BRANDON ALLEN KENWORTHY (NPI# 1477012599) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477012599 |
| Entity Type | Individual |
| Full Name | BRANDON ALLEN KENWORTHY |
| Practice Address |
118 S Vine St Arthur IL 61911-1334 |
| Practice Telephone | 2175432913 |
| Mailing Telephone | 2175432913 |
| Enumeration Date | 2019-03-18 |
| Last Update Date | 2019-03-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 051291918 | IL | Pharmacy Service Providers |
| Street Address |
118 S VINE ST |
| City | ARTHUR |
| State | IL |
| Zip Code | 61911-1334 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285727958 | Reed Pharmacies, LLC | Pharmacy | 118 S Vine St, Arthur, IL 61911-1334 | 2006-10-02 |
| 1932698735 | Dolores Climaco Herschberger | Pharmacist | 118 S Vine St, Arthur, IL 61911-1334 | 2018-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508301706 | Southern Illinois Health Care Foundation, Inc. | Counselor | 1710 State Route 133, Arthur, IL 61911 | 2016-12-23 |
| 1568522605 | James E Winfield | Dentist | 318 South Ash, Arthur, IL 61911 | 2006-12-11 |
| 1356999262 | Shawna L Storm | Nurse Practitioner | 1710 State Route 133, Arthur, IL 61911 | 2019-09-04 |
| 1720164502 | Michael George Elder | Chiropractor | 426 North Vine Street, Arthur, IL 61911-1121 | 2006-10-27 |
| 1336664705 | Kelli D Canada | Social Worker | 525 N Vine St, Arthur, IL 61911-1130 | 2017-08-07 |
| 1134660590 | Kendra Zerrusen | Nurse Practitioner | 525 N Vine St, Arthur, IL 61911-1130 | 2017-03-17 |
| 1720419336 | Brittany Faris | Physician Assistant | 525 N Vine St, Arthur, IL 61911-1130 | 2013-12-06 |
| 1164418067 | William H Shackelford Md | Family Medicine | 525 N Vine St, Arthur, IL 61911-1137 | 2005-09-26 |
| 1467445130 | William Howard Shackelford | Family Medicine | 525 N Vine St, Arthur, IL 61911-1137 | 2005-08-26 |
| 1407833130 | Charles R Ellington | Family Medicine | 650 W Columbia St, Arthur, IL 61911-1214 | 2005-12-23 |
| Find all providers in zip 61911 | ||||
| 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 |
|---|---|---|---|---|
| 1932698735 | Dolores Climaco Herschberger | Pharmacist | 118 S Vine St, Arthur, IL 61911-1334 | 2018-05-07 |
| 1073801239 | Beth Bush | Pharmacist | 325 Main St, Arthur, ND 58006 | 2011-07-21 |
| 1518290014 | Katie Elizabeth Thompson | Pharmacist | 325 Main St, Arthur, ND 58006 | 2009-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760083414 | Cedomir Micic | Pharmacist | 1111 W 14th Pl Unit 126, Chicago, IL 60608-2796 | 2020-11-07 |
| 1831790674 | Cristopher Guzman | Pharmacist | 7122 40th St Ste 1, Stickney, IL 60402-5491 | 2020-11-06 |
| 1215538046 | Nancy Ann Blue | Pharmacist | 4101 N Vermilion St, Danville, IL 61834-5997 | 2020-11-06 |
| 1386245397 | Lynsey Perera | Pharmacist | 7610 N Orange Prairie Rd, Peoria, IL 61615-9324 | 2020-11-05 |
| 1629679899 | Rubegin F Torrevillas | Pharmacist | 731 Terry Rd, Glendale Heights, IL 60139-3330 | 2020-11-04 |
| 1730780214 | Rhonda Leigh Herrmann | Pharmacist | 13969 Moore Rd, Marion, IL 62959-6835 | 2020-11-03 |
| 1265033674 | Ghazala Raheel | Pharmacist | 4000 Route # 173, Zion, IL 60099 | 2020-11-03 |
| 1679174973 | Jeff Engwall | Pharmacist | 359 Knox Square Drive, Galesburg, IL 61401 | 2020-11-03 |
| 1609477280 | Marlene A Espinosa | Pharmacist | 2680 N, Il 83, Round Lake Beach, IL 60073 | 2020-11-02 |
| 1023619616 | Hetal Patel | Pharmacist | 3 S 100 Rt 53, Glen Ellyn, IL 60137 | 2020-11-02 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on BRANDON ALLEN KENWORTHY.
| 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.