MR. THOMAS PAUL MARCOTTE (NPI# 1891838314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1891838314 |
Entity Type | Individual |
Full Name | MR. THOMAS PAUL MARCOTTE |
Credential | RPH |
Practice Address |
400 N Wall St Suite One Kankakee IL 60901-2940 |
Mailing Address |
6055 Darline Dr Saint Anne IL 60964-4381 |
Practice Telephone | 8159354356 |
Mailing Telephone | 8159375167 |
Mailing Fax Number | 8159354358 |
Enumeration Date | 2007-02-15 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 183500000X | Pharmacist | BR0933641 | IL | Pharmacy Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851781942 | Thomas David Marcotte | Clinical Neuropsychologist | 220 Dickinson St, Suite B, San Diego, CA 92103-2071 | 2015-01-28 |
1487637989 | Thomas Paul Marcotte | Nurse Anesthetist, Certified Registered | 298 Memorial Dr, Seneca, SC 29672-9443 | 2005-11-29 |
Street Address |
400 N WALL ST SUITE ONE |
City | KANKAKEE |
State | IL |
Zip Code | 60901-2940 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194781112 | Safwat G. Iskander | Pediatrics | 400 N Wall St, Suite 312, Kankakee, IL 60901-2940 | 2006-04-26 |
1982076329 | Cross Country Home Health LLC | Home Health | 400 N Wall St, Ste 308, Kankakee, IL 60901-2940 | 2015-10-26 |
1770905093 | Yalamanchili Obgyn Sc | Obstetrics & Gynecology | 400 N Wall St, Suite 403, Kankakee, IL 60901-2940 | 2014-01-07 |
1851683528 | Cheryl Ann Olofsson | Registered Nurse | 400 N Wall St, Suite 510, Kankakee, IL 60901-2940 | 2011-05-12 |
1982928917 | Adam M Weaver | Physician Assistant | 400 N Wall St, Suite 402, Kankakee, IL 60901-2940 | 2010-03-19 |
1962677450 | S David Lang Md Limited | Surgery | 400 N Wall St, Ste 410, Kankakee, IL 60901-2963 | 2008-04-25 |
1831229574 | Neurology Ltd | Psychiatry & Neurology | 400 N Wall St, #507, Kankakee, IL 60901-2965 | 2007-03-06 |
1740323096 | Oakside Corporation | Pharmacy | 400 N Wall St, Suite One, Kankakee, IL 60901-2940 | 2007-02-15 |
1356488621 | Regan Lane Kendregan | Family Medicine | 400 N Wall St, Ste 510, Kankakee, IL 60901-2940 | 2007-01-30 |
1205910114 | Terrill Applewhite | Internal Medicine | 400 N Wall St, Suite 308, Kankakee, IL 60901-2940 | 2006-10-25 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558978841 | William Mitsos Dds | Dentist | 1291 S. 7th Ave, Kankakee, IL 60901 | 2020-09-30 |
1922653682 | Jody Mcguyer, Lcpc, Cadc Counseling Services, LLC | Counselor | 315 W. Court St., Kankakee, IL 60901 | 2019-08-08 |
1700346327 | Sarah Elizabeth Toma | Speech-Language Pathologist | 200 E Court St #708, Kankakee, IL 60901 | 2019-03-20 |
1710473160 | Small Talk Speech Services, LLC | Clinic/Center | 1439 W Vanmeter St, Kankakee, IL 60901 | 2018-07-09 |
1124538004 | Amy J Green | Physical Therapist | 350 N. Wall Street, Kankakee, IL 60901 | 2017-10-05 |
1013457514 | Elizabeth Ann Smith | Registered Nurse | 292 Charlton Lane, Kankakee, IL 60901 | 2017-03-02 |
1861931461 | Stacey E. Brown | Nurse Practitioner | 207 N. Schuyler Ave., Kankakee, IL 60901 | 2017-02-15 |
1417352105 | Provider Healthcare Services, Inc | Home Health | 555 South Schuyler, Suite 275, Kankakee, IL 60901 | 2014-10-24 |
1265850655 | Ronald George Testa | Dentist | 202 N. Schuyler Ave, Kankakee, IL 60901 | 2014-04-02 |
1245587898 | Mary Beth Wertz | Registered Nurse | 100 N Jeffery Street, Kankakee, IL 60901 | 2012-08-13 |
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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 |
---|---|---|---|---|
1114202785 | Kyle L Miller | Pharmacist | 1700 E Court St, Kankakee, IL 60901-2671 | 2011-10-14 |
1437432747 | Vicki Jean Huber | Pharmacist | 1073 N Western Hills Dr, Kankakee, IL 60901-7482 | 2011-09-22 |
1700487121 | Alexis G Mcconkey | Pharmacist | 505 Riverstone Pkwy, Kankakee, IL 60901-7207 | 2020-11-03 |
1578163457 | David Leneil Troupe | Pharmacist | 505 Riverstone Pkwy, Kankakee, IL 60901-7207 | 2020-10-29 |
1013539683 | Megan L Lucas | Pharmacist | 350 N Wall St, Kankakee, IL 60901-2991 | 2020-05-17 |
1801366240 | Danielle D Nunley | Pharmacist | 446 S Washington Ave, Kankakee, IL 60901-3744 | 2018-11-28 |
1396274403 | Erica Ternig-greco | Pharmacist | 500 N Wall St Ste C100, Kankakee, IL 60901-2942 | 2017-06-12 |
1720435894 | Matthew Kline | Pharmacist | 446 S Washington Ave, Kankakee, IL 60901-3744 | 2016-05-18 |
1255737300 | Antonio Burrowes Jr. | Pharmacist | 446 S Washington Ave, Kankakee, IL 60901-3744 | 2014-11-17 |
1578971560 | Richard Fosen | Pharmacist | 505 Riverstone Pkwy, Kankakee, IL 60901-7207 | 2014-07-23 |
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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.