SCOTT BEVANS (NPI# 1003417809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003417809 |
| Entity Type | Individual |
| Full Name | SCOTT BEVANS |
| Practice Address |
16241 S Farrell Rd Lockport IL 60441-8101 |
| Mailing Address |
305 S Hammes Ave Joliet IL 60436-1107 |
| Practice Telephone | 8158363422 |
| Mailing Telephone | 7088228144 |
| Enumeration Date | 2020-11-06 |
| Last Update Date | 2020-11-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 051299782 | IL | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790911576 | Scott Eric Bevans | Otolaryngology | 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 | 2009-06-07 |
| Street Address |
16241 S FARRELL RD |
| City | LOCKPORT |
| State | IL |
| Zip Code | 60441-8101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255530739 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 16241 S Farrell Rd, Lockport, IL 60441-8101 | 2007-07-13 |
| 1952715476 | Denny Cheung | Optometrist | 16241 S Farrell Rd, Lockport, IL 60441-8101 | 2014-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366951840 | Samantha Jo Gehrig | Counselor | 16504 W 146th Pl, Lockport, IL 60441 | 2017-09-27 |
| 1275939415 | Walid Habbal | Dentist | 12612 S. Harlem Ave, Palos Heights, IL 60441 | 2014-11-17 |
| 1205240975 | Angelica Wujcik | Chiropractor | 420 Summit Drive, Lockport, IL 60441 | 2014-06-20 |
| 1720418916 | Melissa Obrien | Dietitian, Registered | 16221 W 159th St Ste 102, Lockport, IL 60441 | 2013-11-25 |
| 1033467535 | Trinity Services Inc. | Clinic/Center | 1017 S State St., Lockport, IL 60441 | 2012-08-15 |
| 1013219427 | Christopher David Baran | Nurse Anesthetist, Certified Registered | 1114 East Treeline Drive, Lockport, IL 60441 | 2010-11-18 |
| 1871736868 | Advanced Family Dental & Chiropractic of Lockport PC | Dentist | 730 South Washington St, Lockport, IL 60441 | 2009-04-07 |
| 1922292432 | Wal-mart Stores, Inc. | Eyewear Supplier (Equipment, not the service) | 16241 South Farrell Rd, Lockport, IL 60441 | 2007-08-29 |
| 1407979438 | Joanne Adel Nasra | Developmental Therapist | 16136 Bent Grass Drive, Lockport, IL 60441 | 2007-04-06 |
| 1497800536 | Patrick Francis Healy | Dentist | 916 7th St, Lockport, IL 60441 | 2007-01-25 |
| Find all providers in zip 60441 | ||||
| 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 |
|---|---|---|---|---|
| 1841898723 | Ruth Ngwu | Pharmacist | 560 S Transit St, Lockport, NY 14094-5952 | 2020-10-13 |
| 1508312166 | Dale Airola | Pharmacist | 17033 Burton Ave, Lockport, IL 60441-4607 | 2016-09-01 |
| 1114327376 | Jaclyn Martis | Pharmacist | 1420 Lawrence Ave, Lockport, IL 60441-4202 | 2014-08-25 |
| 1780098376 | Katherine Ann Olson | Pharmacist | 459 S Transit St, Lockport, NY 14094-5506 | 2014-06-11 |
| 1912229543 | Lisa Balko | Pharmacist | 3987 Lockport Olcott Rd, Lockport, NY 14094-1132 | 2010-02-24 |
| 1366774077 | Cynthia Jo Mann | Pharmacist | 84 Woodbury Dr, Lockport, NY 14094-5935 | 2010-02-04 |
| 1104003243 | Karen Anne Certo | Pharmacist | 7134 Rochester Rd, Lockport, NY 14094-1626 | 2008-01-30 |
| 1992982268 | Diane Larue Mangus | Pharmacist | 125 S Transit, Lockport, NY 14094 | 2008-01-29 |
| 1376726471 | Kelly Lynn Hannigan | Pharmacist | 6616 Lincoln Ave, Lockport, NY 14094-6109 | 2007-12-11 |
| 1174705651 | Michael C Yoon | Pharmacist | 459 S Transit Rd, Lockport, NY 14094-5506 | 2007-11-27 |
| Find all providers in LOCKPORT | ||||
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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.