DYLON GREGG (NPI# 1558714972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558714972 |
| Entity Type | Individual |
| Full Name | DYLON GREGG |
| Credential | PHARMD |
| Practice Address |
102 E Hively Ave Elkhart IN 46517-2194 |
| Mailing Address |
307 E Lasalle Ave Apt 325-l South Bend IN 46617-2777 |
| Practice Telephone | 5745222197 |
| Mailing Telephone | 7656392662 |
| Enumeration Date | 2016-07-20 |
| Last Update Date | 2016-07-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 26026701A | IN | Pharmacy Service Providers |
| Street Address |
102 E HIVELY AVE |
| City | ELKHART |
| State | IN |
| Zip Code | 46517-2194 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841205978 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 102 E Hively Ave, Elkhart, IN 46517-2194 | 2006-07-29 |
| 1477164564 | Jared Toney | Pharmacist | 102 E Hively Ave, Elkhart, IN 46517-2194 | 2020-08-12 |
| 1285916163 | Patricia Canright | Pharmacist | 102 E Hively Ave, Elkhart, IN 46517-2194 | 2011-09-15 |
| 1811279862 | Clark Widmoyer | Pharmacist | 102 E Hively Ave, Elkhart, IN 46517-2194 | 2011-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457743585 | Raymond Kraucunas | Pharmacist | 102 E Hively Ave., Elkhart, IN 46517 | 2015-02-26 |
| 1972834828 | Tyler Thomas Hawkins | Physical Therapy Assistant | 3965 Doral Ln., Elkhart, IN 46517 | 2010-01-15 |
| 1407008394 | Emily Anne Stults | Nurse Practitioner | 505 South Third St, Ste 160, Elkhart, IN 46517 | 2008-10-22 |
| 1902922453 | Assisted Living Concepts Inc | Assisted Living Facility | 27833 County Road 24, Elkhart, IN 46517 | 2007-03-22 |
| 1023145984 | Family Nursing Services, Inc. | Home Health | 58025 Cr 9, Elkhart, IN 46517 | 2007-02-27 |
| 1639178650 | Bethany L. Mcdaniel-vanderzwaag | Family Medicine | 3421 S Main St, Elkhart, IN 46517 | 2005-07-20 |
| 1770586737 | Timothy Alan Quist | Podiatrist | 24021 Us 33 East, Elkhart, IN 46517 | 2005-05-24 |
| 1649516469 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 2600 Morehouse Ave, Elkhart, IN 46517 | 2012-12-26 |
| 1538340716 | Timothy A Quist Dpm, PC | Podiatrist | 24021 Us 33 East, Elkhart, IN 46517 | 2007-11-16 |
| 1598889776 | Family Nursing Services, Inc. | Home Health | 58025 Cr 9, Elkhart, IN 46517 | 2007-03-16 |
| Find all providers in zip 46517 | ||||
| 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 |
|---|---|---|---|---|
| 1033735998 | Pappachan Santosh | Pharmacist | 202 S Nappanee St, Elkhart, IN 46514-1952 | 2020-06-17 |
| 1457743585 | Raymond Kraucunas | Pharmacist | 102 E Hively Ave., Elkhart, IN 46517 | 2015-02-26 |
| 1043644230 | Susan Widup | Pharmacist | 3101 Northview Dr, Elkhart, IN 46514-6748 | 2013-08-25 |
| 1518241488 | Daniel John Hartstein | Pharmacist | 58887 Spring Creek Trl, Elkhart, IN 46516-6272 | 2011-10-10 |
| 1053694265 | Paul A. Price | Pharmacist | 1400 Cassopolis St., Elkhart, IN 46514 | 2011-09-23 |
| 1063795615 | Brian Nauman | Pharmacist | 1704 Brookwood Dr, Elkhart, IN 46514-4237 | 2011-09-21 |
| 1427023480 | C & R Clinic Pharmacy Inc. of Elkhart | Pharmacist | 411 Sunset Drive, Elkhart, KS 67950-0962 | 2006-02-22 |
| 1467053728 | Jenna Lohr | Pharmacist | 30830 Old Us 20, Elkhart, IN 46514-9481 | 2020-11-03 |
| 1821698440 | Brendan Ugwoke | Pharmacist | 30830 Old Us 20, Elkhart, IN 46514-9481 | 2020-11-01 |
| 1386244390 | Elena Ugwoke | Pharmacist | 175 County Road 6 W, Elkhart, IN 46514-5557 | 2020-10-28 |
| Find all providers in ELKHART | ||||
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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.