DOUGLAS GOSSEN (NPI# 1972769321) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972769321 |
| Entity Type | Individual |
| Full Name | DOUGLAS GOSSEN |
| Credential | R.PH. |
| Practice Address |
2051 Ridge Rd Minooka IL 60447-8801 |
| Practice Telephone | 8154671254 |
| Mailing Telephone | 8154671254 |
| Enumeration Date | 2008-08-05 |
| Last Update Date | 2008-08-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 051035801 | IL | Pharmacy Service Providers |
| Street Address |
2051 RIDGE RD |
| City | MINOOKA |
| State | IL |
| Zip Code | 60447-8801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811944366 | American Drug Stores LLC | Durable Medical Equipment & Medical Supplies | 2051 Ridge Rd, Minooka, IL 60447 | 2006-05-30 |
| 1285083980 | John Georgis | Pharmacist | 2051 Ridge Rd, Minooka, IL 60447-8801 | 2016-06-03 |
| 1760838304 | Robyn Leshock | Pharmacist | 2051 Ridge Rd, Minooka, IL 60447-8801 | 2016-05-13 |
| 1740636646 | Ruth Bass | Pharmacist | 2051 Ridge Rd, Osco Pharmacy 3730, Minooka, IL 60447-8801 | 2016-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326538596 | Wanda Hardy Perkins | Social Worker | 203 W Mondamin St, Minooka, IL 60447 | 2018-05-14 |
| 1629597729 | Jennifer Praveen | Psychologist | 333 Mcevilly Rd, Minooka, IL 60447 | 2017-09-11 |
| 1013164193 | Carrie Ann Skubic | Counselor | 113 W. Wapella St., Suite 2, Minooka, IL 60447 | 2008-08-20 |
| 1164624680 | Minooka Comm Hs Dist 111 | Local Education Agency (LEA) | 203 W Mondamin, Minooka, IL 60447 | 2007-06-05 |
| 1710196191 | Ridge Dental Group, Ltd | Dentist | 2003 Ridge Road, Minooka, IL 60447 | 2007-05-22 |
| 1629109020 | James Dale Mcgehee | Dentist | 123 Mondamin Street, Minooka, IL 60447 | 2007-03-08 |
| 1073554341 | Minooka Fire Protection District | Ambulance | 413 W Mondamin, Minooka, IL 60447 | 2006-06-09 |
| 1639110612 | Angela Solis | Counselor | 113 West Wapella Street, Suite 2, Minooka, IL 60447 | 2006-06-09 |
| 1427205111 | Crossroads Counseling Services, LLC | Counselor | 113 W. Wapella St., Suite 2, Minooka, IL 60447 | 2008-08-25 |
| 1457405508 | Daryl L Condon,od,pc | Optometrist | 408 W Mondamin St, Minooka, IL 60447-0995 | 2007-01-23 |
| Find all providers in zip 60447 | ||||
| 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 |
|---|---|---|---|---|
| 1679055834 | Noel Aguilera | Pharmacist | 404 O Toole Dr, Minooka, IL 60447-9495 | 2018-09-05 |
| 1225240427 | Shital Manek | Pharmacist | 2051 S Ridge Rd, Minooka, IL 60447-8801 | 2007-05-03 |
| 1093835969 | Larry E Korelc | Pharmacist | 508 W Mondamin St, Minooka, IL 60447-9460 | 2007-04-02 |
| 1285083980 | John Georgis | Pharmacist | 2051 Ridge Rd, Minooka, IL 60447-8801 | 2016-06-03 |
| 1760838304 | Robyn Leshock | Pharmacist | 2051 Ridge Rd, Minooka, IL 60447-8801 | 2016-05-13 |
| 1740636646 | Ruth Bass | Pharmacist | 2051 Ridge Rd, Osco Pharmacy 3730, Minooka, IL 60447-8801 | 2016-05-10 |
| 1861604068 | Deborah E Franchi | Pharmacist | 2051 S Ridge Rd, Minooka, IL 60447-8801 | 2007-05-03 |
| 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.