ERIC PAN (NPI# 1396358065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396358065 |
| Entity Type | Individual |
| Full Name | ERIC PAN |
| Practice Address |
603 Woodlawn Rd Lincoln IL 62656-1406 |
| Practice Telephone | 2177321825 |
| Practice Fax Number | 2177327796 |
| Mailing Telephone | 2177321825 |
| Mailing Fax Number | 2177327796 |
| Enumeration Date | 2020-08-24 |
| Last Update Date | 2020-08-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 2018006777 | MO | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | 051301818 | IL | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285820142 | Eric Chung-ren Pan | Internal Medicine | 5955 Mira Mesa Blvd, Suite C, San Diego, CA 92121-4304 | 2007-09-24 |
| 1700260007 | Eric Pan | Pharmacist | 129 Fulton St, New York, NY 10003 | 2015-07-16 |
| 1427290519 | Eric Pan | Anesthesiology | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2009-04-03 |
| Street Address |
603 WOODLAWN RD |
| City | LINCOLN |
| State | IL |
| Zip Code | 62656-1406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801801097 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 603 Woodlawn Rd, Lincoln, IL 62656-1406 | 2006-07-29 |
| 1760764666 | Cynthia D Bivin | Pharmacist | 603 Woodlawn Rd, Lincoln, IL 62656-1406 | 2011-09-15 |
| 1861772774 | Tyler J Gehlbach | Pharmacist | 603 Woodlawn Rd, Lincoln, IL 62656-1406 | 2011-08-23 |
| 1447548359 | Nicole Renee Schaffenacker | Pharmacist | 603 Woodlawn Rd, Lincoln, IL 62656-1406 | 2011-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437678943 | Carissa Jo O'donoghue | Speech-Language Pathologist | 1000 Railer Way, Lincoln, IL 62656 | 2017-09-15 |
| 1083972012 | Cynthia Dorchinecz | Speech-Language Pathologist | 200 Fifth Street, Lincoln, IL 62656 | 2012-04-27 |
| 1104100114 | Jan E Fehrenbacher | Pharmacist | 603 Woodlawn, Lincoln, IL 62656 | 2011-10-10 |
| 1053633263 | Tazwood Mental Health Center, Inc. | Community/Behavioral Health | 124-126 S. Chicago Street, Lincoln, IL 62656 | 2010-02-16 |
| 1649428756 | Diane E Ulrich | Dentist | 400 N. Chicago St, Lincoln, IL 62656 | 2008-09-03 |
| 1922202944 | Robert C Miller | Dentist | 217 S Kickapoo St, Lincoln, IL 62656 | 2007-06-13 |
| 1720290638 | Lifetime Dental Care of Illinois, PC | Dentist | 411 Keokuk Street, Lincoln, IL 62656 | 2007-05-04 |
| 1982734539 | Wal-mart Stores, Inc. Dba Wal-mart | Technician/Technologist | 825 Malerich Dr., Lincoln, IL 62656 | 2007-03-06 |
| 1861571663 | David R Hepler II | Chiropractor | 2000 Pulaski Street, Lincoln, IL 62656 | 2006-11-03 |
| 1477561793 | Raymond Todd Nobbe | Optometrist | 1400 Woodlawn Road, Lincoln, IL 62656 | 2006-08-03 |
| Find all providers in zip 62656 | ||||
| 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 |
|---|---|---|---|---|
| 1457965923 | Joseph Edward Dimasso | Pharmacist | 106 Wilbur Rd, Lincoln, RI 02865-4320 | 2020-09-02 |
| 1811509367 | Brendan Bu | Pharmacist | 1393 Rawlings Ln, Lincoln, CA 95648-3220 | 2020-08-17 |
| 1871128199 | Kamy Niemeyer | Pharmacist | 5611 S 27th St, Lincoln, NE 68512-1613 | 2020-03-06 |
| 1518504802 | Just Better Medicine | Pharmacist | 6545 Stonebrook Pkwy, Lincoln, NE 68521-6659 | 2019-12-05 |
| 1831735604 | Cynthia Marcotte | Pharmacist | 915 1850th St, Lincoln, IL 62656-5210 | 2019-11-26 |
| 1659925121 | Nichole Renee Boggs | Pharmacist | 7045 O St., Lincoln, NE 68510 | 2019-08-01 |
| 1144884347 | Simon Rasho | Pharmacist | 6600 Peonies Dr, Lincoln, NE 68521-4573 | 2019-04-24 |
| 1346712858 | Ryan Ray Zwick | Pharmacist | 1600 S 48th St # Ne68506, Lincoln, NE 68506-1283 | 2018-12-21 |
| 1619455276 | Brian Derrick Sneed | Pharmacist | 919 Pulaski St, Lincoln, IL 62656-3133 | 2018-08-04 |
| 1912499864 | Nicole Christine O'brien | Pharmacist | 32 Linda St, Lincoln, RI 02865-2216 | 2018-06-05 |
| Find all providers in LINCOLN | ||||
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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.