AMANDA E GORMAN (NPI# 1649680505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649680505 |
| Entity Type | Individual |
| Full Name | AMANDA E GORMAN |
| Credential | PHARMD |
| Practice Address |
14169 S Bell Rd Homer Glen IL 60491-8464 |
| Practice Telephone | 7086455810 |
| Mailing Telephone | 7086455810 |
| Enumeration Date | 2014-05-01 |
| Last Update Date | 2015-07-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
051294791 | IL | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124309430 | Amanda Brady Watters Gorman | Registered Nurse | 2113 Highland Ridge Dr, Phoenix, MD 21131-1217 | 2011-08-31 |
| 1942811138 | Amanda Leigh Gorman | Physical Therapist | 4200 Union Deposit Rd, Harrisburg, PA 17111-2801 | 2020-08-12 |
| 1285276584 | Amanda Gorman | Behavior Technician | 25115 Avenue Stanford Ste A100, Valencia, CA 91355-1290 | 2019-10-09 |
| 1821249251 | Amanda Rose Gorman | Specialist | 3101 W Ridge Rd, Building D, Rochester, NY 14626-3249 | 2008-10-03 |
| 1669691804 | Amanda Lea Gorman | Counselor | 3310 Perimeter Hill Dr, Nashville, TN 37211-4123 | 2007-04-25 |
| Street Address |
14169 S BELL RD |
| City | HOMER GLEN |
| State | IL |
| Zip Code | 60491-8464 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346791548 | Tyler Branson | Pharmacist | 14169 S Bell Rd, Homer Glen, IL 60491-8464 | 2016-10-22 |
| 1710395413 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 14169 S Bell Rd, Homer Glen, IL 60491-8464 | 2014-07-25 |
| 1821404484 | Meijer Great Lakes Limited Partnership | Durable Medical Equipment & Medical Supplies | 14169 S Bell Rd, Homer Glen, IL 60491-8464 | 2014-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417490681 | Kellie Calderon | Counselor | 14007 S Bell Rd Ste 183, Homer Glen, IL 60491 | 2016-11-21 |
| 1811249915 | Jasmina Peric | Registered Nurse | 14607 Stonegate Drive, Homer Glen, IL 60491 | 2012-10-12 |
| 1700137783 | Nicole Marie Karn | Physical Therapy Assistant | 14319 Twin Creek Lane, Homer Geln, IL 60491 | 2012-10-01 |
| 1992062061 | South Suburban Hearing, Inc | Hearing Instrument Specialist | 14316 S. Will-cook Rd, Homer Glen, IL 60491 | 2012-04-13 |
| 1336417385 | Crystal Knaack | Pharmacist | 13911 W 167th St, Homer Glen, IL 60491 | 2011-12-06 |
| 1891976429 | Toothworks Inc | Dentist | 12626 W 159th St, Homer Glen, IL 60491 | 2007-11-26 |
| 1972639441 | Barbara A Bayer | Social Worker | 13528 Marissa Ct, Homer Glen, IL 60491 | 2007-02-26 |
| 1093893117 | Daniel L Clark Do Ltd | Family Medicine | 14831 W 159th St, Harris Bank Building, Lockport, IL 60491 | 2006-11-02 |
| 1720006752 | Judith Polkow | Physical Therapist | 14821 S. Founders Crossing, Homer Glen, IL 60491 | 2006-07-17 |
| 1518902188 | Allen Ophthalmic Group | Ophthalmology | 15933 South Bell Road, Homer Glen, IL 60491 | 2006-06-18 |
| Find all providers in zip 60491 | ||||
| Taxonomy Code | 1835P1200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacotherapy |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346791548 | Tyler Branson | Pharmacist | 14169 S Bell Rd, Homer Glen, IL 60491-8464 | 2016-10-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134749716 | Bethany Nicole Jumps | Pharmacist | Broadway St & N 11th St, Quincy, IL 62301 | 2020-04-23 |
| 1386263234 | Pooja Ramnani | Pharmacist | 5841 S Maryland Ace, Chicago, IL 60637 | 2020-04-10 |
| 1740647767 | William Patrick Johnson Jr. | Pharmacist | 505 Jeffrey Pine Ct, O Fallon, IL 62269-2554 | 2016-01-21 |
| 1114382314 | Archariya Puangampai | Pharmacist | 4178 S Emerald Ave, Chicago, IL 60609-2645 | 2015-12-15 |
| 1285000992 | Dana Christine Losch | Pharmacist | 9000 W Golf Rd, Niles, IL 60714-5805 | 2015-08-17 |
| 1083013874 | Erin E Gianaras | Pharmacist | 2500 S Philo Rd, Urbana, IL 61802 | 2014-08-18 |
| 1033520705 | Donald Lellish | Pharmacist | 815 N. Randall Rd, Elgin, IL 60123 | 2014-05-15 |
| 1346650231 | Chayani Pam Kaenkumchorn | Pharmacist | 11305 W Lincoln Hwy, Mokena, IL 60448-2070 | 2014-05-01 |
| 1245640242 | Allison Ostrander | Pharmacist | 7111 Cermak Rd, Berwyn, IL 60402-2145 | 2014-04-30 |
| 1598101289 | Mark Jacobs | Pharmacist | 736 Elm, Winnetka, IL 60093-2506 | 2013-05-21 |
| Find all providers with the same taxonomy | ||||
| City | HOMER GLEN |
| Zip Code | 60491 |
Please comment or provide details below to improve the information on AMANDA E GORMAN.
| 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.