WALTER LAGESTEE INCORPORATED (NPI# 1073698023) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073698023 |
| Entity Type | Organization |
| Organization Name | WALTER LAGESTEE INCORPORATED |
| Other Organization Name | WALT'S PHARMACY #5 |
| Practice Address |
1218 Sheffield Ave Dyer IN 46311-1053 |
| Practice Telephone | 2198654363 |
| Practice Fax Number | 2198654365 |
| Mailing Telephone | 2198654363 |
| Mailing Fax Number | 2198654365 |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2012-11-16 |
| Authorized Official Name | PATRICK J EGAN (THIRD PARTY COORDINATOR) |
| Authorized Official Telephone | 7089572974 |
| Authorized Official Credential | PHARMACIST |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
60005711A | IN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200422800 | 05 |
| Other Name | Type Code |
|---|---|
| Walt's Pharmacy #5 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114002136 | Walter Lagestee Incorporated | Pharmacy | 2345 183rd St, Homewood, IL 60430-3140 | 2006-10-26 |
| 1740365782 | Walter Lagestee Incorporated | Pharmacy | 16039 Harlem Ave, Tinley Park, IL 60477-1611 | 2006-10-26 |
| 1568547594 | Walter Lagestee Incorporated | Pharmacy | 16145 S State St, South Holland, IL 60473-1237 | 2006-10-26 |
| 1649355694 | Walter Lagestee Incorporated | Pharmacy | 1100 E Exchange St, Crete, IL 60417-3433 | 2006-10-26 |
| Street Address |
1218 SHEFFIELD AVE |
| City | DYER |
| State | IN |
| Zip Code | 46311-1053 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154695351 | Leonard J Tucker | Pharmacist | 1218 Sheffield Ave, Dyer, IN 46311-1053 | 2012-03-06 |
| 1295864643 | Kevin Griffin | Pharmacist | 1218 Sheffield Ave, Dyer, IN 46311-1053 | 2007-03-03 |
| 1831227321 | Paul Rozewicki | Pharmacist | 1218 Sheffield Ave, Dyer, IN 46311-1053 | 2007-02-28 |
| 1205971413 | Sue L Gilbert | Pharmacist | 1218 Sheffield Ave, Dyer, IN 46311-1053 | 2007-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407338858 | Leena Yousef-diaz | Nurse Practitioner | 1100 Joliet Street Suite #201, Dyer, IN 46311 | 2018-09-02 |
| 1518476639 | Kor Speech Therapy, LLC | Speech-Language Pathologist | 219 Primrose Dr., Dyer, IN 46311 | 2017-09-20 |
| 1861921207 | Derrick Durrah | Counselor | 2615 James Drive, Dyer, IN 46311 | 2017-06-08 |
| 1073962189 | Maria Lule | Pharmacist | 805 Joliet Road, Dyer, IN 46311 | 2016-06-09 |
| 1780072157 | Mario Munoz | Skilled Nursing Facility | 515 Audrey Ct, Dyer, IN 46311 | 2015-01-07 |
| 1457772451 | Lisa Jennifer Mickelson | Registered Nurse | 600 Joliet St., Kahler Middle School, Dyer, IN 46311 | 2013-12-18 |
| 1285055285 | Tanya D Burk-willson | Registered Nurse | 14600 W 81st St., Bibich Elementary, Dyer, IN 46311 | 2013-12-18 |
| 1013338011 | Mary Beth Rinaldi | Registered Nurse | 1121 Harrison Ave, Protsman Elementary, Dyer, IN 46311 | 2013-12-18 |
| 1023448057 | Franciscan Alliance | General Acute Care Hospital | 24 Joliet Street, 3da, Dyer, IN 46311 | 2013-11-12 |
| 1508078239 | Fatima Jaffer Md Sc PC | Internal Medicine | Physicians Pavilion Suite 101, 24 East Joliet Street, Dyer, IN 46311 | 2007-05-04 |
| Find all providers in zip 46311 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477013043 | Mn Rx, LLC Southern Pharmacy Rx 272 | Pharmacy | 1160 Joliet St Ste 204, Dyer, IN 46311-2096 | 2019-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457978439 | Engleking Rx Marengo LLC | Pharmacy | 125 W Old Short St, Marengo, IN 47140-3225 | 2020-06-25 |
| 1992320519 | Carrie Ann Dunnem | Pharmacy | 7355 Heritage Square Dr, Granger, IN 46530-5643 | 2020-06-09 |
| 1669095261 | Abi Westend Pharmacy | Pharmacy | 602 N High School Rd Ste A-1, Indianapolis, IN 46214-3694 | 2020-05-19 |
| 1982224911 | Apotheco Pharmacy Carmel LLC | Pharmacy | 12955 Old Meridian St Ste 102, Carmel, IN 46032-7193 | 2020-04-20 |
| 1922640077 | Indiana University Health Bloomington Inc | Pharmacy | 601 W 2nd St Ste 100, Bloomington, IN 47403-2317 | 2019-10-10 |
| 1831749399 | Julie Cindric | Pharmacy | 720 Adams St Ste 100, Carmel, IN 46032-7541 | 2019-09-17 |
| 1346898889 | Milan Pharmacy Inc | Pharmacy | 1935 N Capitol Ave Ste 120, Indianapolis, IN 46202-6403 | 2019-08-28 |
| 1093361867 | Cameron Medical Outreach, Inc | Pharmacy | 306 E Maumee St Ste 106, Angola, IN 46703-2038 | 2019-08-16 |
| 1962055186 | Custom Dosing East | Pharmacy | 4319 Franklin St, Michigan City, IN 46360-7806 | 2019-07-17 |
| 1659923894 | Genoa Healthcare, LLC | Pharmacy | 4022 Hohman Ave Ste 103, Hammond, IN 46327-1239 | 2019-07-09 |
| 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.