DR. JOHN BENITO TALUSAN VALDEPENAS IV (NPI# 1366000275) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366000275 |
| Entity Type | Individual |
| Full Name | DR. JOHN BENITO TALUSAN VALDEPENAS IV |
| Practice Address |
3925 W Elm St Mchenry IL 60050-4361 |
| Practice Telephone | 8153630722 |
| Mailing Telephone | 8153630722 |
| Enumeration Date | 2019-06-05 |
| Last Update Date | 2019-07-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 051.301854 | IL | Pharmacy Service Providers |
| Street Address |
3925 W ELM ST |
| City | MCHENRY |
| State | IL |
| Zip Code | 60050-4361 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063427201 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3925 W Elm St, Mchenry, IL 60050-4361 | 2006-07-29 |
| 1255946182 | Martyna Turkowicz | Pharmacist | 3925 W Elm St, Mchenry, IL 60050-4361 | 2020-09-08 |
| 1447863402 | Sarah Beth Chismark | Pharmacist | 3925 W Elm St, Mchenry, IL 60050-4361 | 2020-08-28 |
| 1245843127 | Rafay Ahmed | Pharmacist | 3925 W Elm St, Mchenry, IL 60050-4361 | 2020-08-28 |
| 1780960393 | Mercythes Herrera Dost | Pharmacist | 3925 W Elm St, Mchenry, IL 60050-4361 | 2011-10-26 |
| 1326320128 | Jennifer Ann Faulkner | Pharmacist | 3925 W Elm St, Mchenry, IL 60050-4361 | 2011-09-16 |
| 1427330653 | David M Bresler | Pharmacist | 3925 W Elm St, Mchenry, IL 60050-4361 | 2011-09-14 |
| 1871874560 | Amy Marie Schlesinger | Pharmacist | 3925 W Elm St, Mchenry, IL 60050-4361 | 2011-09-08 |
| 1972884922 | Tanya Udchik | Pharmacist | 3925 W Elm St, Mchenry, IL 60050-4361 | 2011-09-05 |
| 1336429984 | Antrea A Panagopoulos | Pharmacist | 3925 W Elm St, Mchenry, IL 60050-4361 | 2011-08-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932728003 | Tco Jv, LLC | Skilled Nursing Facility | 550 Ridgeview Drive, Mchenry, IL 60050 | 2020-04-09 |
| 1992274971 | Lisa Luedtke | Counselor | 5342 West Elm Street, Mchenry, IL 60050 | 2018-11-19 |
| 1013402825 | Fox Ridge Medical Associates, LLC | Internal Medicine | 3633 Municipal Dr, Mchenry, IL 60050 | 2018-06-25 |
| 1700387065 | Richard Stacy Birmantas | Speech-Language Pathologist | 6515 West Route 120, Mchenry, IL 60050 | 2018-02-22 |
| 1659888774 | Kathleen Mather | Speech-Language Pathologist | 3502 Washington St, Mchenry, IL 60050 | 2018-01-10 |
| 1891205605 | Delorean Mckinney | Psychologist | 4031 Dayton Ave, Mchenry, IL 60050 | 2017-10-06 |
| 1851810741 | Diana Park | Pharmacist | 2253 N. Richmond Rd., Mchenry, IL 60050 | 2017-09-12 |
| 1063931921 | Lauren M Young | Counselor | 4031 W. Dayton Street, Mchenery, IL 60050 | 2017-09-12 |
| 1376086264 | Elizabeth Kathleen Zacher | Social Worker | 4100 W Dayton Street, Mchenry, IL 60050 | 2016-11-23 |
| 1700332491 | Jasmine Elias | Social Worker | 4031 Dayton St, Mchenry, IL 60050 | 2016-09-01 |
| Find all providers in zip 60050 | ||||
| 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 |
|---|---|---|---|---|
| 1851810741 | Diana Park | Pharmacist | 2253 N. Richmond Rd., Mchenry, IL 60050 | 2017-09-12 |
| 1851748396 | Denise Coli | Pharmacist | 4222 W Elm St, Mchenry, IL 60050-4030 | 2016-05-13 |
| 1033545900 | Dale Brian Christensen Jr. | Pharmacist | 942 Wiltshire Drive, Mchenry, IL 60050 | 2013-09-23 |
| 1174818322 | Lisa L. Bhatta | Pharmacist | 1860 N. Richmond Rd., Mchenry, IL 60051-5416 | 2011-06-16 |
| 1336434976 | Marc Joseph Garavalia | Pharmacist | 2253 N Richmond Rd, Mchenry, IL 60051-5401 | 2011-06-11 |
| 1568794774 | Angie Lee | Pharmacist | 1900 N Richmond Rd, Mchenry, IL 60051-5402 | 2010-02-12 |
| 1205823283 | Allen Sounhein | Pharmacist | 4100 Veterans Pkwy, Mchenry, IL 60050-8350 | 2005-10-04 |
| 1255946182 | Martyna Turkowicz | Pharmacist | 3925 W Elm St, Mchenry, IL 60050-4361 | 2020-09-08 |
| 1447863402 | Sarah Beth Chismark | Pharmacist | 3925 W Elm St, Mchenry, IL 60050-4361 | 2020-08-28 |
| 1245843127 | Rafay Ahmed | Pharmacist | 3925 W Elm St, Mchenry, IL 60050-4361 | 2020-08-28 |
| Find all providers in MCHENRY | ||||
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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.