AMANDA NOVAK (NPI# 1326495896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326495896 |
| Entity Type | Individual |
| Full Name | AMANDA NOVAK |
| Practice Address |
375 Randall Rd South Elgin IL 60177-2248 |
| Practice Telephone | 8476221530 |
| Practice Fax Number | 8476221617 |
| Mailing Telephone | 8476221530 |
| Mailing Fax Number | 8476221617 |
| Enumeration Date | 2016-05-15 |
| Last Update Date | 2016-05-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 051286734 | IL | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609423110 | Amanda Novak | Social Worker | 1455 Dixon Ave, Lafayette, CO 80026-8879 | 2019-08-20 |
| 1932764628 | Amanda Nicole Novak | Nurse Practitioner | 166 Pasadena Dr Ste 100, Lexington, KY 40503-2974 | 2019-05-08 |
| 1962962670 | Amanda Novak | Pharmacist | 235 E State St, Saint Croix Falls, WI 54024-4117 | 2019-03-20 |
| 1689939746 | Amanda Bruce Novak | Nurse Practitioner | 1049 North Pine Road, Hardtner Medical Center, Olla, LA 71465 | 2012-07-05 |
| 1871853358 | Amanda Towery Novak | Pharmacist | 4875 Old York Rd, Rock Hill, SC 29732-8127 | 2012-05-18 |
| 1942594338 | Amanda Novak | Physician Assistant | 2373 64th St Sw, Ste 1200, Byron Center, MI 49315 | 2011-06-03 |
| Street Address |
375 RANDALL RD |
| City | SOUTH ELGIN |
| State | IL |
| Zip Code | 60177-2248 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164478558 | American Drug Stores LLC | Durable Medical Equipment & Medical Supplies | 375 Randall Rd, South Elgin, IL 60177 | 2006-05-26 |
| 1194385880 | Jesse Neubauer | Pharmacist | 375 Randall Rd, South Elgin, IL 60177-2248 | 2019-06-16 |
| 1134663362 | Melanie Joy Umbach | Pharmacist | 375 Randall Rd, South Elgin, IL 60177-2248 | 2016-12-07 |
| 1154780682 | Barbara Ann Pepe | Pharmacist | 375 Randall Rd, South Elgin, IL 60177-2248 | 2016-02-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861090433 | Ruth Elaine Rayfield | Counselor | 418 North Center Street, Apt# 206, South Elgin, IL 60177 | 2020-10-15 |
| 1730683582 | Pelvic Balance Physical Therapy, LLC | Physical Therapist | 10 N Collins St., South Elgin, IL 60177 | 2018-03-19 |
| 1437693504 | Olaide Olaigbe | Counselor | 690 Fielcrest Drive, Unit A, South Elgin, IL 60177 | 2016-12-08 |
| 1053869461 | Nicole Augustine | Counselor | 418 N. Center Street, South Elgin, IL 60177 | 2016-09-14 |
| 1013351733 | Rehabcare | Skilled Nursing Facility | 746 West Spring Street, South Elgin, IL 60177 | 2013-04-24 |
| 1356578942 | Athletico, Ltd | Physical Therapist | 722 N. Mclean Blvd, South Elgin, IL 60177 | 2009-06-22 |
| 1679708572 | Miller Dentistry LLC | Clinic/Center | 404 Randall Road, South Elgin, IL 60177 | 2009-05-20 |
| 1164666913 | Leah Jennifer Mccloskey | Massage Therapist | 1305 N. Lafox St, South Elgin, IL 60177 | 2009-04-23 |
| 1285898643 | Jennifer Deanne Mercier | Naturopath | 101 South Mclean Bvld, South Elgin, KANE COUNTY 60177 | 2008-07-15 |
| 1295956845 | Megan Ryan | Counselor | 1283 Angeline Dr., South Elgin, IL 60177 | 2007-05-01 |
| Find all providers in zip 60177 | ||||
| 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 |
|---|---|---|---|---|
| 1043670052 | Lorna Rohrsen | Pharmacist | 602 Oakwood Ln, South Elgin, IL 60177-3278 | 2016-03-03 |
| 1932180171 | Quang H Dinh | Pharmacist | 1201 W Spring St, South Elgin, IL 60177-2990 | 2005-11-05 |
| 1194385880 | Jesse Neubauer | Pharmacist | 375 Randall Rd, South Elgin, IL 60177-2248 | 2019-06-16 |
| 1134663362 | Melanie Joy Umbach | Pharmacist | 375 Randall Rd, South Elgin, IL 60177-2248 | 2016-12-07 |
| 1154780682 | Barbara Ann Pepe | Pharmacist | 375 Randall Rd, South Elgin, IL 60177-2248 | 2016-02-11 |
| 1134523707 | Anna Dac Cao | Pharmacist | 290 Randall Rd, South Elgin, IL 60177-2274 | 2014-10-10 |
| 1497038079 | Bea Patthana Robin | Pharmacist | 290 Randall Rd, South Elgin, IL 60177-2274 | 2011-09-21 |
| 1942581848 | Chirag Patel | Pharmacist | 290 Randall Rd, South Elgin, IL 60177-2274 | 2011-09-06 |
| 1619258761 | Victor Genel | Pharmacist | 290 Randall Rd, South Elgin, IL 60177-2274 | 2011-09-02 |
| 1275814733 | Hetal Patel | Pharmacist | 1201 W Spring St, South Elgin, IL 60177-2990 | 2011-08-29 |
| Find all providers in SOUTH ELGIN | ||||
| City | SOUTH ELGIN |
| Zip Code | 60177 |
Please comment or provide details below to improve the information on AMANDA NOVAK.
| 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.