MRS. ELAINE S TATE (NPI# 1912282641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912282641 |
| Entity Type | Individual |
| Full Name | MRS. ELAINE S TATE |
| Credential | PHARM D |
| Practice Address |
891 S. Route 59 Bartlett IL 60103 |
| Mailing Address |
891 S Route 59 Bartlett IL 60103 |
| Practice Telephone | 6302135995 |
| Mailing Telephone | 6302135995 |
| Enumeration Date | 2011-10-13 |
| Last Update Date | 2011-10-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 051-037535 | IL | Pharmacy Service Providers |
| Street Address |
891 S. ROUTE 59 |
| City | BARTLETT |
| State | IL |
| Zip Code | 60103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467916593 | Nicole Taylor Gerdevich | Specialist/Technologist | 1302 Branden Lane, Bartlett, IL 60103 | 2019-01-23 |
| 1154817823 | Ada Oguejiofor | Registered Nurse | 269 Norway Drive, Bartlett, IL 60103 | 2018-07-06 |
| 1295153765 | Paul Alegro | Physical Therapy Assistant | 810 Seacrest Lane, Bartlett, IL 60103 | 2014-04-02 |
| 1184051211 | John Katsis | Dentist | 110 S. Oak Avenue, Bartlett, IL 60103 | 2013-10-03 |
| 1356786743 | Rajiv Puri PC | Dentist | 849 S Route 59, Bartlett, IL 60103 | 2013-04-30 |
| 1356786784 | Gilbert Noble Bael | Physical Therapist | 829 Carillon Drive, Bartlett, IL 60103 | 2013-04-29 |
| 1104108968 | Sonal Vyas | Pharmacist | 891 S. Route 59, Bartlett, IL 60103 | 2011-09-16 |
| 1144502261 | Les Edward Wingert | Pharmacist | 891 South Route 59, Bartlett, IL 60103 | 2011-09-14 |
| 1629389564 | Hope Hebert | Counselor | 364 Sundance Drive, Bartlett, IL 60103 | 2010-06-25 |
| 1437383882 | Jennifer L. Bryant | Physical Therapist | 1110 W. Schick Rd., Bartlett, IL 60103 | 2009-05-13 |
| Find all providers in zip 60103 | ||||
| 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 |
|---|---|---|---|---|
| 1780151092 | Stephen R Hadley | Pharmacist | 3090 Kirby Whitten Rd, Bartlett, TN 38134 | 2018-10-25 |
| 1487142048 | David Charles Riddle | Pharmacist | 8400 Hwy 64, Bartlett, TN 38133 | 2018-04-28 |
| 1568836021 | Sabeen Rizvi Abid | Pharmacist | 1452 Quincy Bridge Ct, Bartlett, IL 60103-1811 | 2015-11-20 |
| 1083082143 | Nishant Bipin Thakkar | Pharmacist | 1347 Hunter Dr, Bartlett, IL 60103-1828 | 2015-09-07 |
| 1861860181 | Micahel Austria | Pharmacist | 4460 Andaman Cv, Bartlett, TN 38135-1124 | 2015-09-03 |
| 1285079475 | Marshall Keith Faust | Pharmacist | 3613 Stonehenge Cv N, Bartlett, TN 38135-3088 | 2013-05-01 |
| 1477804532 | Khalil Rahman | Pharmacist | 969 Reading St, Bartlett, IL 60103-4558 | 2012-09-28 |
| 1669728143 | Suzanne P Tagg | Pharmacist | 5724 Stage Rd Ste B, Bartlett, TN 38134 | 2012-08-02 |
| 1457626087 | David F Rainey | Pharmacist | 7428 Overcreek Ln, Bartlett, TN 38133-2602 | 2012-03-15 |
| 1902180615 | Robert S Liles | Pharmacist | 4201 Sunny Meadows Rd, Bartlett, TN 38135-0414 | 2011-09-30 |
| Find all providers in BARTLETT | ||||
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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.