KELLI WILLIAMS (NPI# 1477154888) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477154888 |
| Entity Type | Individual |
| Full Name | KELLI WILLIAMS |
| Practice Address |
400 Junction Dr Glen Carbon IL 62034-4323 |
| Mailing Address |
8929 Wendell Creek Dr Saint Jacob IL 62281-1078 |
| Practice Telephone | 6186591395 |
| Mailing Telephone | 6189799329 |
| Enumeration Date | 2020-11-03 |
| Last Update Date | 2020-11-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 051040695 | IL | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043835648 | Kelli Williams | Dentist | 3162 S Hannibal St, Aurora, CO 80013-1750 | 2020-06-10 |
| 1912552738 | Kelli L Williams | Respiratory Therapist, Registered | 10 Colony Blvd Apt 505, Wilmington, DE 19802-1458 | 2019-08-08 |
| 1316149115 | Kelli Denise Williams | Social Worker | 90 N 31st St, Clinton, OK 73601-9116 | 2007-06-04 |
| 1386200574 | Kelli Williams | Speech-Language Pathologist | 235 9th Ave N, Jacksonville, FL 32250-7142 | 2019-05-14 |
| 1376041871 | Kelli Williams | Counselor | 3100 Euclid Ave, Cleveland, OH 44115-2508 | 2018-01-30 |
| 1285170282 | Kelli D. Williams | Physician Assistant | 10475 Centurion Pkwy N, Suite 104, Jacksonville, FL 32256-5003 | 2017-01-13 |
| 1902358674 | Kelli Williams | Counselor | 1100 W 21st St, Clovis, NM 88101-4151 | 2016-10-28 |
| 1831590546 | Kelli Williams | Speech-Language Pathologist | 160 S Hollywood St, Memphis, TN 38112-4801 | 2014-09-12 |
| 1255566089 | Kelli Mccauley Williams | Internal Medicine | 231 Albert Sabin Way, Cincinnati, OH 45267-2827 | 2009-05-22 |
| 1902030042 | Kelli Wong Williams | Pediatrics | 2125 Charlie Hall Blvd, Charleston, SC 29414-5879 | 2009-05-04 |
| Street Address |
400 JUNCTION DR |
| City | GLEN CARBON |
| State | IL |
| Zip Code | 62034-4323 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598782880 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 400 Junction Dr, Glen Carbon, IL 62034-4323 | 2006-07-16 |
| 1720689284 | Kevin Michael Luitjohan | Pharmacist | 400 Junction Dr, Glen Carbon, IL 62034-4323 | 2020-11-02 |
| 1457951089 | Eric C Hess | Pharmacist | 400 Junction Dr, Glen Carbon, IL 62034-4323 | 2020-11-01 |
| 1144859646 | Cheri Trauernicht | Pharmacist | 400 Junction Dr, Glen Carbon, IL 62034-4323 | 2020-04-06 |
| 1235210238 | Wal-mart Stores, Inc | Technician/Technologist | 400 Junction Dr, Glen Carbon, IL 62034-4323 | 2006-10-17 |
| 1053419168 | Todd Robert Wollbrinck | Optometrist | 400 Junction Dr, Glen Carbon, IL 62034-4323 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740787795 | Kaleena Galletta | Nurse Practitioner | 4273 S., Il - 159, Glen Carbon, IL 62034 | 2018-04-06 |
| 1871092502 | Andrea Lee Sullivan | Dentist | 3024 South Il-159, Glen Carbon, IL 62034 | 2018-02-08 |
| 1417464918 | Stages Health & Wellness, LLC | Nurse Practitioner | 14 Crabapple Lane, Glen Carbon, IL 62034 | 2018-01-05 |
| 1700300498 | Michael Jay Arnold | Dentist | 3024 Il-159, Glen Carbon, IL 62034 | 2017-08-03 |
| 1679024228 | 360 Body Wellness Inc | Internal Medicine | 3407 Il State Route 157, Glen Carbon, IL 62034 | 2016-10-19 |
| 1346621505 | Stephanie N Lorts | Pediatrics | 4804 South State Route 159, Glen Carbon, IL 62034 | 2015-06-13 |
| 1205110111 | James Allan Staley | Pharmacist | #2 Cottonwood Rd, Glen Carbon, IL 62034 | 2011-10-11 |
| 1215224357 | Angela Eleni Kioultzopoulos | Speech-Language Pathologist | 7a Ginger Creek Village Dr., Glen Carbon, IL 62034 | 2011-07-08 |
| 1922320795 | Meridian Village Association | Skilled Nursing Facility | 27 Auerbach Place, Glen Carbon, IL 62034 | 2010-02-22 |
| 1679728356 | Erin Kathleen Immken | Counselor | 98 Junction Drive West, Suite 6, Glen Carbon, IL 62034 | 2008-11-24 |
| Find all providers in zip 62034 | ||||
| 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 |
|---|---|---|---|---|
| 1477839199 | Natalie J Parr | Pharmacist | 105 Oakshire Dr E, Glen Carbon, IL 62034-8529 | 2011-10-26 |
| 1205110111 | James Allan Staley | Pharmacist | #2 Cottonwood Rd, Glen Carbon, IL 62034 | 2011-10-11 |
| 1083938245 | Gregory Anthony Cochran | Pharmacist | 5 Illini Dr, Glen Carbon, IL 62034-3927 | 2010-03-17 |
| 1053431510 | Rebecca Franke Philipps | Pharmacist | 2 Lantern Ct, Glen Carbon, IL 62034-4064 | 2007-03-29 |
| 1720689284 | Kevin Michael Luitjohan | Pharmacist | 400 Junction Dr, Glen Carbon, IL 62034-4323 | 2020-11-02 |
| 1457951089 | Eric C Hess | Pharmacist | 400 Junction Dr, Glen Carbon, IL 62034-4323 | 2020-11-01 |
| 1144859646 | Cheri Trauernicht | Pharmacist | 400 Junction Dr, Glen Carbon, IL 62034-4323 | 2020-04-06 |
| 1396032454 | Mary Margaret Worster | Pharmacist | 2 Cottonwood Rd, Glen Carbon, IL 62034-2782 | 2011-07-08 |
| 1417244740 | Heidi Marie Trackwell | Pharmacist | 2 Cottonwood Rd, Glen Carbon, IL 62034-2782 | 2011-07-07 |
| 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 | ||||
| City | GLEN CARBON |
| Zip Code | 62034 |
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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.