JOLENE ANN MEDIC (NPI# 1558642587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558642587 |
| Entity Type | Individual |
| Full Name | JOLENE ANN MEDIC |
| Credential | RPH |
| Practice Address |
840 N Main St Glen Ellyn IL 60137-3641 |
| Practice Telephone | 6307902087 |
| Mailing Telephone | 6307902087 |
| Enumeration Date | 2011-09-04 |
| Last Update Date | 2011-09-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 051037544 | IL | Pharmacy Service Providers |
| Street Address |
840 N MAIN ST |
| City | GLEN ELLYN |
| State | IL |
| Zip Code | 60137-3641 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003821216 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 840 N Main St, Glen Ellyn, IL 60137-3641 | 2006-07-29 |
| 1134754666 | Smitha Padharia | Pharmacist | 840 N Main St, Glen Ellyn, IL 60137-3641 | 2020-03-04 |
| 1992181713 | Laurel Jensby | Pharmacist | 840 N Main St, Glen Ellyn, IL 60137-3641 | 2015-08-04 |
| 1750662847 | Mehreen Bawla | Pharmacist | 840 N Main St, Glen Ellyn, IL 60137-3641 | 2011-09-01 |
| 1972884369 | Matthew Harrington | Pharmacist | 840 N Main St, Glen Ellyn, IL 60137-3641 | 2011-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023619616 | Hetal Patel | Pharmacist | 3 S 100 Rt 53, Glen Ellyn, IL 60137 | 2020-11-02 |
| 1285234930 | Arti Rai | Pharmacist | 3s100 Route 53, Glen Ellyn, IL 60137 | 2020-10-30 |
| 1427658103 | Dimple Zaveri | Pharmacist | 3s 100 Route 53, Glen Ellyn, IL 60137 | 2020-10-30 |
| 1528668373 | Stephanie Caballero Novak | Social Worker | Life Care Wellness, Inc., 800 Roosevelt Rd Building C Suite 206, Glen Ellyn, IL 60137 | 2020-10-30 |
| 1669025367 | Christine Marie Penway | Physical Therapist | 854 Roosevelt Rd Unit E10, Glen Ellyn, IL 60137 | 2019-07-22 |
| 1730652314 | Camille Elizabeth Hawkins | Counselor | 22 W 66 Hackberry, Glen Ellyn, IL 60137 | 2019-01-07 |
| 1710454939 | Jacquelyn Rose Wescott | Student in an Organized Health Care Education/Training Program | 178 Macintosh Ct., Glen Ellyn, IL 60137 | 2018-10-25 |
| 1184133985 | Young Men's Christian Association of Northwestern Du Page County | Health Educator | 49 Deicke Drive, Glen Ellyn, IL 60137 | 2017-09-25 |
| 1447781208 | Neoly Home Care LLC | In Home Supportive Care | N 455 Main Street, Glen Ellyn, IL 60137 | 2017-03-23 |
| 1205283397 | Dianna Christina Ciardullo | Pharmacist | 599 E Roosevelt Road, Glen Ellyn, IL 60137 | 2016-05-18 |
| Find all providers in zip 60137 | ||||
| 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 |
|---|---|---|---|---|
| 1023619616 | Hetal Patel | Pharmacist | 3 S 100 Rt 53, Glen Ellyn, IL 60137 | 2020-11-02 |
| 1285234930 | Arti Rai | Pharmacist | 3s100 Route 53, Glen Ellyn, IL 60137 | 2020-10-30 |
| 1427658103 | Dimple Zaveri | Pharmacist | 3s 100 Route 53, Glen Ellyn, IL 60137 | 2020-10-30 |
| 1205283397 | Dianna Christina Ciardullo | Pharmacist | 599 E Roosevelt Road, Glen Ellyn, IL 60137 | 2016-05-18 |
| 1851536726 | Rachel Beckman | Pharmacist | 716 Kingsbrook Gln, Glen Ellyn, IL 60137-6217 | 2008-12-08 |
| 1659552206 | Robert E Listecki | Pharmacist | 486 Roosevelt Rd, Glen Ellyn, IL 60137-5611 | 2007-11-23 |
| 1801912951 | Eleni Kametas | Pharmacist | 880 Roosevelt Rd, Glen Ellyn, IL 60137-6057 | 2007-03-21 |
| 1750407763 | Dale E Simek | Pharmacist | 23w100 Mulberry Ln, Glen Ellyn, IL 60137-7260 | 2007-03-21 |
| 1841274263 | Judy Ann Jakuszewski | Pharmacist | 324 Roosevelt Rd, Glen Ellyn, IL 60137-5647 | 2005-11-30 |
| 1831702851 | Mariam Baba | Pharmacist | 324 Roosevelt Rd, Glen Ellyn, IL 60137-5647 | 2020-08-28 |
| Find all providers in GLEN ELLYN | ||||
| City | GLEN ELLYN |
| Zip Code | 60137 |
Please comment or provide details below to improve the information on JOLENE ANN MEDIC.
| 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.