ROBERT LOUIS TILLMAN (NPI# 1497910707) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1497910707 |
Entity Type | Individual |
Full Name | ROBERT LOUIS TILLMAN |
Practice Address |
915 N Grand Ave St. Louis MO 63106 |
Mailing Address |
4522 Clarence Ave St. Louis MO 63115-3110 |
Practice Telephone | 3146524100 |
Mailing Telephone | 3143898616 |
Mailing Fax Number | 3143810157 |
Enumeration Date | 2008-07-25 |
Last Update Date | 2008-07-25 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 183700000X | Pharmacy Technician | Pharmacy Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346504297 | Robert Tillman | Pediatrics | 1001 Blythe Blvd, Medical Center Plaza Suite 200, Charlotte, NC 28203-5866 | 2012-06-26 |
1407883218 | Robert C Tillman | Physical Therapist | 13100 Chenal Pkwy, Little Rock, AR 72211-5214 | 2006-06-27 |
1457330276 | Robert E Tillman | Optometrist | 2304 S Main St, Rice Lake, WI 54868-2900 | 2006-01-11 |
Street Address |
915 N GRAND AVE |
City | ST. LOUIS |
State | MO |
Zip Code | 63106 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770027997 | Superior Manor of Downtown LLC | Assisted Living Facility | 1501 Clinton St., St Louis, MO 63106 | 2016-12-07 |
1811361454 | James Preston Jr. | Pharmacist | 915 N. Grand Vlvd, Pharmacy Dept., John Cochran Va Medical Center, Saint Louis, MO 63106 | 2015-11-19 |
1245656354 | Julie Marie Albsmeyer | Physician Assistant | 915 North Grand 111-jc-gi, John Cochran Va Hospital, St. Louis, MO 63106 | 2014-03-13 |
1932523230 | Cathy Yeung | Registered Nurse | 715 N Grand Blvd., St Louis, MO 63106 | 2014-02-07 |
1902149388 | Amanda Foley | Doula | 4056 Humphrey Street, Saint Louis, MO 63106 | 2013-04-03 |
1942569876 | Cornelia Charles | Internal Medicine | 915 Norh Grand Blvd, Saint Louis, MO 63106 | 2012-05-12 |
1124334396 | Kasandra Ann Tinajero | Registered Nurse | 915 N. Grand Blvd., St. Louis, MO 63106 | 2010-08-26 |
1366673931 | Cassandra Vernetta Talbert | Social Worker | 915 N. Grand., 122/jc Social Work Dept. V.a. Medical Center, St. Louis, MO 63106 | 2009-07-30 |
1861676686 | Bradley Dean Overmeyer | Social Worker | 915 N Grand Blvd., Social Work Service, St. Louis, MO 63106 | 2007-12-28 |
1184821423 | Erin Karandish | Student in an Organized Health Care Education/Training Program | 915 North Grand Avenue, Va Medical Center, Division of Gastroenterology, Saint Louis, MO 63106 | 2007-06-29 |
Find all providers in zip 63106 |
Taxonomy Code | 183700000X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacy Technician |
A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. |
Notes: Source: Pharmacy Technician Certification Board, www.ptcb.org [1/1/2006: modified definition, modified source] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336342310 | Denise Jean Keys | Pharmacy Technician | 5300 Arsenal St., St. Louis, MO 63139-1463 | 2007-06-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801418983 | Kelsey Houk | Pharmacy Technician | 932 Mcpherson St, Trenton, MO 64683-2261 | 2020-05-12 |
1861940967 | Luke Beatty | Pharmacy Technician | 2310 Bent Tree Ct, Saint Joseph, MO 64506-2400 | 2016-09-17 |
1902266885 | Mia Depriest | Pharmacy Technician | 4838 N Manchester Ave, Kansas City, MO 64119 | 2016-03-04 |
1174914600 | Jacquelyn Michele Miller | Pharmacy Technician | 3881 Mexico Road, Saint Charles, MO 63303 | 2015-02-05 |
1164704193 | Barbara R Klazynski-martin | Pharmacy Technician | 13897 Corporate Woods Trl, Bridgeton, MO 63044-1291 | 2011-09-15 |
1124329214 | Nicholas Lee Farrar | Pharmacy Technician | 2004 Mccausland Ave, Saint Louis, MO 63143-2536 | 2010-11-05 |
1891017356 | Debbie Lynn Haines | Pharmacy Technician | 19 Public Square, Stockton, MO 65785 | 2010-02-24 |
1104982388 | Tiffany Gregory | Pharmacy Technician | 600 N Springfield St, Saint James, MO 65559-9505 | 2006-12-29 |
1942389523 | Jane Black | Pharmacy Technician | 12400 Private Dr 5308, Rolla, MO 65401 | 2006-11-03 |
1417039538 | Leslie Jones | Pharmacy Technician | 13760 Private Drive 8114, Rolla, MO 65401-5212 | 2006-10-19 |
Find all providers with the same taxonomy |
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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.