-08-07 |
| Find all providers in ELMHURST | ||||
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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.