LISA JANE KILLAM-WORRALL


Address: 855 Montgomery St, Fort Worth, TX 76107-2553
Phone: 8177352084

LISA JANE KILLAM-WORRALL (NPI# 1629553813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629553813
Entity Type Individual
Full Name LISA JANE KILLAM-WORRALL
Other Name LISA JANE KILLAM
Credential PHARMD
Practice Address 855 Montgomery St
Fort Worth
TX 76107-2553
Mailing Address 700 Sparrow Dr
Saginaw
TX 76131-2911
Practice Telephone 8177352084
Mailing Telephone 1817223542
Enumeration Date 2018-10-03
Last Update Date 2018-10-03
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1835P1200X Pharmacist
Specialization: Pharmacotherapy
40852 TX Pharmacy Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
775 W Bowie, Fort Worth, TX 761107613 8172235429

Office Location

Street Address 855 MONTGOMERY ST
City FORT WORTH
State TX
Zip Code 76107-2553

Providers in the same location

NPI Name Taxonomy Address Enumeration
1831194455 Patricia Lowrimore Psychiatry & Neurology 855 Montgomery St, Fort Worth, TX 76107-2553 2005-06-20
1194353417 Jason L Thompson Student in an Organized Health Care Education/Training Program 855 Montgomery St, Fort Worth, TX 76107-2553 2020-03-31
1639701808 Tyrane Roberts-lagrone Pharmacist 855 Montgomery St, Fort Worth, TX 76107-2553 2020-02-06
1144860917 Melissa Edwards Petersen Clinical Neuropsychologist 855 Montgomery St, Fort Worth, TX 76107-2553 2020-01-09
1598250607 Sima Taj Mozdbar Optometrist 855 Montgomery St, Fort Worth, TX 76107-2553 2018-06-30
1588153993 Kristen Reuter Social Worker 855 Montgomery St, Fort Worth, TX 76107-2553 2018-05-02
1114431624 Emily J. Clark Counselor 855 Montgomery St, Fort Worth, TX 76107-2553 2017-11-20
1275073215 Elizabeth Svyatoslavna Balyakina Student in an Organized Health Care Education/Training Program 855 Montgomery St, Fort Worth, TX 76107-2553 2017-02-23
1588103659 Frederick Olen Barnum Iv Family Medicine 855 Montgomery St, Fort Worth, TX 76107-2553 2017-02-21
1760926695 Jane Elizabeth Classen Nurse Practitioner 855 Montgomery St, Fort Worth, TX 76107-2553 2016-12-12
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1629683602 Renovo Wound and Hyperbarics Pllc Emergency Medicine 5668 Edwards Ranch Road, Suite 101, Fort Worth, TX 76107 2020-09-15
1669085437 Ryan Bourgeois Nurse Practitioner 2917 Crocket Street, Fort Worth, TX 76107 2020-08-31
1053920546 Christa Marie Widjaja Optometrist 1700 Montgomery St, Fort Worth, TX 76107 2020-07-30
1093351355 Raymond Iannone Pharmacist 850 Montgomery St, Suite #310, Fort Worth, TX 76107 2019-11-21
1053963744 Cumulus Injury Resolution, Inc. Chiropractor 4936 Byers Avenue, Fort Worth, TX 76107 2019-07-12
1770135576 Shadia Osakwe Physician Assistant 855 Montgomery Street, Pediatric Clinic, Fort Worth, TX 76107 2019-07-11
1568945442 Sachin P Patel Physical Therapist 4825 Wellesley St, Fort Worth, TX 76107 2018-09-07
1023594025 Ftw Pharmacy Services Inc Durable Medical Equipment & Medical Supplies 2912 W 6th St Ste 150, Fort Worth, TX 76107 2018-07-13
1669974325 Helen Williamson Elliott Counselor 1751 River Run #217, Fort Worth, TX 76107 2018-03-08
1487156931 Pelvic Neuromonitoring Pllc Electrodiagnostic Medicine 111 Boland St #211, Ft Worth, TX 76107 2018-03-01
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Taxonomy Information

Taxonomy Code 1835P1200X
Grouping Pharmacy Service Providers
Classification Pharmacist
Specialization Pharmacotherapy

Taxonomy Definition

A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy.
Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1740630565 Dustin Russell Horne Pharmacist 2901 Bledsoe St Apt 1342, Fort Worth, TX 76107-2677 2016-06-13
1831373679 Caroline Elad Tabe Pharmacist 5412 Meadow Valley Dr, Fort Worth, TX 76123-2841 2007-12-27
1659404796 Angela St.clair Pinckard Pharmacist 6601 Harris Pkwy, Baylor Institute for Rehabilitation At Fort Worth, Fort Worth, TX 76132-6108 2007-03-14
1831290832 Angela K. Treadway Pharmacist 900 Jerome St Ste 401, Fort Worth, TX 76104-3942 2006-09-25
1821072414 Jennifer Elice Ortega Pharmacist 600 W Rosedale St, Fort Worth, TX 76104-4621 2005-12-06
1811461494 Patrick Gerard Clay Pharmacist 3500 Camp Bowie Blvd, Fort Worth, TX 76107-2644 2019-01-16
1073952750 Sarah Justine Payne Pharmacist 3500 Camp Bowie Blvd, Fort Worth, TX 76107-2644 2013-06-17
1023141140 Lucas Cade Colson Pharmacist 1400 8th Ave, Fort Worth, TX 76104-4110 2007-03-14
1245332030 Ronald Shane Greene Pharmacist 900 Jerome St Ste 400, Fort Worth, TX 76104-3942 2006-09-02

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1275151193 Lori Jean Krustchinsky Pharmacist 1220 Hobbs Reach Ln, Houston, TX 77008-6464 2020-07-07
1699390609 Vincent Wong Pharmacist 13501 Hymeadow Cir, Austin, TX 78729-1763 2020-06-15
1750917282 Ayeshia Duru Pharmacist 1321 Canterbury Dr, Allen, TX 75013-7067 2020-03-16
1639703416 Uchenna Comfort Orji Pharmacist 8803 Noah Lndg, Houston, TX 77064-4392 2020-03-02
1316577695 Osita Stephen Okafor Jr. Pharmacist 8440 N Sam Houston Pkwy E Apt 832, Humble, TX 77396-2971 2020-01-25
1023658093 Islam Abdelhamid Pharmacist 1911 Holcombe Blvd Apt 1728, Houston, TX 77030-4192 2020-01-08
1851934640 Karen Ugwu Pharmacist 1212 Corporate Dr, Irving, TX 75038-2502 2019-10-24
1588136675 Jose Martin Penaloza Pharmacist 12002 Barrycliff Ct, Houston, TX 77070-5447 2018-12-30
1790252054 Jenna Lynne Snoga Pharmacist 7400 Merton Minter San Antonio, San Antonio, TX 78229 2018-10-25
1679048151 Richard William Molinaro Jr. Pharmacist 708 Tall Pines Dr, Friendswood, TX 77546-4456 2018-10-10
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Competitor

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City FORT WORTH
Zip Code 76107

Improve Information

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Dataset Information

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.

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