DR. JASON NASH (NPI# 1790065381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790065381 |
| Entity Type | Individual |
| Full Name | DR. JASON NASH |
| Credential | PHARMD |
| Practice Address |
1400 Broadway St Pekin IL 61554-3879 |
| Practice Telephone | 3093467880 |
| Practice Fax Number | 3093461349 |
| Mailing Telephone | 3093467880 |
| Mailing Fax Number | 3093461349 |
| Enumeration Date | 2011-08-26 |
| Last Update Date | 2011-08-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 051292676 | IL | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043313984 | Jason S Nash | Optometrist | 2721 Fairview Blvd, Suite 105, Fairview, TN 37062-9088 | 2006-09-06 |
| 1376812834 | Jason Mark Nash | Pharmacist | 3280 Howell Mill Rd Nw, Suite 326, Atlanta, GA 30327-4111 | 2011-12-29 |
| 1407961576 | Jason William Nash | Pathology | 410 W 10th Ave, E403 Doan Hall, Columbus, OH 43210-1240 | 2006-08-20 |
| Street Address |
1400 BROADWAY ST |
| City | PEKIN |
| State | IL |
| Zip Code | 61554-3879 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063427292 | Walgreen Co | Pharmacy | 1400 Broadway St, Pekin, IL 61554-3879 | 2006-07-29 |
| 1669086906 | Hany Tekel | Pharmacist | 1400 Broadway St, Pekin, IL 61554-3800 | 2020-09-03 |
| 1841534039 | Nishath Farooqui | Pharmacist | 1400 Broadway St, Pekin, IL 61554-3879 | 2012-11-12 |
| 1053693036 | Saritha Chodavarapu | Pharmacist | 1400 Broadway St, Pekin, IL 61554-3879 | 2011-09-15 |
| 1730469487 | Rhonda Diane Jockisch | Pharmacist | 1400 Broadway St, Pekin, IL 61554-3879 | 2011-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194279000 | Shauna L Bivens | Nurse Practitioner | 3400 Griffin Ave., Pekin, IL 61554 | 2016-08-09 |
| 1720349780 | Neal Family Chiropractic PC | Chiropractor | 2978 Court St., Pekin, IL 61554 | 2012-06-06 |
| 1366750671 | Dennis Kammerer Stoller | Dentist | 1608 Broadway, Pekin, IL 61554 | 2010-09-21 |
| 1013186683 | Tazwood Mental Health Center, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1421 Valle Vista Blvd, Pekin, IL 61554 | 2008-02-27 |
| 1568631133 | Tazwood Mental Health Center, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1425 Valle Vista Blvd, Pekin, IL 61554 | 2008-02-27 |
| 1689856312 | Pekin Supportive Living Limited Patnership | Assisted Living Facility | 1320 Executive Court, Pekin, IL 61554 | 2007-12-05 |
| 1205034824 | Winfield Curtis Morgan | Dentist | 1503 Valle Vista, Pekin, IL 61554 | 2007-07-05 |
| 1376769638 | Debra Mollie Davis | Registered Nurse | 2079 Edgewater Dr, Pekin, IL 61554 | 2007-04-17 |
| 1649308230 | Tazewell County Health Department -dental Health Center | Public Health or Welfare | 135 Radio City Drive, Suite A & B, North Pekin, IL 61554 | 2007-03-02 |
| 1528118239 | Jerry Lee Marshall | Dentist | 135a-b Radio City Drive, North Pekin, IL 61554 | 2007-01-12 |
| Find all providers in zip 61554 | ||||
| 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 |
|---|---|---|---|---|
| 1841512308 | Elizabeth Diane Smith | Pharmacist | 2909 Court St, Pekin, IL 61554-6203 | 2010-02-24 |
| 1366562670 | William Gould | Pharmacist | 2600 S 2nd St, Pekin, IL 61554-8297 | 2007-03-30 |
| 1598365918 | Cambrea Hendricks | Pharmacist | 3320 Veterans Dr, Pekin, IL 61554-9319 | 2020-10-26 |
| 1215537741 | Alex Hunt | Pharmacist | 3320 Veterans Dr, Pekin, IL 61554-9317 | 2020-10-26 |
| 1861091472 | Whitney Nicole Biggs | Pharmacist | 3320 Veterans Dr, Pekin, IL 61554-9319 | 2020-10-23 |
| 1669086906 | Hany Tekel | Pharmacist | 1400 Broadway St, Pekin, IL 61554-3800 | 2020-09-03 |
| 1275166746 | Eleni Holder | Pharmacist | 3320 Veterans Dr, Pekin, IL 61554-9317 | 2020-02-12 |
| 1366089146 | Daniel Powell | Pharmacist | 1607 Broadway St, Pekin, IL 61554-3805 | 2019-11-29 |
| 1063058253 | Janice Rae Moldenhauer | Pharmacist | 1607 Broadway St, Pekin, IL 61554-3805 | 2019-11-22 |
| 1689076523 | Suzanne Belcher | Pharmacist | 3320 Veterans Dr, Pekin, IL 61554-9317 | 2014-09-23 |
| Find all providers in PEKIN | ||||
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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.