ROBERT GOLLON (NPI# 1952788341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952788341 |
| Entity Type | Individual |
| Full Name | ROBERT GOLLON |
| Credential | RPH |
| Practice Address |
116 W State St Nokomis IL 62075-1657 |
| Practice Telephone | 2175632701 |
| Practice Fax Number | 2175638337 |
| Mailing Telephone | 2175632701 |
| Mailing Fax Number | 2175638337 |
| Enumeration Date | 2015-05-05 |
| Last Update Date | 2015-05-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 051034473 | IL | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 371329894001 | 05 |
| Street Address |
116 W STATE ST |
| City | NOKOMIS |
| State | IL |
| Zip Code | 62075-1657 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477632826 | Robert Gollon | Pharmacy | 116 W State St, Nokomis, IL 62075-1657 | 2006-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245424480 | Nicole Tonette Stauder | Physical Therapist | 505 Stevens St., Nokomis Rehabiitation and Health Care Center, Nokomis, IL 62075 | 2007-08-30 |
| 1114016888 | Nokomis-witt Area Ambulance Service Inc | Ambulance | 10 Brandon Lane, Nokomis, IL 62075 | 2006-10-12 |
| 1164560850 | Nokomis Cusd 22 | Local Education Agency (LEA) | 511 Oberle St, Nokomis, IL 62075-1015 | 2007-02-02 |
| 1659404721 | Alpha Omega Consulting, Inc. | Intermediate Care Facility, Mentally Retarded | 215 N Walnut St, Nokomis, IL 62075-1252 | 2007-03-14 |
| 1154833911 | Lauren E Mahan | Speech-Language Pathologist | 110 W Hamilton St, Nokomis, IL 62075-1266 | 2017-11-01 |
| 1366453862 | Jac Stores Inc | Pharmacy | 110 E State St, Nokomis, IL 62075-1340 | 2006-08-10 |
| 1134387988 | Hillsboro Medical Center At Nokomis Lab | Clinical Medical Laboratory | 105 S State Street, Nokomis, IL 62075-1341 | 2008-05-29 |
| 1922285600 | Springfield Clinic, LLP | Clinic/Center | 105 E State St, Nokomis, IL 62075-1341 | 2008-01-25 |
| 1073743837 | Hillsboro Medical Center At Nokomis Lab | Clinical Medical Laboratory | 105 E State St, Nokomis, IL 62075-1341 | 2009-07-15 |
| 1952399255 | Petersen Health Network, LLC | Skilled Nursing Facility | 505 Stevens St, Nokomis, IL 62075-1442 | 2005-10-11 |
| Find all providers in zip 62075 | ||||
| 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 |
|---|---|---|---|---|
| 1043784291 | Jeffrey E Young | Pharmacist | 1095 Tamiami Trl N Ste B, Nokomis, FL 34275-2117 | 2019-01-21 |
| 1164808424 | Kimberly Reschenthaler | Pharmacist | 608 Elba Dr, Nokomis, FL 34275-2732 | 2015-08-09 |
| 1851855977 | Robert Weltig | Pharmacist | 1095 Tamiami Trl N Ste B, Nokomis, FL 34275-2117 | 2019-01-23 |
| 1982974127 | Randal Wayne Phillips | Pharmacist | 1120 Tamiami Trl N, Nokomis, FL 34275-2158 | 2012-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760083414 | Cedomir Micic | Pharmacist | 1111 W 14th Pl Unit 126, Chicago, IL 60608-2796 | 2020-11-07 |
| 1831790674 | Cristopher Guzman | Pharmacist | 7122 40th St Ste 1, Stickney, IL 60402-5491 | 2020-11-06 |
| 1215538046 | Nancy Ann Blue | Pharmacist | 4101 N Vermilion St, Danville, IL 61834-5997 | 2020-11-06 |
| 1386245397 | Lynsey Perera | Pharmacist | 7610 N Orange Prairie Rd, Peoria, IL 61615-9324 | 2020-11-05 |
| 1629679899 | Rubegin F Torrevillas | Pharmacist | 731 Terry Rd, Glendale Heights, IL 60139-3330 | 2020-11-04 |
| 1730780214 | Rhonda Leigh Herrmann | Pharmacist | 13969 Moore Rd, Marion, IL 62959-6835 | 2020-11-03 |
| 1265033674 | Ghazala Raheel | Pharmacist | 4000 Route # 173, Zion, IL 60099 | 2020-11-03 |
| 1679174973 | Jeff Engwall | Pharmacist | 359 Knox Square Drive, Galesburg, IL 61401 | 2020-11-03 |
| 1609477280 | Marlene A Espinosa | Pharmacist | 2680 N, Il 83, Round Lake Beach, IL 60073 | 2020-11-02 |
| 1023619616 | Hetal Patel | Pharmacist | 3 S 100 Rt 53, Glen Ellyn, IL 60137 | 2020-11-02 |
| Find all providers with the same taxonomy | ||||
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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.