MICKIE S. BRUNNER (NPI# 1720290224) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720290224 |
| Entity Type | Individual |
| Full Name | MICKIE S. BRUNNER |
| Other Name | MICKIE S. TIMLIN |
| Credential | PHARMD,, R.PH |
| Practice Address |
One Ingalls Dr Harvey IL 60426 |
| Mailing Address |
214 W. Rainbow Dr. Glenwood IL 60425 |
| Practice Telephone | 7089154420 |
| Practice Fax Number | 7089153108 |
| Mailing Telephone | 7087546911 |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | IL | Pharmacy Service Providers |
| Street Address |
ONE INGALLS DR |
| City | HARVEY |
| State | IL |
| Zip Code | 60426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790757797 | Balaji Malur | Anesthesiology | One Ingalls Dr, Ingalls Memorial Hospital, Harvey, IL 60426 | 2006-02-03 |
| 1952473829 | Robert Singh | Anesthesiology | One Ingalls Dr, Ingalls Memorial Hospital, Harvey, IL 60426 | 2006-11-15 |
| 1598856643 | Ardeshir R Medhat | Anesthesiology | One Ingalls Dr, Ingalls Memorial Hospital, Harvey, IL 60426 | 2006-09-27 |
| 1508962838 | Peggy P Demikis | Physician Assistant | One Ingalls Dr, W536, Harvey, IL 60426 | 2006-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295377471 | Carol E Gillett | Technician | 14607 Jefferson St., Harvey, IL 60426 | 2019-10-09 |
| 1356866479 | Zzm Investments Inc | Non-emergency Medical Transport (VAN) | 16429 Halsted St, Harvey, IL 60426 | 2017-08-09 |
| 1639628225 | Scottlab, Ltd. | Clinical Medical Laboratory | 71 W 156th St Ste 206a, Harvey, IL 60426 | 2016-09-24 |
| 1043608631 | Yvette M. Johnson | Nurse Practitioner | 31 W. 155th Street, Harvey, IL 60426 | 2015-01-05 |
| 1558665539 | Phillip T Robinson | Contractor | 16001 Marshfield St, Harvey, IL 60426 | 2011-01-05 |
| 1669657466 | South Shore Behavioral Consultants | Counselor | 369 East 147th Street Suite E, Harvey, IL 60426 | 2007-12-31 |
| 1770784670 | County of Cook Harvey Public School District 152 | Local Education Agency (LEA) | 152nd Myrtle St, Harvey, IL 60426 | 2007-05-29 |
| 1518180678 | Associated Medical Center Sc | Family Medicine | 15900 So Carol Avenue, Harvey, IL 60426 | 2007-04-10 |
| 1336269133 | Cook County | Clinic/Center | 650 E Phoenix Center Dr, Phoenix, IL 60426 | 2007-03-29 |
| 1932243433 | Michael T Jones Dmd Ltd | Dentist | 15335 Page Ave, Harvey, IL 60426 | 2007-02-16 |
| Find all providers in zip 60426 | ||||
| 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 |
|---|---|---|---|---|
| 1063992337 | Chuong Minh Chau | Pharmacist | 2137 Sutherland Pl, Harvey, LA 70058-1403 | 2018-08-16 |
| 1386171148 | Amanda Minias | Pharmacist | 3529 Lake Catherine Dr, Harvey, LA 70058-5506 | 2017-05-11 |
| 1730555756 | Thao Xuan Thi Nguyen | Pharmacist | 1005 Marvin Ct, Harvey, LA 70058-4913 | 2015-08-13 |
| 1043640816 | Kimberly Curington | Pharmacist | 3153 Touchwood Dr, Harvey, LA 70058-1626 | 2013-11-15 |
| 1720416167 | Kim Long Nguyen | Pharmacist | 1913 Brighton Pl, Harvey, LA 70058-1413 | 2013-10-22 |
| 1003242280 | Destiney Robinson | Pharmacist | 1 Tunica Ct, Harvey, LA 70058-6145 | 2013-09-19 |
| 1134401003 | Bethany B Moore | Pharmacist | 3416 Lake Arrowhead Dr, Harvey, LA 70058-5533 | 2011-09-15 |
| 1558470054 | Gary Anthony Plaisance | Pharmacist | 3645 Lapalco Blvd, Harvey, LA 70058-2329 | 2006-08-29 |
| 1124627120 | Tien Khanh Luu | Pharmacist | 1731 Manhattan Blvd, Harvey, LA 70058-3409 | 2020-10-21 |
| 1811504111 | Dunnya J Salem | Pharmacist | 1731 Manhattan Blvd, Harvey, LA 70058-3409 | 2020-09-30 |
| Find all providers in HARVEY | ||||
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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.