DR. ASHLEY THAIS (NPI# 1902101017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902101017 |
| Entity Type | Individual |
| Full Name | DR. ASHLEY THAIS |
| Credential | PHARMD |
| Practice Address |
3035 E Mound Rd Decatur Cboc Decatur IL 62526-9650 |
| Practice Telephone | 2178752670 |
| Mailing Telephone | 2178752670 |
| Enumeration Date | 2011-01-20 |
| Last Update Date | 2011-01-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
051294517 | IL | Pharmacy Service Providers |
| Street Address |
3035 E MOUND RD DECATUR CBOC |
| City | DECATUR |
| State | IL |
| Zip Code | 62526-9650 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518978972 | Kerri Ann Dixon | Registered Nurse | 3035 E Mound Rd, Decatur, IL 62526-9650 | 2006-08-11 |
| 1578941589 | Anina Blankenship | Social Worker | 3035 E Mound Rd, Decatur, IL 62526-9650 | 2015-05-11 |
| 1366771339 | Amber Teresa Clark | Social Worker | 3035 E Mound Rd, Decatur, IL 62526-9650 | 2009-12-21 |
| 1457582389 | Jessica Marie Johnson | Optometrist | 3035 E Mound Rd, Decatur, IL 62526-9650 | 2009-07-27 |
| 1538398656 | Department of Veterans Affairs | Clinic/Center | 3035 E Mound Rd, Decatur, IL 62526-9650 | 2009-07-10 |
| 1518065119 | Janet L. Whitehead | Social Worker | 3035 E Mound Rd, Decatur, IL 62526-9650 | 2006-09-20 |
| 1679675490 | Kathryn F Fair | Psychologist | 3035 E Mound Rd, Decatur, IL 62526-9650 | 2006-09-02 |
| 1043323793 | Veteran's Administration | Clinic/Center | 3035 E Mound Rd, Decatur, IL 62526-9650 | 2006-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083100804 | Coalition | Non-emergency Medical Transport (VAN) | 2375 N Longwood Dr, Decatur, IL 62526 | 2018-07-04 |
| 1881116820 | Bria N Howard | Nurse's Aide | 606 E Warren St. Apt 609, Decatur, IL 62526 | 2017-07-12 |
| 1437683679 | Lutheran Child and Family Services | Foster Care Agency | 2826 N. Monroe Street, Decatur, IL 62526 | 2017-04-14 |
| 1083166326 | Whitney Miller | Pharmacist | 225 East Ash Ave, Decatur, IL 62526 | 2016-11-03 |
| 1487053369 | Central Illinois Health Associates, Inc | Preferred Provider Organization | 2300 N. Edward Street, Decatur, IL 62526 | 2014-08-18 |
| 1659787893 | Stephanie Marie Kanitsch | Obstetrics & Gynecology | 544 W Pershing Rd Ste A, Decatur, IL 62526 | 2014-07-09 |
| 1497169973 | Brian Hassinger | Audiologist-Hearing Aid Fitter | 2605 N Water St Ste 101, Decatur, IL 62526 | 2014-06-12 |
| 1891041570 | Decatur 2016 LLC | Dentist | 141 Epershing Rd, Decatur, IL 62526 | 2012-07-31 |
| 1558639005 | Larry Lee Christensen | Pharmacist | 225 Ash Ave, Decatur, IL 62526 | 2011-12-12 |
| 1174821540 | Nathan Pyle | Internal Medicine | 2 Memorial Dr Ste 101, Decatur, IL 62526 | 2011-03-08 |
| Find all providers in zip 62526 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053927988 | Caleb David Braasch | Pharmacist | 1818 South Airport Rd, Decatur, IL 62521 | 2020-09-16 |
| 1598320822 | Steven Maddox | Pharmacist | 800 Suite A Medical Center Dr, Decatur, TX 76234-7623 | 2019-05-02 |
| 1457693632 | Jasper W Watkins IIi | Pharmacist | 1670 Clairmont Rd # 119, Decatur, GA 30033-4004 | 2013-03-26 |
| 1932488293 | Chanel Ryan | Pharmacist | 3088 Lauren Parc Rd, Decatur, GA 30032-3632 | 2011-08-04 |
| 1154921211 | Vinay Soni | Pharmacist | 4224 N Prospect Dr, Decatur, IL 62526-6100 | 2020-10-28 |
| 1083213086 | Catherine Richardson | Pharmacist | 4915 Flat Shoals Pkwy, Decatur, GA 30034-5210 | 2020-10-21 |
| 1376141093 | Mercy E Uzor | Pharmacist | 4915 Flat Shoals Pkwy, Decatur, GA 30034-5210 | 2020-10-14 |
| 1093342404 | Abigail Rose Lewis | Pharmacist | 2875 N Decatur Rd, Decatur, GA 30033-5911 | 2020-03-25 |
| 1033743000 | Asefa Teferra | Pharmacist | 2385 Wesley Chapel Rd, Decatur, GA 30035-2803 | 2020-02-27 |
| 1487287025 | Allyson Lynnae Anglin | Pharmacist | 3479 Memorial Dr, Decatur, GA 30032-2735 | 2020-02-21 |
| Find all providers in DECATUR | ||||
Please comment or provide details below to improve the information on DR. ASHLEY THAIS.
| 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.