PHILLIP F NEVILLS (NPI# 1003198250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003198250 |
| Entity Type | Individual |
| Full Name | PHILLIP F NEVILLS |
| Credential | RPH |
| Practice Address |
1799 Douglas Rd Montgomery IL 60538-2170 |
| Practice Telephone | 6308966960 |
| Practice Fax Number | 6308963205 |
| Mailing Telephone | 6308966960 |
| Mailing Fax Number | 6308963205 |
| Enumeration Date | 2011-09-14 |
| Last Update Date | 2011-09-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 051034980 | IL | Pharmacy Service Providers |
| Street Address |
1799 DOUGLAS RD |
| City | MONTGOMERY |
| State | IL |
| Zip Code | 60538-2170 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164437489 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1799 Douglas Rd, Montgomery, IL 60538-2170 | 2006-07-29 |
| 1588278832 | Duyen Ngo | Pharmacist | 1799 Douglas Rd, Montgomery, IL 60538-2170 | 2020-09-03 |
| 1871874131 | Dhara R Dedhia | Pharmacist | 1799 Douglas Rd, Montgomery, IL 60538-2170 | 2011-08-31 |
| 1558642058 | Lisa Marie Zwemke | Pharmacist | 1799 Douglas Rd, Montgomery, IL 60538-2170 | 2011-08-30 |
| 1073824504 | Angela Zak | Nurse Practitioner | 1799 Douglas Rd, Montgomery, IL 60538-2170 | 2010-06-30 |
| 1003914714 | Amy Simone | Nurse Practitioner | 1799 Douglas Rd, Montgomery, IL 60538-2170 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447594296 | Kristina Nancy Hajek | Physician Assistant | 1851 Douglas Road, Montgomery, IL 60538 | 2012-11-17 |
| 1003025248 | Matthew Thomas Neu | Preventive Medicine | 325 Route 31, Caterpillar Inc, Medical Division, Montgomery, IL 60538 | 2007-05-22 |
| 1477761567 | West Suburban Dental Care, Ltd. | Dentist | 1901 Douglas Rd, Montgomery, IL 60538 | 2007-05-20 |
| 1093834079 | David D Leger | Chiropractor | 2100 Baseline Rd, Montgomery, IL 60538 | 2007-03-28 |
| 1790816650 | Tina Elizabeth Sunderland | Specialist/Technologist | 22 Ashlawn Ave, Montgomery, IL 60538 | 2007-03-09 |
| 1720126535 | Nicholas George Tzanetakos | Family Medicine | 99 Boulder Hill Pass, Montgomery, IL 60538 | 2007-02-02 |
| 1184638603 | Neil Stewart Schlupp | Chiropractor | 212 Webster Street, Montgomery, IL 60538 | 2006-07-28 |
| 1275570061 | Ridge Ambulance Service Inc | Ambulance | 1851 Aucutt Rd, Montgomery, IL 60538 | 2006-06-01 |
| 1487855839 | Linda Gioia Arrich | Dentist | 1901 Douglas Rd, Montgomery, IL 60538 | 2007-05-31 |
| 1750508339 | Michael Harry Kontos | Dentist | 20 Boulder Hill Pass, Montgomery, IL 60538 | 2007-04-18 |
| Find all providers in zip 60538 | ||||
| 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 |
|---|---|---|---|---|
| 1275148389 | Jovan Maurice Dudley | Pharmacist | 2180 Woodforest Pkwy N, Montgomery, TX 77316-6958 | 2020-09-15 |
| 1548874266 | Generational Care LLC | Pharmacist | 4748 Regal Dr, Montgomery, AL 36116-4415 | 2020-09-01 |
| 1003427493 | James Miracle | Pharmacist | 2015 Normandie Dr, Montgomery, AL 36111-2711 | 2020-08-11 |
| 1245754613 | Matthew Alan Cole | Pharmacist | 215 Perry Hill Rd Dept 119, Montgomery, AL 36109-3725 | 2017-07-27 |
| 1982052015 | Kevin J Jones | Pharmacist | 4385 Narrow Lane Rd, Montgomery, AL 36116 | 2016-05-31 |
| 1043675895 | Payal Patel | Pharmacist | 7932 Vaughn Rd, Montgomery, AL 36116-6625 | 2015-12-21 |
| 1366837072 | John Tyler Rinker | Pharmacist | 10472 Duncannon Trl, Montgomery, AL 36117-1201 | 2015-03-30 |
| 1871986356 | Jamelle Young | Pharmacist | 4720 Mobile Hwy, Montgomery, AL 36108 | 2015-03-09 |
| 1548659006 | Gary Frazier Jr. | Pharmacist | 2300 E South Blvd, Montgomery, AL 36116-2504 | 2015-01-21 |
| 1437554508 | Robert Hassett | Pharmacist | 1028 Magnolia Curv, Montgomery, AL 36106-2133 | 2014-10-30 |
| Find all providers in MONTGOMERY | ||||
| City | MONTGOMERY |
| Zip Code | 60538 |
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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.