MRS. LISA WOODROME (NPI# 1750334587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750334587 |
| Entity Type | Individual |
| Full Name | MRS. LISA WOODROME |
| Credential | RPH |
| Practice Address |
16 E Main St Mascoutah IL 62258 |
| Mailing Address |
514 North Lebanon Mascoutah IL 62258 |
| Practice Telephone | 6185668521 |
| Practice Fax Number | 6185668318 |
| Mailing Telephone | 6185663885 |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | IL | Pharmacy Service Providers |
| Street Address |
16 E MAIN ST |
| City | MASCOUTAH |
| State | IL |
| Zip Code | 62258 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134609423 | Evers Pharmacy Inc | Pharmacy | 16 E Main St, Mascoutah, IL 62258-2133 | 2018-08-16 |
| 1639263585 | Jessi Weber | Pharmacist | 16 E Main St, Mascoutah, IL 62258 | 2006-10-03 |
| 1114970688 | Evers Pharmacy Inc | Pharmacy | 16 E Main St, Mascoutah, IL 62258 | 2006-05-18 |
| 1528011277 | Heidi Calvert | Pharmacist | 16 E Main St, Mascoutah, IL 62258 | 2006-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376683193 | Randy A Parmlee | Dentist | 104 E Main, Mascoutah, IL 62258 | 2007-02-08 |
| 1366431447 | Grange Nursing Home | Skilled Nursing Facility | 901 N 10th St, Mascoutah, IL 62258-1017 | 2005-10-20 |
| 1184266090 | Aperion Care Mascoutah LLC | Durable Medical Equipment & Medical Supplies | 901 N 10th St, Mascoutah, IL 62258-1017 | 2019-10-11 |
| 1013431824 | Aperion Care Mascoutah LLC | Durable Medical Equipment & Medical Supplies | 901 N 10th St, Mascoutah, IL 62258-1017 | 2017-08-02 |
| 1386925535 | Terrace On The Park, LLC | Skilled Nursing Facility | 901 N 10th St, Mascoutah, IL 62258-1017 | 2011-09-01 |
| 1881844504 | Jana Ann Rapp | Occupational Therapist | 901 N 10th St, Mascoutah, IL 62258-1017 | 2008-09-30 |
| 1336264795 | Jacqueline Schaller | Occupational Therapist | 901 N 10th St, Mascoutah, IL 62258-1017 | 2007-03-21 |
| 1992829444 | Jeannette M Saak | Physical Therapy Assistant | 901 N 10th St, Mascoutah, IL 62258-1017 | 2007-03-19 |
| 1104379395 | April Sturgill | Developmental Therapist | 1017 W Green St, Mascoutah, IL 62258-1032 | 2016-07-25 |
| 1760624985 | Jennipher Ann Vorhees | Counselor | 1238 W Main St, Mascoutah, IL 62258-1060 | 2009-04-02 |
| Find all providers in zip 62258 | ||||
| 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 |
|---|---|---|---|---|
| 1639263585 | Jessi Weber | Pharmacist | 16 E Main St, Mascoutah, IL 62258 | 2006-10-03 |
| 1528011277 | Heidi Calvert | Pharmacist | 16 E Main St, Mascoutah, IL 62258 | 2006-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760083414 | Cedomir Micic | Pharmacist | 1111 W 14th Pl Unit 126, Chicago, IL 60608-2796 | 2020-11-07 |
| 1831790674 | Cristopher Guzman | Pharmacist | 7122 40th St Ste 1, Stickney, IL 60402-5491 | 2020-11-06 |
| 1215538046 | Nancy Ann Blue | Pharmacist | 4101 N Vermilion St, Danville, IL 61834-5997 | 2020-11-06 |
| 1386245397 | Lynsey Perera | Pharmacist | 7610 N Orange Prairie Rd, Peoria, IL 61615-9324 | 2020-11-05 |
| 1629679899 | Rubegin F Torrevillas | Pharmacist | 731 Terry Rd, Glendale Heights, IL 60139-3330 | 2020-11-04 |
| 1730780214 | Rhonda Leigh Herrmann | Pharmacist | 13969 Moore Rd, Marion, IL 62959-6835 | 2020-11-03 |
| 1265033674 | Ghazala Raheel | Pharmacist | 4000 Route # 173, Zion, IL 60099 | 2020-11-03 |
| 1679174973 | Jeff Engwall | Pharmacist | 359 Knox Square Drive, Galesburg, IL 61401 | 2020-11-03 |
| 1609477280 | Marlene A Espinosa | Pharmacist | 2680 N, Il 83, Round Lake Beach, IL 60073 | 2020-11-02 |
| 1023619616 | Hetal Patel | Pharmacist | 3 S 100 Rt 53, Glen Ellyn, IL 60137 | 2020-11-02 |
| Find all providers with the same taxonomy | ||||
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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.