DR. JEFF D LITICKER (NPI# 1619247483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619247483 |
| Entity Type | Individual |
| Full Name | DR. JEFF D LITICKER |
| Credential | PHARMD, R.PH |
| Practice Address |
2201 Inwood Rd Nc2.852 Dallas TX 75235-7320 |
| Practice Telephone | 2146452681 |
| Practice Fax Number | 2146452673 |
| Mailing Telephone | 2146452681 |
| Mailing Fax Number | 2146452673 |
| Enumeration Date | 2012-01-10 |
| Last Update Date | 2012-01-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835X0200X |
Pharmacist Specialization: Oncology |
32049 | TX | Pharmacy Service Providers |
| Street Address |
2201 INWOOD RD NC2.852 |
| City | DALLAS |
| State | TX |
| Zip Code | 75235-7320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144267766 | Larry D Anderson Jr. | Internal Medicine | 2201 Inwood Rd, Dallas, TX 75235 | 2006-06-01 |
| 1992202923 | Marquis Peacock | Psychiatry & Neurology | 2201 Inwood Rd, Dallas, TX 75235-7320 | 2018-04-06 |
| 1144722166 | Nancy Carol Sweeney | Nurse Practitioner | 2201 Inwood Rd, Dallas, TX 75235-7320 | 2018-03-06 |
| 1417477803 | John Zimmerman | Genetic Counselor, MS | 2201 Inwood Rd, Dallas, TX 75235-7320 | 2017-06-26 |
| 1194245175 | Jordan Elaine Berg | Genetic Counselor, MS | 2201 Inwood Rd, Dallas, TX 75235-7320 | 2017-06-21 |
| 1376078907 | Remington Brice Fenter | Genetic Counselor, MS | 2201 Inwood Rd, Dallas, TX 75390-9323 | 2017-04-20 |
| 1093257891 | Ut Southwestern Medical Center | Clinic/Center | 2201 Inwood Rd, Dallas, TX 75235-7320 | 2016-11-09 |
| 1295108835 | Nichole Brown | Genetic Counselor, MS | 2201 Inwood Rd, Dallas, TX 75235-7320 | 2015-11-04 |
| 1487039491 | Sheba Jaison Joy | Physician Assistant | 2201 Inwood Rd, Dallas, TX 75235-7320 | 2015-07-21 |
| 1477930071 | Elise Watson | Genetic Counselor, MS | 2201 Inwood Rd, Dallas, TX 75235-7320 | 2015-05-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265058895 | Kailey Elaine Flowers | Physical Therapy Assistant | 2400 Empire Central Drive, Suite B, Dallas, TX 75235 | 2020-06-19 |
| 1265061071 | Bella Xinyi O'malley | Student in an Organized Health Care Education/Training Program | 1935 Medical Drive, Dallas, TX 75235 | 2020-04-03 |
| 1427687318 | Can Ozlu | Student in an Organized Health Care Education/Training Program | Children's Medical Center of Dallas, 1935 Medical Distr, Dallas, TX 75235 | 2020-04-03 |
| 1689137515 | Tarek Mansi | Student in an Organized Health Care Education/Training Program | 2222 Medical District Dr Apt 4325, Dallas, TX 75235 | 2019-04-08 |
| 1386117125 | Christine Elizabeth Smith | Physician Assistant | 8134 Tex Oak Avenue, Dallas, TX 75235 | 2019-01-04 |
| 1447720016 | Michelle Angelina Dye | Physician Assistant | 5959 Maple Avenue Apt 1171, Dallas, TX 75235 | 2018-11-27 |
| 1255869335 | Andrea Nicole Pennington-peace | Specialist/Technologist, Other | 1935 Medial District, Dallas, TX 75235 | 2017-06-01 |
| 1194258152 | Tricia Rood | Student in an Organized Health Care Education/Training Program | 5200 Harry Hines Blvd., Dallas, TX 75235 | 2017-04-06 |
| 1437690971 | Robin Lee | Counselor | 8915 Hrry Hines Blvd, Dallas, TX 75235 | 2017-03-16 |
| 1871033746 | Javier Davila-lopez | Counselor | 1545 Mockingbird Lane, Suite 4000, Dallas, TX 75235 | 2017-02-27 |
| Find all providers in zip 75235 | ||||
| Taxonomy Code | 1835X0200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Oncology |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in developing, recommending, implementing, monitoring, and modifying pharmacotherapeutic plans to optimize outcomes in patients with malignant diseases. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760907927 | Robert Alan Nunan | Pharmacist | 7777 Forest Ln Ste C707, Dallas, TX 75230-6861 | 2017-08-09 |
| 1033319082 | Sarah Margaret Gressett | Pharmacist | 4500 S Lancaster Rd # R119b, Dallas, TX 75216-7167 | 2007-07-18 |
| 1528139599 | Yakeika Sims | Pharmacist | 3535 Worth Street, Dallas, TX 75246 | 2006-11-13 |
| 1033280979 | Phoebe Jane Cook | Pharmacist | 3535 Worth St Ste 340, Dallas, TX 75246-2006 | 2006-11-13 |
| 1417028770 | Martha J Pineiro | Pharmacist | 3535 Worth St Ste 500, Dallas, TX 75246-2006 | 2006-11-10 |
| 1356411714 | Raquel Lashawn Rhone | Pharmacist | 3535 Worth St Ste 170, Dallas, TX 75246-2006 | 2006-11-09 |
| 1720698863 | Allison R Bass | Pharmacist | 3500 Gaston Avenue, Pharmacy Dept/hoblitzelle Basement, Dallas, TX 75246 | 2020-08-04 |
| 1205204112 | Katie B Chang | Pharmacist | 1441 N Beckley Ave, Dallas, TX 75203-1201 | 2015-09-09 |
| 1366820805 | Minh-duong Tran | Pharmacist | 3410 Worth St, Dallas, TX 75246-2003 | 2015-05-17 |
| 1720359391 | Sonal Reitmeyer | Pharmacist | 2201 Inwood Rd, Nc 2.852, Dallas, TX 75390-9015 | 2012-01-13 |
| Find all providers in DALLAS | ||||
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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.