MRS. ELIZABETH DIANE SMITH (NPI# 1841512308) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841512308 |
| Entity Type | Individual |
| Full Name | MRS. ELIZABETH DIANE SMITH |
| Credential | RPH |
| Practice Address |
2909 Court St Pekin IL 61554-6203 |
| Practice Telephone | 3093475904 |
| Practice Fax Number | 3093476655 |
| Mailing Telephone | 3093475904 |
| Mailing Fax Number | 3093476655 |
| Enumeration Date | 2010-02-24 |
| Last Update Date | 2010-02-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 051-040432 | IL | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740896448 | Elizabeth Smith | Nurse Practitioner | 516 58th St Ne, Washington, DC 20019-6911 | 2020-09-17 |
| 1437760881 | Elizabeth Smith | Nurse Practitioner | 3631 Bienville Blvd Ste A, Ocean Springs, MS 39564-5702 | 2020-08-10 |
| 1265040323 | Elizabeth Smith | Behavior Technician | 329 Mesilla View Dr, Chaparral, NM 88081-7944 | 2020-07-15 |
| 1023636743 | Elizabeth Ann Smith | Physician Assistant | 1083 Delaware Ave Ste 1, Buffalo, NY 14209-1674 | 2020-07-09 |
| 1437706264 | Elizabeth Danielle Smith | Technician | 6571 Barren River Rd, Bowling Green, KY 42101-7905 | 2019-08-26 |
| 1649834722 | Elizabeth Blair Smith | Occupational Therapist | 12539 Natureview Cir, Bradenton, FL 34212-2984 | 2019-04-24 |
| 1831655653 | Elizabeth Smith | Massage Therapist | 495 W Avenida Cerca, Palm Springs, CA 92262-0695 | 2019-02-17 |
| 1881168011 | Elizabeth A Smith | Occupational Therapy Assistant | 11436 Se 89th Pl, Newcastle, WA 98056-2044 | 2019-01-22 |
| 1215412762 | Elizabeth Horne Smith | Social Worker | 3900 Roland Ave, Baltimore, MD 21211-2018 | 2018-10-01 |
| 1982187571 | Elizabeth Black Smith | Dietitian, Registered | 5821 Fairview Road, Suite 216, Charlotte, NC 28209 | 2018-09-11 |
| Street Address |
2909 COURT ST |
| City | PEKIN |
| State | IL |
| Zip Code | 61554-6203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619330990 | Kmart Corporation | Pharmacy | 2909 Court St, Pekin, IL 61554-6203 | 2016-04-03 |
| 1487084497 | Julie Wahmann | Pharmacist | 2909 Court St, Pekin, IL 61554-6203 | 2013-11-13 |
| 1902129992 | August Walter Duez | Pharmacist | 2909 Court St, Pekin, IL 61554-6203 | 2010-03-05 |
| 1588695639 | Kmart Stores of Illinois LLC | Pharmacy | 2909 Court St, Pekin, IL 61554-6203 | 2006-07-06 |
| 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 |
|---|---|---|---|---|
| 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 |
| 1487084497 | Julie Wahmann | Pharmacist | 2909 Court St, Pekin, IL 61554-6203 | 2013-11-13 |
| 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.