MR. DWAYNE KERRY HALL (NPI# 1811267933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811267933 |
| Entity Type | Individual |
| Full Name | MR. DWAYNE KERRY HALL |
| Credential | RPH |
| Practice Address |
4889 Sauk Trl Richton Park IL 60471-1017 |
| Practice Telephone | 7086790598 |
| Practice Fax Number | 7086790948 |
| Mailing Telephone | 7087486115 |
| Mailing Fax Number | 7087486119 |
| Enumeration Date | 2012-01-05 |
| Last Update Date | 2012-01-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 051.036399 | IL | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 361924025786 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821486663 | Dwayne Edward Hall Jr. | Emergency Medical Technician, Basic | 8110 Us Route 60, Ashland, KY 41102-9522 | 2015-01-01 |
| 1003933847 | Dwayne Preston Hall | Dentist | 5944 Stetson Hills Blvd, Ste 100, Colorado Springs, CO 80922-2504 | 2007-03-25 |
| Street Address |
4889 SAUK TRL |
| City | RICHTON PARK |
| State | IL |
| Zip Code | 60471-1017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629083811 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 4889 Sauk Trl, Richton Park, IL 60471-1017 | 2006-07-29 |
| 1033494646 | Anthony Armstrong | Pharmacist | 4889 Sauk Trl, Richton Park, IL 60471-1017 | 2011-10-14 |
| 1861777419 | Mia Johnsonmighty | Pharmacist | 4889 Sauk Trl, Richton Park, IL 60471-1017 | 2011-10-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386119501 | Welllife Behavioral Services, LLC | Social Worker | 4137 Sauk Trail, Suite 100, Richton Park, IL 60471 | 2018-10-04 |
| 1891149332 | Wal-mart Stores, Inc. | Technician/Technologist | 22401 Central Avenue, Richton Park, IL 60471 | 2016-04-21 |
| 1689049744 | Lauren Michelle Jackson | Counselor | 1046 Lioncrest Drive, Richton Park, IL 60471 | 2015-12-01 |
| 1326420092 | Denny's Health Care Services Inc | In Home Supportive Care | 4912 Arquilla Drive, Richton Park, IL 60471 | 2015-06-18 |
| 1538312475 | Illinois Behavioral Services Inc | Psychologist | 276 E 16th Street, Chicago Heights, IL 60471 | 2008-10-23 |
| 1588876601 | Getting To Know Me & My World | Home Health | 22006 Jordan Lane, Richton Park, IL 60471 | 2007-05-03 |
| 1982711990 | Camille Yolanda Humes | Counselor | 4511 Sauk Trail, Richton Park, IL 60471 | 2006-08-24 |
| 1003329657 | Elizabeth Eileen Mcelligott | Speech-Language Pathologist | 5000 Sauk Trl, Richton Park, IL 60471-1000 | 2017-11-06 |
| 1447530852 | Custom Healing and Wellness Inc | Clinic/Center | 5111 Sauk Trl Ste F, Suite F, Richton Park, IL 60471-1060 | 2011-08-17 |
| 1013376185 | Dove Mandela | Home Health | 22232 Rockingham Rd, Richton Park, IL 60471-1119 | 2016-02-18 |
| Find all providers in zip 60471 | ||||
| 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 |
|---|---|---|---|---|
| 1730780081 | Cheryl James | Pharmacist | 22401 Central Ave, Richton Park, IL 60471-2062 | 2020-11-03 |
| 1033494646 | Anthony Armstrong | Pharmacist | 4889 Sauk Trl, Richton Park, IL 60471-1017 | 2011-10-14 |
| 1861777419 | Mia Johnsonmighty | Pharmacist | 4889 Sauk Trl, Richton Park, IL 60471-1017 | 2011-10-14 |
| 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 | ||||
| City | RICHTON PARK |
| Zip Code | 60471 |
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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.