MICHAEL ANTHONY MENNELLA (NPI# 1487931960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487931960 |
| Entity Type | Individual |
| Full Name | MICHAEL ANTHONY MENNELLA |
| Credential | PHARM D |
| Practice Address |
5525 159th St Oak Forest IL 60452-3223 |
| Practice Telephone | 7085356018 |
| Practice Fax Number | 7085357412 |
| Mailing Telephone | 7085356018 |
| Mailing Fax Number | 7085357412 |
| Enumeration Date | 2011-11-10 |
| Last Update Date | 2011-11-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 051-288969 | IL | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366574873 | Michael Anthony Mennella | Psychiatry & Neurology | 496 Smithtown Byp, Suite Ll1, Smithtown, NY 11787-5005 | 2007-03-10 |
| Street Address |
5525 159TH ST |
| City | OAK FOREST |
| State | IL |
| Zip Code | 60452-3223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154336337 | Walgreen Co | Pharmacy | 5525 159th St, Oak Forest, IL 60452-3223 | 2006-07-29 |
| 1336751908 | Rebecca Deno | Pharmacist | 5525 159th St, Oak Forest, IL 60452-3223 | 2020-08-17 |
| 1053698522 | Therese A Funk | Pharmacist | 5525 159th St, Oak Forest, IL 60452-3223 | 2011-11-10 |
| 1912284811 | Walgreens | Point of Service | 5525 159th St, Oak Forest, IL 60452-3223 | 2011-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831713098 | Oak Family Dental | Dentist | 6056 W. 159th Ave., Oak Forest, IL 60452 | 2020-06-03 |
| 1457982340 | Cook County | Family Medicine | 15900 S. Cicero, Oak Forest, IL 60452 | 2020-01-29 |
| 1265942718 | Suzanne Ankarlo | Speech-Language Pathologist | 3545 West Victoria Drive, Oak Forest, IL 60452 | 2017-10-10 |
| 1154855112 | True Laboratories LLC | Clinical Medical Laboratory | 5320 159th St Ste 505, Oak Forest, IL 60452 | 2017-04-17 |
| 1902347297 | Mena Loka Sr. | Physical Therapy Assistant | 6404 Nature Dr, Oak Forest, IL 60452 | 2017-03-20 |
| 1447797097 | Angelique Mayes-lamon | Clinic/Center | 15900 S Cicero Avenue, Building E, Oak Forest, IL 60452 | 2017-01-20 |
| 1265980759 | Surinder Sharma I | Pharmacist | 15900 So Cicero Ave, 15900 So Cicero Ave Bldg F, Oak Forest, IL 60452 | 2016-09-14 |
| 1326596800 | Gervaise Hunter-morris | Pharmacist | 15900 S. Cicero Avenue, Oak Forest, IL 60452 | 2016-09-14 |
| 1538519111 | Aunt Martha's Youth Service Center, Inc. | Clinic/Center | 15350 Oak Park Ave., Oak Forest, IL 60452 | 2016-06-15 |
| 1760836720 | Thh Acquisition LLC I | Durable Medical Equipment & Medical Supplies | 4149 166th St, Oak Forest, IL 60452 | 2016-04-15 |
| Find all providers in zip 60452 | ||||
| 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 |
|---|---|---|---|---|
| 1265980759 | Surinder Sharma I | Pharmacist | 15900 So Cicero Ave, 15900 So Cicero Ave Bldg F, Oak Forest, IL 60452 | 2016-09-14 |
| 1326596800 | Gervaise Hunter-morris | Pharmacist | 15900 S. Cicero Avenue, Oak Forest, IL 60452 | 2016-09-14 |
| 1922357193 | Gerald Cease | Pharmacist | 14953 Moorings Lane, Oak Forest, IL 60452 | 2012-09-04 |
| 1710939624 | Kevin Patrick Molloy | Pharmacist | 5234 Diane Ct, Oak Forest, IL 60452-2205 | 2006-05-17 |
| 1336751908 | Rebecca Deno | Pharmacist | 5525 159th St, Oak Forest, IL 60452-3223 | 2020-08-17 |
| 1285254714 | Bill Arong Oben | Pharmacist | 15900 S Cicero Ave, Oak Forest, IL 60452 | 2020-04-24 |
| 1801346689 | Shelby Taylor Jr. | Pharmacist | 15900 S Cicero Ave, Oak Forest, IL 60452 | 2016-10-05 |
| 1902354491 | Ma Lea Kerkstra | Pharmacist | 15900 S Cicero Ave, Oak Forest, IL 60452 | 2016-09-14 |
| 1275081747 | Noel Magsino | Pharmacist | 15900 S Cicero Ave, Oak Forest, IL 60452 | 2016-09-14 |
| 1760930242 | Sajid Ali | Pharmacist | 15900 S. Cicero Ave, Oak Forest, IL 60452 | 2016-09-14 |
| Find all providers in OAK FOREST | ||||
| City | OAK FOREST |
| Zip Code | 60452 |
Please comment or provide details below to improve the information on MICHAEL ANTHONY MENNELLA.
| 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.