DOUGLAS DEAN LILL (NPI# 1285964197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285964197 |
| Entity Type | Individual |
| Full Name | DOUGLAS DEAN LILL |
| Credential | RPH, CCN |
| Practice Address |
430 Randolph St Nw Washington DC 20011-5940 |
| Practice Telephone | 5124262894 |
| Mailing Telephone | 5124262894 |
| Enumeration Date | 2009-12-28 |
| Last Update Date | 2009-12-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1835N1003X |
Pharmacist Specialization: Nutrition Support |
053358-1 | NY | Pharmacy Service Providers |
| N | 1835N1003X |
Pharmacist Specialization: Nutrition Support |
RP442622 | PA | Pharmacy Service Providers |
| N | 1835N1003X |
Pharmacist Specialization: Nutrition Support |
19342 | MD | Pharmacy Service Providers |
| N | 1835N1003X |
Pharmacist Specialization: Nutrition Support |
29RI03240500 | NJ | Pharmacy Service Providers |
| N | 1835N1003X |
Pharmacist Specialization: Nutrition Support |
30711 | TX | Pharmacy Service Providers |
| Y | 1835N1003X |
Pharmacist Specialization: Nutrition Support |
PH00000655 | DC | Pharmacy Service Providers |
| Street Address |
430 RANDOLPH ST NW |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20011-5940 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851999239 | Anna Gwanyama | Licensed Practical Nurse | 6120 Kansas Avenue Northwest, Washington D.c, DC 20011 | 2020-10-16 |
| 1861005399 | Christine Jokisch | Social Worker | 33rd Riggs Rd Ne, Washington, DC 20011 | 2020-08-25 |
| 1407403645 | Allied Healthcare Group LLC | Home Health | 6120 Kansas Ave, Nw, 1st Floor, A, Washington, DC 20011 | 2019-08-22 |
| 1871146548 | Bernice Mccallum | Technician | 1336 Missouri Ave. N.w #321, Washington, DC 20011 | 2019-07-22 |
| 1114586484 | District Urgent Care Professional Corporation | Clinic/Center | 4903-b Georgia Av, Washington, DC 20011 | 2019-06-11 |
| 1053978908 | Aminata U Nabie | Licensed Practical Nurse | 6120 Kansas Ave., Nw, Washington, DC 20011 | 2019-05-28 |
| 1831656768 | Prudence Dakam Siewe | Home Health Aide | 931 Longfellow St Nw, 311, Washington, DC 20011 | 2019-02-27 |
| 1750858304 | Hilary Lauren Kulig | Counselor | 100 Galentine St. Ne, Washington, DC 20011 | 2018-10-31 |
| 1154807444 | Emebet Dessalgn Atnaw | Home Health Aide | 6040 13th Pl Nw Apt 306, Washington, DC 20011 | 2018-07-19 |
| 1881185213 | Quality One Care Home Health Inc. | Home Health | 143 Kennedy St Nw Ste 14, Washington, DC 20011 | 2018-05-22 |
| Find all providers in zip 20011 | ||||
| Taxonomy Code | 1835N1003X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Nutrition Support |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in maintenance and/or restoration of optimal nutritional status, designing and modifying treatment according to patient needs. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851568547 | Rhonda Jones | Pharmacist | 4614 Hilltop Ter Se # B, Washington, DC 20019-7836 | 2008-05-12 |
| 1942277801 | Karl F Gumpper | Pharmacist | 111 Michigan Ave Nw, Department of Pharmacy - Room 4500, Washington, DC 20010-2978 | 2006-02-28 |
| City | WASHINGTON |
| Zip Code | 20011 |
Please comment or provide details below to improve the information on DOUGLAS DEAN LILL.
| 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.