LATOIYA M HARDIMON (NPI# 1598921710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598921710 |
| Entity Type | Individual |
| Full Name | LATOIYA M HARDIMON |
| Credential | PHARMD |
| Practice Address |
7717 N Orange Prairie Rd Peoria IL 61615-9323 |
| Mailing Address |
6403 N Post Oak Rd Peoria IL 61615-2736 |
| Practice Telephone | 3095896800 |
| Mailing Telephone | 3125600266 |
| Enumeration Date | 2008-08-07 |
| Last Update Date | 2015-10-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
051.289696 | IL | Pharmacy Service Providers |
| Street Address |
7717 N ORANGE PRAIRIE RD |
| City | PEORIA |
| State | IL |
| Zip Code | 61615-9323 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578520839 | Suzanne Brasche | Social Worker | 7717 N Orange Prairie Rd, Peoria, IL 61615-9323 | 2006-04-28 |
| 1467075101 | Kirsten Hall | Social Worker | 7717 N Orange Prairie Rd, Peoria, IL 61615-9323 | 2020-05-27 |
| 1003437526 | Ginger Renee Hughes Garner | Social Worker | 7717 N Orange Prairie Rd, Peoria, IL 61615-9323 | 2020-05-06 |
| 1134680234 | Sydney Jacquelyn Smith | Social Worker | 7717 N Orange Prairie Rd, Peoria, IL 61615-9323 | 2019-03-29 |
| 1588131304 | Miranda Myers | Social Worker | 7717 N Orange Prairie Rd, Peoria, IL 61615-9323 | 2018-10-30 |
| 1861975773 | Andrea Joy Eertmoed | Dietitian, Registered | 7717 N Orange Prairie Rd, Peoria, IL 61615-9323 | 2018-09-07 |
| 1861992851 | Heidi Johnson | Registered Nurse | 7717 N Orange Prairie Rd, Peoria, IL 61615-9323 | 2018-02-15 |
| 1831605898 | Jason Lee Fechter | Social Worker | 7717 N Orange Prairie Rd, Peoria, IL 61615-9323 | 2017-12-28 |
| 1790206365 | Holly Catherine Bourgeois | Pharmacist | 7717 N Orange Prairie Rd, Peoria, IL 61615-9323 | 2017-07-04 |
| 1790238624 | Kyle Foskett | Psychologist | 7717 N Orange Prairie Rd, Peoria, IL 61615-9323 | 2016-07-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124627906 | Lance Jay Bucher | Occupational Therapist | 8600 Il-91, Peoria, IL 61615 | 2020-10-22 |
| 1093327496 | Angela Mitchell | Speech-Language Pathologist | 3903 W Ridgeview Dr, Peoria, IL 61615 | 2020-08-18 |
| 1578110680 | Emily E Buenting | Audiologist | 8600 Il Route 91, Suite 300, Peoria, IL 61615 | 2019-08-22 |
| 1730655572 | Sylwia M. Budzik | Physician Assistant | 8600 Illinois Rt. 91, Suite 300, Peoria, IL 61615 | 2018-10-19 |
| 1487169207 | Heather Hart | Registered Nurse | 9016 N. Scrimshaw Dr. Apt 104, Peoria, IL 61615 | 2017-12-04 |
| 1528586849 | Leanne Runyon | Speech-Language Pathologist | 10723 Collett Dr., Peoria, IL 61615 | 2017-09-07 |
| 1467974196 | Elizabeth A Mcleod | Nurse Practitioner | 8600 Illinois Route 91, Suite 130, Peoria, IL 61615 | 2017-07-14 |
| 1790223022 | Janet Warner | Counselor | 8914 North Prarie Court, Peoria, IL 61615 | 2017-02-07 |
| 1437524022 | Brooke Bisping | Dietitian, Registered | 7610 North Orange Prairie Road, Peoria, IL 61615 | 2015-12-08 |
| 1003292111 | Crystal Ann Casper | Dietitian, Registered | 7610 N Orange Prarie Road, Peoria, IL 61615 | 2015-07-31 |
| Find all providers in zip 61615 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730638214 | Tai Long Huynh | Pharmacist | 9950 W Via Del Sol, Peoria, AZ 85383-3323 | 2016-09-26 |
| 1144545120 | Lawrence William Wolfe | Pharmacist | 9043 W. Olive Ave., Fry's Food and Drug, Peoria, AZ 85345 | 2010-04-01 |
| 1093316044 | Glenn Curtis Confort | Pharmacist | 8915 N Allen Rd, Peoria, IL 61615-1534 | 2020-11-05 |
| 1831702711 | Neeshi Shah | Pharmacist | 7455 W Cactus Rd, Peoria, AZ 85381-5399 | 2020-08-28 |
| 1659795235 | Samantha Ann Karr | Pharmacist | 9165 W Thunderbird Rd, Suite 100, Peoria, AZ 85381-4847 | 2014-02-18 |
| 1134458227 | Ronald Paul Gottschlich | Pharmacist | 9245 W Union Hills Dr, Peoria, AZ 85382-8154 | 2009-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790392223 | Michelle To | Pharmacist | 2252 Aster Ct, Naperville, IL 60565-8893 | 2020-09-29 |
| 1760099253 | Kelsey Schultz | Pharmacist | 1058 N Paulina St Apt 2, Chicago, IL 60622-3918 | 2020-09-28 |
| 1053927988 | Caleb David Braasch | Pharmacist | 1818 South Airport Rd, Decatur, IL 62521 | 2020-09-16 |
| 1578176061 | Omolara Akintilo | Pharmacist | 3254 Toulouse, Bourbonnais, IL 60914-4554 | 2020-08-25 |
| 1972120285 | Susan F. Michaelis | Pharmacist | 405 W South St, Arlington Heights, IL 60005-1703 | 2020-07-02 |
| 1730701392 | Alexander Tam-phan Nguyen | Pharmacist | 773 N Silver Leaf Ln, Round Lake, IL 60073-5267 | 2020-05-17 |
| 1336769074 | Shakeel Ahmed | Pharmacist | 1471 E Business Center Dr Ste 500, Mt Prospect, IL 60056-6082 | 2020-04-22 |
| 1780214668 | Rikii A Pyle | Pharmacist | 1704 W Deyoung St, Marion, IL 62959-1054 | 2020-01-20 |
| 1629608773 | Madeline Lea Taitt | Pharmacist | 3637 Herrin Rd, Carterville, IL 62918-3156 | 2020-01-16 |
| 1235769464 | Joshua David Chady | Pharmacist | 550 E Industrial Park Rd, Murphysboro, IL 62966-3947 | 2020-01-15 |
| 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.