LARRY BRANCH (NPI# 1104236595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104236595 |
| Entity Type | Individual |
| Full Name | LARRY BRANCH |
| Credential | RPH |
| Practice Address |
815 S Randall Rd Elgin IL 60123-3003 |
| Practice Telephone | 8477176510 |
| Mailing Telephone | 8477176510 |
| Enumeration Date | 2014-05-06 |
| Last Update Date | 2014-05-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 051288073 | IL | Pharmacy Service Providers |
| Street Address |
815 S RANDALL RD |
| City | ELGIN |
| State | IL |
| Zip Code | 60123-3003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710137757 | Morfoot Eyecare | Optometrist | 815 S Randall Rd, Elgin, IL 60123-3003 | 2008-09-26 |
| 1649540436 | Meijer Great Lakes Limited Partnership | Durable Medical Equipment & Medical Supplies | 815 S Randall Rd, Elgin, IL 60123-3003 | 2012-01-10 |
| 1306867551 | Us Vision Optical Inc | Technician/Technologist | 815 S Randall Rd, Elgin, IL 60123-3003 | 2006-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629625736 | Edna Lopez | Social Worker | 1140 N. Mclean Blvd #1, Elgin, IL 60123 | 2019-08-22 |
| 1003472259 | Katelyn Lee O'connell | Counselor | 695 S. Sate Street, Elgin, IL 60123 | 2019-05-14 |
| 1598235152 | Katie Elizabeth Dwyer | Counselor | 695 S. State Street, Elgin, IL 60123 | 2018-11-27 |
| 1174002778 | James M Accetta | Counselor | 52 Surry Drive, Elgin, IL 60123 | 2018-08-14 |
| 1770086175 | Griswold Home Care | Adult Companion | 707 A Davis Road, Suite 203, Elgin, IL 60123 | 2018-03-12 |
| 1003315706 | Danielle Bryant | Nurse Practitioner | 745 Fletcher Dr Ste 101, Elgin, IL 60123 | 2018-02-08 |
| 1912421470 | Deborah Foshager | Counselor | 680 Shenandoah Trail, Elgin, IL 60123 | 2017-07-26 |
| 1760903470 | Miguel Camargo | Specialist/Technologist | 12 N Aldine St, Elgin, IL 60123 | 2017-07-03 |
| 1134658594 | David Sommer | Counselor | 1460 Umbdenstock Rd, Elgin, IL 60123 | 2017-06-08 |
| 1649719618 | Faheem Unisa Syed | Clinical Nurse Specialist | 1990 Larkin Ave., Elgin, IL 60123 | 2017-02-23 |
| Find all providers in zip 60123 | ||||
| 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 |
|---|---|---|---|---|
| 1396343562 | Bridget Roper | Pharmacist | 177 Juniper Trl, Elgin, TX 78621-5617 | 2020-10-11 |
| 1902411382 | Jacob Flores | Pharmacist | 1300 Hwy 290 W, Elgin, TX 78621-1400 | 2020-09-11 |
| 1629537303 | Traisha White Campfield | Pharmacist | 1107 Ross St, Elgin, SC 29045 | 2019-03-13 |
| 1164870457 | Peter Norton | Pharmacist | 1038 Summit Street, Elgin, IL 60120 | 2016-05-27 |
| 1043686769 | Kirstie Lynn Forst | Pharmacist | 2517 Emily Ln, Elgin, IL 60124-8729 | 2015-08-17 |
| 1184037574 | Lindsey Keeley | Pharmacist | 356 Prairie View Rd, Elgin, OK 73538-1000 | 2014-06-03 |
| 1790196954 | Melissia Boyd | Pharmacist | 236 Walden Place Cir, Elgin, SC 29045-8204 | 2014-05-09 |
| 1346583473 | Randall Eric Vanduyn | Pharmacist | 803 N Spring St, Elgin, IL 60120-2913 | 2013-03-27 |
| 1154662997 | Elida Olivarri | Pharmacist | 1080 Hwy 290 E, Elgin, TX 78621-2519 | 2013-03-04 |
| 1124391743 | Julia Lee Jones | Pharmacist | 71727 Evers Canyon Rd, Elgin, OR 97827-8166 | 2012-02-13 |
| Find all providers in ELGIN | ||||
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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.