JANICE R FRUEH (NPI# 1629201140) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629201140 |
| Entity Type | Individual |
| Full Name | JANICE R FRUEH |
| Credential | PHARM.D. |
| Practice Address |
520 N 4th St Springfield IL 62702-5238 |
| Mailing Address |
520 N 4th St Po Box 19670 Springfield IL 62794-9670 |
| Practice Telephone | 2177476477 |
| Practice Fax Number | 2177471351 |
| Mailing Telephone | 2177476477 |
| Mailing Fax Number | 2177471351 |
| Enumeration Date | 2009-09-01 |
| Last Update Date | 2009-09-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
118981 | MN | Pharmacy Service Providers |
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
051293580 | IL | Pharmacy Service Providers |
| Street Address |
520 N 4TH ST |
| City | SPRINGFIELD |
| State | IL |
| Zip Code | 62702-5238 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023006913 | Janet R Albers | Family Medicine | 520 N 4th St, Springfield, IL 62702-5238 | 2005-10-13 |
| 1316559529 | Andrea Dawn Peterson | Social Worker | 520 N 4th St, Springfield, IL 62702-5238 | 2020-08-19 |
| 1811505159 | Naila Manahil | Family Medicine | 520 N 4th St, Springfield, IL 62702-5238 | 2020-07-22 |
| 1881211605 | Roxanne Bautista | Family Medicine | 520 N 4th St, Springfield, IL 62702-5238 | 2020-06-27 |
| 1689298366 | Ibukunoluwa Oluwatoni Olapoju | Family Medicine | 520 N 4th St, Springfield, IL 62702 | 2020-05-29 |
| 1386267425 | George Hudson | Family Medicine | 520 N 4th St, Springfield, IL 62702-5238 | 2020-05-23 |
| 1962025577 | Logan Tyler Garthe | Family Medicine | 520 N 4th St, Springfield, IL 62702-5238 | 2020-05-19 |
| 1740802693 | Haroun Babajide Ogun | Family Medicine | 520 N 4th St, Springfield, IL 62702-5238 | 2020-05-14 |
| 1952923153 | Hayley Hudson | Family Medicine | 520 N 4th St, Springfield, IL 62702-5238 | 2020-05-11 |
| 1780206094 | Patrick Hale Long | Family Medicine | 520 N 4th St, Springfield, IL 62702-5238 | 2020-05-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457866519 | Mohammad Jamal Uddin Ansari | Internal Medicine | 751 N Rutledge St Ste 400, Springfield, IL 62702 | 2017-12-11 |
| 1588105811 | Mickey Graphia | Surgery | 701 N 1st St # D346, Springfield, IL 62702 | 2017-03-20 |
| 1376908913 | Abdul Hannan | Internal Medicine | 315 W Carpenter St # B, Springfield, IL 62702 | 2015-12-28 |
| 1871986414 | Rachel Hoselton | Nurse Practitioner | 400 N 9th St Fl 4, Springfield, IL 62702 | 2015-03-06 |
| 1548697774 | Alyssa Wilson | Behavioral Analyst | 232 Bruns Lane, One Sparcenter Plaza, Springfield, IL 62702 | 2013-10-02 |
| 1174965446 | Amy Wilson | Speech-Language Pathologist | 2120 West Washington Street, Springfield, IL 62702 | 2013-07-26 |
| 1275898116 | Pele Boutrous Dina | Pediatrics | 415 N 9th St # 4w16, Springfield, IL 62702 | 2012-07-06 |
| 1427327733 | Brook D Croke | Genetic Counselor, MS | 400 N. 9th Street, 3rd Floor Clinic B, Springfield, IL 62702 | 2011-12-16 |
| 1629352604 | Renae M Sanchez | Pharmacist | 3216 East Clearlake Ave, Springfield, IL 62702 | 2011-10-07 |
| 1982915302 | William Leland Zelkovich | Radiology | 701 N 1st, Springfield, IL 62702 | 2010-06-30 |
| Find all providers in zip 62702 | ||||
| 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 |
|---|---|---|---|---|
| 1043856297 | Jeffrey Brian Barnes | Pharmacist | 100 Northcrest Dr., Pharmacy, Springfield, TN 37172 | 2019-11-22 |
| 1790254647 | Meds To Live By | Pharmacist | 1134 N. Scarlett Way, Springfield, MO 65802 | 2018-11-21 |
| 1770085987 | Brigid Farrar | Pharmacist | 440 E Tampa St # 100, Springfield, MO 65806-1131 | 2018-03-03 |
| 1437243136 | Elizabeth Anne Dinges | Pharmacist | 2121 Illini Rd, Springfield, IL 62704 | 2006-10-03 |
| 1861090235 | Allison Bellar | Pharmacist | 2989 Derr Rd, Springfield, OH 45503-1369 | 2020-10-16 |
| 1700415288 | Brittany Moore | Pharmacist | 965 N Bechtle Ave, Springfield, OH 45504-2005 | 2020-04-06 |
| 1447889100 | Jessica Wilson | Pharmacist | 2728 E Main St, Springfield, OH 45503-5117 | 2020-04-05 |
| 1518590157 | Sarah Lance | Pharmacist | 2728 E Main St, Springfield, OH 45503-5117 | 2020-02-21 |
| 1225669815 | Terry Lynn Taylor | Pharmacist | 965 N Bechtle Ave, Springfield, OH 45504-2005 | 2020-01-31 |
| 1194356196 | Amber Jones | Pharmacist | 2989 Derr Rd, Springfield, OH 45503-1369 | 2020-01-28 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 62702 |
Please comment or provide details below to improve the information on JANICE R FRUEH.
| 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.