KENNETH TROY KOCH (NPI# 1982033429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982033429 |
| Entity Type | Individual |
| Full Name | KENNETH TROY KOCH |
| Credential | PHARMD |
| Practice Address |
216 N Taylor Ave Oak Park IL 60302-2526 |
| Practice Telephone | 7085458833 |
| Mailing Telephone | 7085458833 |
| Enumeration Date | 2013-11-05 |
| Last Update Date | 2013-11-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 051.296889 | IL | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | 011159 | KY | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386621050 | Kenneth Robert Koch | Chiropractor | 3449 E Plankinton Ave, Cudahy, WI 53110-1413 | 2005-12-23 |
| 1689121949 | Kenneth James Koch | Rehabilitation Practitioner | 3680 N Rancho Dr, Las Vegas, NV 89130-3180 | 2016-09-04 |
| 1649466053 | Kenneth G. Koch | Chiropractor | 9484 Black Mountain Rd, Ste I, San Diego, CA 92126-4520 | 2007-09-19 |
| 1871665182 | Kenneth Lyle Koch | Optometrist | 124 E Rowan Ave, Suite 101, Spokane, WA 99207-1214 | 2006-11-14 |
| 1437165487 | Kenneth M Koch | Family Medicine | 1050 Larpenteur Ave W, Saint Paul, MN 55113-6556 | 2006-07-31 |
| 1588649925 | Kenneth Koch | Internal Medicine | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2005-12-08 |
| Street Address |
216 N TAYLOR AVE |
| City | OAK PARK |
| State | IL |
| Zip Code | 60302-2526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306473244 | Tasha Kimberly Young | Counselor | 1216 N Austin Bvld, Oak Park, IL 60302 | 2020-03-23 |
| 1306492186 | Camiesa Rashida Rogers | Pharmacy Technician | 626 N Austin #7, Oak Park, IL 60302 | 2019-08-16 |
| 1326603887 | Right Choice Therapy LLC | Social Worker | 428 S. Scoville Avenue, Rear 1b, Oak Park, IL 60302 | 2019-05-09 |
| 1407328941 | Arundathi Bannur Suresh | Occupational Therapist | 3 Erie Court, West Suburban Medical Center, Oak Park, IL 60302 | 2018-12-21 |
| 1427537455 | Shannon Vogel | Occupational Therapist | 405 Home Ave Apt 207, Oak Park, IL 60302 | 2018-08-10 |
| 1568958726 | Loretto Hospital | Clinic/Center | 1000 Madison St, Oak Park, IL 60302 | 2018-07-10 |
| 1649783143 | Mary Joyce Arenas Lagatao | Nurse Practitioner | 101 Madison St, 3rd Floor, Oak Park, IL 60302 | 2017-11-07 |
| 1427578251 | Amanda Lam | Behavior Technician | 721 South Blvd., Suite 210, Oak Park, IL 60302 | 2017-06-22 |
| 1649790577 | Samantha Lotti | Acupuncturist | 1119 Pleasant St, Oak Park, IL 60302 | 2017-06-21 |
| 1770010480 | Robert Smith IIi | Behavior Technician | 412a S. Taylor Ave, Oak Park, IL 60302 | 2017-05-12 |
| Find all providers in zip 60302 | ||||
| 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 |
|---|---|---|---|---|
| 1750731097 | Yogesh Shah | Pharmacist | 767 Admiral Ct, Oak Park, CA 91377-4755 | 2016-06-17 |
| 1053784058 | Maria H Monica | Pharmacist | 706 Lindero Canyon Rd Ste 776, Oak Park, CA 91377-5477 | 2015-11-12 |
| 1457720062 | Emily Underwood | Pharmacist | 121 S Grove Ave, Oak Park, IL 60302-2805 | 2015-09-24 |
| 1215331814 | Aleah Pryor | Pharmacist | 511 N Cuyler Ave, Oak Park, IL 60302-2306 | 2014-10-10 |
| 1912335787 | Jorge Antonio Berrios | Pharmacist | 1132 Schneider Ave, Oak Park, IL 60302-1666 | 2013-10-14 |
| 1518214360 | Stephen Botwin | Pharmacist | 5179 Wagner Way, Oak Park, CA 91377-4731 | 2012-08-11 |
| 1871860031 | Krista Lynn Konecki | Pharmacist | 933 Division St, Oak Park, IL 60302-1574 | 2011-11-16 |
| 1124302138 | Farah Lee | Pharmacist | 811 West Madison St, Oak Park, IL 60302 | 2011-10-10 |
| 1366736613 | Green Pharmacy | Pharmacist | 150 S Oak Park Ave, Unit 307, Oak Park, IL 60302-2984 | 2011-06-04 |
| 1578750618 | Marlene Ma-burrell | Pharmacist | 24090 Ithaca St, Oak Park, MI 48237-3709 | 2007-10-03 |
| Find all providers in OAK PARK | ||||
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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.