FRANK ANTHONY SERRA JR. (NPI# 1821369380) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1821369380 |
Entity Type | Individual |
Full Name | FRANK ANTHONY SERRA JR. |
Practice Address |
2955 18th Ave Rock Island IL 61201-4708 |
Mailing Address |
133 7th St Silvis IL 61282-1140 |
Practice Telephone | 3097864262 |
Enumeration Date | 2012-01-15 |
Last Update Date | 2012-01-15 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 183500000X | Pharmacist | 051029669 | IL | Pharmacy Service Providers |
Street Address |
2955 18TH AVE |
City | ROCK ISLAND |
State | IL |
Zip Code | 61201-4708 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275549750 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2955 18th Ave, Rock Island, IL 61201-4708 | 2006-08-01 |
1295347193 | Noah Ayika | Pharmacist | 2955 18th Ave, Rock Island, IL 61201-4708 | 2020-08-20 |
1750806527 | Haley Deering | Pharmacist | 2955 18th Ave, Rock Island, IL 61201-4708 | 2017-08-13 |
1235419847 | Andrew C Peterson | Pharmacist | 2955 18th Ave, Rock Island, IL 61201-4708 | 2011-08-26 |
1083994727 | Gretta Jo Anne Dalton | Pharmacist | 2955 18th Ave, Rock Island, IL 61201-4708 | 2011-08-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689206245 | Judy Kay Moore | Technician | 2439 8th Ave, Rock Island, IL 61201 | 2020-02-11 |
1053956862 | Christina Beam | Counselor | 1413 40th Street, Rock Island, IL 61201 | 2019-11-15 |
1356843817 | Stephanie Kaye Jones | Counselor | 2701 17th St., Rock Island, IL 61201 | 2018-03-01 |
1073062030 | Innovative Transport Enterprise, LLC | Non-emergency Medical Transport (VAN) | 2239 24th Street Apt 15c, Rock Island, IL 61201 | 2016-09-30 |
1124575733 | Robert Young Center | Community Based Residential Treatment Facility, Mental Illness | 2701 - 17 Street, Rockisland, IL 61201 | 2016-09-01 |
1538520903 | James Keith Frainey | Psychologist | 805 19th Street, Transitions Mhs, Rock Island, IL 61201 | 2016-03-14 |
1417340837 | Brandon Lee Sachwitz | Physician Assistant | 2701 17th Street, Trinity Medical Center, Rock Island, IL 61201 | 2015-03-10 |
1215366679 | Kimberly Lyall | Physical Therapy Assistant | 767 30th Street, Rock Island, IL 61201 | 2013-11-06 |
1386080745 | The Abbey Center, LLC | Clinic/Center | 3031 5th Ave., Rock Island, IL 61201 | 2013-05-13 |
1487097382 | Joe Lee Westerhof | Veterinarian | 2529 11th St, Rock Island, IL 61201 | 2013-04-10 |
Find all providers in zip 61201 |
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 |
---|---|---|---|---|
1255821179 | Jeremy Thomas Degroff | Pharmacist | 111 20th St Apt 605, Rock Island, IL 61201-8825 | 2018-05-16 |
1164683454 | Cindy J Griffith | Pharmacist | 3840 46th Ave, Rock Island, IL 61201-7137 | 2008-06-19 |
1831216118 | Richard James Moses | Pharmacist | 2524 18th Ave, Rock Island, IL 61201-4735 | 2007-03-23 |
1861006041 | Jennefer L Davis | Pharmacist | 3100 11th St, Rock Island, IL 61201-6706 | 2020-09-03 |
1295347193 | Noah Ayika | Pharmacist | 2955 18th Ave, Rock Island, IL 61201-4708 | 2020-08-20 |
1912519570 | Alvin Cheung | Pharmacist | 3100 11th St, Rock Island, IL 61201-6706 | 2020-08-17 |
1750806527 | Haley Deering | Pharmacist | 2955 18th Ave, Rock Island, IL 61201-4708 | 2017-08-13 |
1659707560 | Kayla Aleece Scott | Pharmacist | 3100 11th St, Rock Island, IL 61201-6706 | 2013-09-24 |
1194067264 | Leslie George Cramer | Pharmacist | 2930 18th Ave, Rock Island, IL 61201-4757 | 2013-03-26 |
1346510971 | James O'grady | Pharmacist | 3100 11th St, Rock Island, IL 61201-6706 | 2012-01-12 |
Find all providers in ROCK ISLAND |
City | ROCK ISLAND |
Zip Code | 61201 |
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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.