DR. LARRAH LENN DUCKWORTH (NPI# 1992080774) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1992080774 |
Entity Type | Individual |
Full Name | DR. LARRAH LENN DUCKWORTH |
Credential | PHARM.D. |
Practice Address |
640 Edwardsville Rd Troy IL 62294 |
Practice Telephone | 6186674267 |
Practice Fax Number | 6186674596 |
Mailing Telephone | 6186674267 |
Mailing Fax Number | 6186674596 |
Enumeration Date | 2011-10-12 |
Last Update Date | 2011-10-12 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 183500000X | Pharmacist | 051.290292 | IL | Pharmacy Service Providers |
Street Address |
640 EDWARDSVILLE RD |
City | TROY |
State | IL |
Zip Code | 62294 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700016417 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 640 Edwardsville Rd, Troy, IL 62294-1336 | 2009-07-16 |
1972114692 | Leanne M Mcdonald | Pharmacist | 640 Edwardsville Rd, Troy, IL 62294-1336 | 2020-08-14 |
1407403827 | Alyse D Battles | Pharmacist | 640 Edwardsville Rd, Troy, IL 62294-1336 | 2019-08-20 |
1265715429 | Jessica Beth Hemker | Pharmacist | 640 Edwardsville Rd, Troy, IL 62294-1336 | 2011-09-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437601283 | Gateway Dental Group, LLC | Dentist | 606 Edwardsville Road, Troy, IL 62294 | 2016-10-27 |
1194056093 | Carol Ann Slazinik | Nurse Anesthetist, Certified Registered | 8634 Blackjack Hollow Ln, Troy, IL 62294 | 2010-01-18 |
1083786248 | Andrea B. Shaw, Lcsw | Social Worker | 552 Edwardsville Road, Troy, IL 62294 | 2006-11-14 |
1457456923 | Kurt Dick James | Dentist | 550 Edwardsville Rd, Troy, IL 62294 | 2006-09-13 |
1992713846 | Rhonda Beth Hanser | Dentist | 334 Bargraves Blvd, Troy, IL 62294 | 2006-08-04 |
1487692430 | Deborah Lea Fowler Dixon Bross | Family Medicine | 301 Edwardsville Road, Troy, IL 62294 | 2006-06-03 |
1225081052 | Patricia Ellen Miller | Pharmacist | 101 E Market, Troy, IL 62294 | 2006-05-19 |
1174576441 | Michael G Csaszar | Dentist | 7656 Plummer Business Drive, Troy, IL 62294 | 2006-05-18 |
1710946280 | Rodney L Lupardus | Family Medicine | 108 West Us Highway 40, Troy, IL 62294 | 2006-03-22 |
1548329824 | Gary D Steinmann | Physician Assistant | 108 West Us Highway 40, Troy, IL 62294 | 2006-12-06 |
Find all providers in zip 62294 |
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 |
---|---|---|---|---|
1578188561 | Claudine Viene Manaloto | Pharmacist | 1414 E Maple Rd, Troy, MI 48083-9935 | 2020-06-15 |
1700429073 | Richard Anthony Brusic | Pharmacist | 433 River St Ste 800, Troy, NY 12180-2273 | 2019-10-19 |
1821554502 | Nicholas Ryan Gordon | Pharmacist | 83 Vandenburgh Ave, Troy, NY 12180-6086 | 2019-02-18 |
1063987444 | Stephanie Sakellis | Pharmacist | 6042 Windrush Dr, Troy, MI 48098-2223 | 2018-10-11 |
1851879233 | Coston Ward Allen | Pharmacist | 1147 Highway 231 S, Troy, AL 36081-3026 | 2018-07-30 |
1295232189 | Samer Nabil Youssef | Pharmacist | 1380 Coolidge Hwy Ste 125, Troy, MI 48084-7068 | 2018-04-09 |
1497277115 | Gassan Asadi | Pharmacist | 215 E Big Beaver Rd Ste 500, Troy, MI 48083 | 2017-07-14 |
1710409651 | Eduardo Martin Pinto | Pharmacist | 3811 Coolidge Hwy, Troy, MI 48084 | 2017-07-12 |
1275063596 | Brooks Anthony Taylor | Pharmacist | 1420 Us 231 South, Troy, AL 36081 | 2017-06-19 |
1205373263 | Tsu Han Poh | Pharmacist | 204 Washington Street, Apt C1, Troy, NY 12180 | 2017-01-27 |
Find all providers in TROY |
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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.