JESSICA CHRISTIN MUELLER (NPI# 1821371253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821371253 |
| Entity Type | Individual |
| Full Name | JESSICA CHRISTIN MUELLER |
| Credential | PHARMD |
| Practice Address |
704 Cambridge Blvd O Fallon IL 62269-1964 |
| Practice Telephone | 6186326920 |
| Enumeration Date | 2011-09-22 |
| Last Update Date | 2011-09-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 2011028731 | MO | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | 051295003 | IL | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922527282 | Jessica Mueller | Counselor | 67 Main St Ste 2a, Oswego, IL 60543-8592 | 2017-09-18 |
| 1952750697 | Jessica Mueller | Psychologist | 3310 S Center St, Braceville, IL 60407-9779 | 2016-06-03 |
| 1487038337 | Jessica Mueller | Physical Therapist | 101 S Saints Blvd Ste 116, Edmond, OK 73034-3082 | 2015-07-09 |
| 1104196401 | Jessica R Mueller | Dietitian, Registered | 20 Evergreen Dr, Lodi, CA 95242-8307 | 2012-01-04 |
| 1689228355 | Jessica Mueller | Social Worker | 17222 Hospital Blvd Ste 226, Brooksville, FL 34601-8925 | 2019-07-30 |
| 1043773245 | Jessica Lynn Mueller | Student in an Organized Health Care Education/Training Program | 77 Goodell St Ste 340, Buffalo, NY 14203-1243 | 2019-04-13 |
| 1992295240 | Jessica Lee Mueller | Student in an Organized Health Care Education/Training Program | 55 Fruit St, Boston, MA 02114-2621 | 2018-05-12 |
| 1366959066 | Jessica K Mueller | Psychologist | 1600 Rockland Rd, Wilmington, DE 19803-3607 | 2018-01-03 |
| 1053846998 | Jessica Lynn Mueller | Social Worker | 13800 Veterans Way, Orlando, FL 32827-7401 | 2017-04-28 |
| 1417203449 | Jessica Mueller | Physical Therapy Assistant | 480 S Willard St, Cottonwood, AZ 86326-4128 | 2012-07-27 |
| Street Address |
704 CAMBRIDGE BLVD |
| City | O FALLON |
| State | IL |
| Zip Code | 62269-1964 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508871773 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 704 Cambridge Blvd, O Fallon, IL 62269-1964 | 2006-07-29 |
| 1053932285 | Danika Ann Kingsley | Pharmacist | 704 Cambridge Blvd, O Fallon, IL 62269-1964 | 2020-04-28 |
| 1508381955 | Zachary J Madej | Pharmacist | 704 Cambridge Blvd, O Fallon, IL 62269-1964 | 2017-08-07 |
| 1861776437 | Amanda L Rauen | Pharmacist | 704 Cambridge Blvd, O Fallon, IL 62269-1964 | 2011-09-30 |
| 1114209897 | Amanda K Randazzo | Pharmacist | 704 Cambridge Blvd, O Fallon, IL 62269-1964 | 2011-09-19 |
| 1285916965 | Nicole L Mcbride | Pharmacist | 704 Cambridge Blvd, O Fallon, IL 62269-1964 | 2011-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648155 | Kayla Revermann | Pharmacist | 1350 W Us Highway 50, Pharmacy, O Fallon, IL 62269 | 2020-10-30 |
| 1942814272 | Ashley Monique Gibson | Behavior Technician | Eagle Center, Ste 10, Ofallon, IL 62269 | 2020-09-03 |
| 1013533819 | Michelle Denise Voudrie | Registered Nurse | 321 Regency Park, O'fallon, IL 62269 | 2020-06-18 |
| 1598398455 | Washington University Physicians In Illinois - Cancer Center Pharmacy | Pharmacy | 1418 Cross Street, Suite 180, Shiloh, IL 62269 | 2020-02-19 |
| 1962063800 | Gerald Paskert | Pharmacist | 122 W. State St., O'fallon, IL 62269 | 2019-06-21 |
| 1780144808 | Bonnie Jean Lampe | Physical Therapy Assistant | 316 Donna Dr, O'fallon, IL 62269 | 2019-03-24 |
| 1134633993 | Latisha Smith | Psychologist | 600 S. Smiley St., O'fallon, IL 62269 | 2017-11-30 |
| 1619407210 | Brenna M Thomas | Registered Nurse | 1310 Engle Ct, O'fallon, IL 62269 | 2017-06-15 |
| 1881135622 | Pc Associates, LLC | Family Medicine | 800 East Highway 50, O'fallon, IL 62269 | 2017-03-13 |
| 1700230539 | Jennifer Farrell | Family Medicine | 3 St. Elizabeth's Blvd, Ste. 4000, O'fallon, IL 62269 | 2016-04-18 |
| Find all providers in zip 62269 | ||||
| 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 |
|---|---|---|---|---|
| 1326648155 | Kayla Revermann | Pharmacist | 1350 W Us Highway 50, Pharmacy, O Fallon, IL 62269 | 2020-10-30 |
| 1376194134 | Michael Charles Cornwall | Pharmacist | 21 Shallowbrook Dr, O Fallon, IL 62269-1214 | 2019-09-24 |
| 1023594249 | Brandon Frey | Pharmacist | 907 E Highway 50, O Fallon, IL 62269-2856 | 2018-07-11 |
| 1235677170 | Shannon Carlisle | Pharmacist | 2605 Mclean Ct, O Fallon, MO 63368-7611 | 2017-02-10 |
| 1558702050 | Katherine Michelle Derickson | Pharmacist | 247 Pheasant Point Blvd, O Fallon, MO 63368-7311 | 2013-07-12 |
| 1013262039 | Charles Smith | Pharmacist | 601 W Falls Ct, O Fallon, MO 63368-9646 | 2012-07-16 |
| 1457626384 | Jennifer Conrad | Pharmacist | 7776 Winghaven Blvd, O Fallon, MO 63368-3601 | 2012-03-10 |
| 1891071668 | Lisa L Houston | Pharmacist | 24 Sterling Crossing Ct, O Fallon, MO 63368-7367 | 2011-10-25 |
| 1053694158 | Walgreens | Pharmacist | 106 Huntington Crossing Dr, O Fallon, MO 63376-4271 | 2011-09-25 |
| 1366725616 | Anthony P Webb | Pharmacist | 801 Highway K, O Fallon, MO 63366-2996 | 2011-09-23 |
| Find all providers in O FALLON | ||||
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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.