KANDY KAYE WILLIS (NPI# 1770705824) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770705824 |
| Entity Type | Individual |
| Full Name | KANDY KAYE WILLIS |
| Credential | RPH |
| Practice Address |
#6 Ferrell Road Rosiclare IL 62982 |
| Mailing Address |
Rr 1 Box 89b Cave In Rock IL 62919 |
| Practice Telephone | 6182856634 |
| Enumeration Date | 2007-05-02 |
| 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 |
#6 FERRELL ROAD |
| City | ROSICLARE |
| State | IL |
| Zip Code | 62982 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588018188 | Cheryl Hicks | Nurse Practitioner | 6 Ferrell Rd, Rosiclare, IL 62982 | 2016-04-20 |
| 1982992426 | Megan Leahy | Speech-Language Pathologist | 55 Ferrell Road, Rosiclare, IL 62982 | 2011-07-19 |
| 1952555658 | Petersen Health Operations, LLC | Skilled Nursing Facility | Rt 1 Ferrel Rd, Rosiclaire, IL 62982 | 2008-11-07 |
| 1447441308 | Southern Illinois Oxygen, Inc | Durable Medical Equipment & Medical Supplies | Rr 146, Rosiclare, IL 62982 | 2007-08-06 |
| 1659405850 | Petersen Health Network, LLC | Nursing Facility/Intermediate Care Facility | 201 Spring Street, Rosiclare, IL 62982 | 2007-03-16 |
| 1700986114 | Della Darlene Pugh | Durable Medical Equipment & Medical Supplies | Junction 34 & Rte 146, Rosiclare, IL 62982 | 2006-09-25 |
| 1609892793 | Rosiclare Hco, LLC | Skilled Nursing Facility | Route1, Box 55a, Rosiclare, IL 62982 | 2006-07-14 |
| 1255331625 | Marcos N Sunga Jr. | Internal Medicine | 1 Ferrell Rd, Rosiclare, IL 62982 | 2005-07-28 |
| 1376543702 | Eladio M Chatto | Internal Medicine | 6 Ferrell Rd., Rosiclare, IL 62982 | 2005-07-28 |
| 1538165600 | Hardin County General Hospital | General Acute Care Hospital | 6 Ferrell Road, Rosiclare, IL 62982 | 2005-06-23 |
| Find all providers in zip 62982 | ||||
| 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 |
|---|---|---|---|---|
| 1154481869 | William Richard Wilborn | Pharmacist | # 7 Ferrell Rd, Box 37, Rosiclare, IL 62982-0037 | 2006-12-11 |
| 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.