MR. JASON DAVID SMITH (NPI# 1669698635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669698635 |
| Entity Type | Individual |
| Full Name | MR. JASON DAVID SMITH |
| Credential | RPH |
| Practice Address |
1322 Sycamore Rd Dekalb IL 60115-2443 |
| Mailing Address |
2093 Aronomink Cir Elgin IL 60123-6841 |
| Practice Telephone | 8157561418 |
| Mailing Telephone | 6307152595 |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2015-07-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 051285907 | IL | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | REGISTERED PHARMACIST LIC | 051285907 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447874250 | Jason Joseph Smith | Nurse Practitioner | 60 Meadowlark Dr, Penfield, NY 14526-2036 | 2020-06-08 |
| 1790309565 | Jason C Smith | Military Health Care Provider | 113 Barrington Ct, Maple Hill, NC 28454-8659 | 2020-06-08 |
| 1033695564 | Jason Smith | Nurse Practitioner | 413 Sanner St, Edwardsville, IL 62025-1080 | 2018-07-18 |
| 1619335429 | Jason Smith | Social Worker | 1025 Se 23rd St, Okeechobee, FL 34974-5362 | 2016-02-08 |
| 1013374289 | Jason Smith | Physical Therapy Assistant | 960 S Logan St Apt 101, Denver, CO 80209-4148 | 2016-01-19 |
| 1902273394 | Jason Richard Smith | Physical Therapist | 300 E College Way Ste B, Mount Vernon, WA 98273-5429 | 2015-09-01 |
| 1083006670 | Jason T. Smith | Physician Assistant | 4419 Bearberry Ave, Baytown, TX 77521-1677 | 2015-02-19 |
| 1790183010 | Jason Smith | Technician | 19 Oracle Ct, Sacramento, CA 95823-4086 | 2014-12-18 |
| 1982016648 | Jason Smith | Student in an Organized Health Care Education/Training Program | 8809 Furlong Dr Apt 3, Louisville, KY 40242-7510 | 2014-05-28 |
| 1780016485 | Jason Smith | Case Manager/Care Coordinator | 1250 Kirts Blvd Ste 300, Troy, MI 48084-4855 | 2013-08-05 |
| Street Address |
1322 SYCAMORE RD |
| City | DEKALB |
| State | IL |
| Zip Code | 60115-2443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568418234 | American Drug Stores LLC | Durable Medical Equipment & Medical Supplies | 1322 Sycamore Rd, Dekalb, IL 60115 | 2006-05-25 |
| 1669829149 | Raymond Horan Jr. | Pharmacist | 1322 Sycamore Rd, Dekalb, IL 60115-2443 | 2016-05-16 |
| 1255788782 | Amberly Stallard | Pharmacist | 1322 Sycamore Rd, Dekalb, IL 60115-2443 | 2016-05-13 |
| 1538371059 | Barbara J Penkala | Pharmacist | 1322 Sycamore Rd, Dekalb, IL 60115 | 2007-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598372179 | Megan Erhart | Counselor | 304 N. 6th Street, Dekalb, IL 60115 | 2020-09-28 |
| 1689141616 | Stephanie Klewin | Psychologist | 631 S 1st Street, Dekalb, IL 60115 | 2018-10-29 |
| 1164902219 | Kimberly Ann Hart | Counselor | 290 N. Annie Glidden Drive, Gh 416, Niu, Dekalb, IL 60115 | 2018-08-17 |
| 1497235824 | Cory David Michael Hayden | Specialist/Technologist | 175 Yordon Center (niu Athletic Training), Dekalb, IL 60115 | 2018-08-15 |
| 1154807808 | Michael John Borak | Pharmacist | 975 S Annie Glidden Road, Schnucks Market Inc, Dekalb, IL 60115 | 2018-07-16 |
| 1184125841 | Candace Schroeffel | Student in an Organized Health Care Education/Training Program | 520 Garden Rd, Dekalb, IL 60115 | 2018-02-27 |
| 1033627583 | Hannah M Studebaker | Massage Therapist | 3266 Sycamore Road, Dekalb, IL 60115 | 2018-01-18 |
| 1649700238 | Jennifer Mangino | Behavioral Analyst | 138 Berkshire Dr, Dekalb, IL 60115 | 2017-06-15 |
| 1003346628 | Victoria Tullock | Counselor | 631 South First St., Dekalb, IL 60115 | 2017-06-15 |
| 1194263848 | Brianna Kraft | Specialist/Technologist | 900 Crane Dr, Dekalb, IL 60115 | 2017-02-02 |
| Find all providers in zip 60115 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558847137 | Karla Jo Sampson | Pharmacist | 975 S Annie Glidden Rd, Dekalb, IL 60115-5838 | 2018-07-17 |
| 1700303104 | James Waldo Vandevender | Pharmacist | 14916 Hwy 16 West, Dekalb, MS 39328 | 2017-08-25 |
| 1568717593 | Carie Rae Parks | Pharmacist | 1 Wirtz Dr, Northern Illinois University Health Services, Dekalb, IL 60115-2854 | 2012-07-16 |
| 1457636227 | Amy Beth Elliott | Pharmacist | 100 West Lincoln Hwy, Dekalb, IL 60115 | 2011-10-12 |
| 1326649260 | Joel Janyia | Pharmacist | 2300 Sycamore Rd, Dekalb, IL 60115-2067 | 2020-11-06 |
| 1871194803 | Abriana Rose Guazzelli | Pharmacist | 100 W Lincoln Hwy, Dekalb, IL 60115-3678 | 2020-11-05 |
| 1326648551 | Sudha Rani Veerapaneni | Pharmacist | 2300 Sycamore Rd, Dekalb, IL 60115-2067 | 2020-10-27 |
| 1043821721 | Matthew Thomas Borris | Pharmacist | 100 W Lincoln Hwy, Dekalb, IL 60115-3678 | 2020-08-14 |
| 1669829149 | Raymond Horan Jr. | Pharmacist | 1322 Sycamore Rd, Dekalb, IL 60115-2443 | 2016-05-16 |
| 1255788782 | Amberly Stallard | Pharmacist | 1322 Sycamore Rd, Dekalb, IL 60115-2443 | 2016-05-13 |
| Find all providers in DEKALB | ||||
Please comment or provide details below to improve the information on MR. JASON DAVID SMITH.
| 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.