JENNIFER L VAUGHN (NPI# 1275856833) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275856833 |
| Entity Type | Individual |
| Full Name | JENNIFER L VAUGHN |
| Credential | RPH |
| Practice Address |
211 Main St Mound City IL 62963-1163 |
| Mailing Address |
Po Box 110 Mound City IL 62963-0110 |
| Practice Telephone | 6187489253 |
| Practice Fax Number | 6187489850 |
| Mailing Telephone | 6187489253 |
| Mailing Fax Number | 6187489850 |
| Enumeration Date | 2010-03-10 |
| Last Update Date | 2010-03-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 051-286696 | IL | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821478785 | Jennifer Whatley Vaughn | Physical Therapist | 703 Clinton Pkwy, Clinton, MS 39056-5245 | 2015-06-05 |
| 1992104327 | Jennifer Vaughn | Pharmacist | 828 Royal Pkwy Ste 101, Nashville, TN 37214-3758 | 2014-08-21 |
| 1366470155 | Jennifer Hallie Vaughn | Chiropractor | 731 N Us Highway 1, Suite 5, Tequesta, FL 33469-2218 | 2006-06-29 |
| 1730735762 | Jennifer Vaughn | Pharmacist | 21 W Main St, Brownsburg, IN 46112-1241 | 2019-08-15 |
| 1710450325 | Jennifer Vaughn | Behavior Technician | 1018 N Bragg Blvd, Spring Lake, NC 28390-3316 | 2019-01-07 |
| 1346724945 | Jennifer S Vaughn | Speech-Language Pathologist | 731 N Klein Cir, Derby, KS 67037-7011 | 2018-09-19 |
| 1396290482 | Jennifer Regina Vaughn | Massage Therapist | 328 S Central Ave, Suite #109, Medford, OR 97501-7274 | 2016-08-18 |
| 1669723078 | Jennifer M Vaughn | Occupational Therapy Assistant | 565 Nw Holly St, Issaquah, WA 98027-2834 | 2012-09-25 |
| 1487904157 | Jennifer Basler Vaughn | Occupational Therapist | 1 Saint Anthonys Way, Alton, IL 62002-4568 | 2012-09-10 |
| 1477827632 | Jennifer L Vaughn | Counselor | 3214 Winchester, Benton, AR 72015-2929 | 2012-03-05 |
| Street Address |
211 MAIN ST |
| City | MOUND CITY |
| State | IL |
| Zip Code | 62963-1163 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831790997 | Allison Reichert | Pharmacist | 211 Main St, Mound City, IL 62963-1163 | 2020-11-05 |
| 1912508086 | Carl E Bode | Pharmacist | 211 Main St, Mound City, IL 62963-1163 | 2020-11-05 |
| 1073095592 | Bode Drug Inc | Pharmacy | 211 Main St, Mound City, IL 62963-1163 | 2018-08-31 |
| 1588744254 | Bode Drug Inc | Pharmacy | 211 Main St, Mound City, IL 62963-1163 | 2006-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336510296 | Dsc Homecare Services Inc | In Home Supportive Care | 226 Main St, Mound City, IL 62963-1168 | 2015-10-16 |
| 1124292990 | Farm Resource Center, Inc. | Voluntary or Charitable | 226 Main St, Mound City, IL 62963-1168 | 2008-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346724176 | Mallory Ferguson | Physical Therapist | 1401 Savannah St, Mound City, MO 64470-1539 | 2018-09-18 |
| 1578984027 | Rachel Sharp | Chiropractor | 105 W 6th St, Mound City, MO 64470-1160 | 2014-01-01 |
| 1043583818 | Luna Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 609 High St, Mound City, MO 64470-1315 | 2012-02-09 |
| 1548493802 | Jayhawk Usd346 | Local Education Agency (LEA) | 414 S 5th St, Mound City, KS 66056-5415 | 2009-09-02 |
| 1790972495 | Maria Magnolia Soriano Espejo | Family Medicine | 1303 State St, Mound City, MO 64470-1717 | 2007-09-27 |
| 1952507766 | Tiffany Care Centers, Inc | Registered Nurse | 1105 State St., Mound City, MO 64470-0308 | 2007-06-27 |
| 1235332693 | Kendra Lee Peery | Physical Therapy Assistant | 811 Locust St, Mound City, KS 66056-5253 | 2007-06-05 |
| 1437270915 | Northwest Health Services, Inc | Family Medicine | 1303 State Street, Mound City, MO 64470-1717 | 2007-04-03 |
| 1295865988 | Mound City R-2 School District | Local Education Agency (LEA) | 708 Nebraska St, Mound City, MO 64470-1251 | 2007-03-06 |
| 1528162542 | Tiffany Care Centers, Inc | Chore Provider | 1105 State St, Mound City, MO 64470-7202 | 2006-09-11 |
| Find all providers in MOUND CITY | ||||
| 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 |
|---|---|---|---|---|
| 1831790997 | Allison Reichert | Pharmacist | 211 Main St, Mound City, IL 62963-1163 | 2020-11-05 |
| 1912508086 | Carl E Bode | Pharmacist | 211 Main St, Mound City, IL 62963-1163 | 2020-11-05 |
| 1568028421 | Kenneth L Asher | Pharmacist | 625 Main St, Mound City, KS 66056-9100 | 2019-05-16 |
| 1205383056 | Nancy Johnson | Pharmacist | 607 State St, Mound City, MO 64470-1146 | 2016-09-08 |
| 1174070239 | Lamoyne Dungan | Pharmacist | 607 State St, Mound City, MO 64470-1146 | 2016-09-07 |
| 1770913998 | Aleasha Rae Boice | Pharmacist | 625 Main St, Mound City, KS 66056-9100 | 2013-11-25 |
| 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 | ||||
| City | MOUND CITY |
| Zip Code | 62963 |
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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.