PAUL GALLAGHER (NPI# 1306121843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306121843 |
| Entity Type | Individual |
| Full Name | PAUL GALLAGHER |
| Practice Address |
5435 S Kedzie Ave Chicago IL 60632-2642 |
| Mailing Address |
1909 Harvest Ln Plainfield IL 60586-6404 |
| Practice Telephone | 7734367396 |
| Mailing Telephone | 8152546980 |
| Enumeration Date | 2011-10-17 |
| Last Update Date | 2011-10-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
051038845 | IL | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619162468 | Paul Arthur Gallagher | Family Medicine | North Highway 1, Cmc Medical Department, San Luis Obispo, CA 93409-8101 | 2007-09-13 |
| 1285100206 | Paul Gallagher | Physician Assistant | 301 E Main St, Bay Shore, NY 11706-8458 | 2018-10-17 |
| Street Address |
5435 S KEDZIE AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60632-2642 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902811193 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 5435 S Kedzie Ave, Chicago, IL 60632-2642 | 2006-07-29 |
| 1780296061 | Ayotunde Fajembola | Pharmacist | 5435 S Kedzie Ave, Chicago, IL 60632-2642 | 2020-08-19 |
| 1568869261 | Virginia Diaz | Pharmacist | 5435 S Kedzie Ave, Chicago, IL 60632-2642 | 2014-11-24 |
| 1053698787 | Wendy Lange | Pharmacist | 5435 S Kedzie Ave, Chicago, IL 60632-2642 | 2011-11-09 |
| 1659655405 | Christine Czochara | Pharmacist | 5435 S Kedzie Ave, Chicago, IL 60632-2642 | 2011-09-28 |
| 1184907370 | Stephane James-magana | Pharmacist | 5435 S Kedzie Ave, Chicago, IL 60632-2642 | 2011-09-23 |
| 1144502212 | Walgreens | Pharmacy | 5435 S Kedzie Ave, Chicago, IL 60632-2642 | 2011-09-15 |
| 1225319585 | Tai L Szeto | Pharmacist | 5435 S Kedzie Ave, Chicago, IL 60632-2642 | 2011-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104474790 | Amanda Rose Dirnberger | Nurse Practitioner | 3229-43 W. 47th Pl., Chicago, IL 60632 | 2019-08-28 |
| 1982121042 | Brown Archer Dental PC | Dentist | 4893 S Archer Ave, Chicago, IL 60632 | 2017-08-29 |
| 1538577085 | Metrosmiles - Archer Heights Dental | Dentist | 5141 S Cicero Ave, Chicago, IL 60632 | 2014-07-29 |
| 1174955173 | Thresholds | Community/Behavioral Health | 718-24 West 47th St, Chicago, IL 60632 | 2013-08-01 |
| 1659612570 | Sapex Home Healthcare, Inc. | In Home Supportive Care | 4107 West 47th Street, Chicago, IL 60632 | 2013-03-04 |
| 1912275462 | Dawn Marie Mackessy | Pharmacist | 5435 S. Kedzie Ave, Chicago, IL 60632 | 2011-12-12 |
| 1033494752 | Molly Elizabeth Mcdermott | Pharmacist | District 222-walgreens, Chicago, IL 60632 | 2011-10-13 |
| 1780908434 | Chicago Electrical Trauma Research Institute | Specialist/Technologist, Other | 4047 W. 40th Street, Chicago, IL 60632 | 2010-03-24 |
| 1265765218 | 4365 Archer Mri, LLC | Clinic/Center | 4365 South Archer Avenue, Chicago, IL 60632 | 2009-09-09 |
| 1295968121 | Smile Lee Faces | Dentist | 4197 S Archer Ave, Chicago, IL 60632 | 2009-08-26 |
| Find all providers in zip 60632 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760099253 | Kelsey Schultz | Pharmacist | 1058 N Paulina St Apt 2, Chicago, IL 60622-3918 | 2020-09-28 |
| 1922661230 | Devon Burhoe | Pharmacist | 833 S Wood St Ste 164, Chicago, IL 60612-7229 | 2019-04-22 |
| 1649743626 | Phoebe Sebhatu Lebeau | Pharmacist | 1725 W Harrison St Ste 104, Chicago, IL 60612-3832 | 2019-01-02 |
| 1730566233 | Glen Pietrandoni | Pharmacist | 2100 N Racine Ave, 4d, Chicago, IL 60614-4060 | 2015-05-04 |
| 1952732570 | Joy Ezidinma | Pharmacist | 3302 W Crystal St, Unit 2, Chicago, IL 60651-2375 | 2013-12-07 |
| 1851638605 | Marketa Marvanova | Pharmacist | 9501 S. King Drive, Douglas Hall 203-23, Chicago State University College of Pharmacy, Chicago, IL 60628 | 2013-01-14 |
| 1255601753 | Viktorija O Trakis | Pharmacist | 675 N Peoria St Apt 2n, Chicago, IL 60642-8324 | 2011-12-31 |
| 1558664896 | Jaini Patel | Pharmacist | 2535 South Martin Luther King Drive, Chicago, IL 60616 | 2010-12-08 |
| 1780997684 | Roger Allen Wilcox | Pharmacist | 6 E Monroe St Ste 1304, Chicago, IL 60603-2728 | 2010-07-20 |
| 1851604102 | Angela M. Plewa | Pharmacist | 1901 W Harrison St # Ll175, Chicago, IL 60612-3714 | 2010-07-15 |
| Find all providers in CHICAGO | ||||
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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.