JERRY LEE NEWMAN (NPI# 1134413347) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134413347 |
| Entity Type | Individual |
| Full Name | JERRY LEE NEWMAN |
| Credential | R.PH. |
| Practice Address |
5580 Northwest Hwy Crystal Lake IL 60014-8016 |
| Practice Telephone | 8153569318 |
| Practice Fax Number | 8153569318 |
| Mailing Telephone | 8153569318 |
| Mailing Fax Number | 8153569318 |
| Enumeration Date | 2011-06-06 |
| Last Update Date | 2011-06-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 051030400 | IL | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962401760 | Jerry Glynn Newman Jr. | Psychiatry & Neurology | 2150 N Ocoee St, Cleveland, TN 37311-3919 | 2005-07-14 |
| 1306026463 | Jerry Gene Newman | Pharmacist | 57 Church St, Birmingham, AL 35213-3701 | 2007-11-06 |
| 1881755494 | Jerry L Newman | Physician Assistant | 234 Medical Circle, Morehead, KY 40351-1181 | 2006-12-13 |
| Street Address |
5580 NORTHWEST HWY |
| City | CRYSTAL LAKE |
| State | IL |
| Zip Code | 60014-8016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891717500 | Highland Park Cvs LLC | Durable Medical Equipment & Medical Supplies | 5580 Northwest Hwy, Crystal Lake, IL 60014-8016 | 2006-07-24 |
| 1932486487 | Jawhara Soudagar | Pharmacist | 5580 Northwest Hwy, T-1166, Crystal Lake, IL 60014-8016 | 2011-11-11 |
| 1952696593 | Xuefan Sun | Pharmacist | 5580 Northwest Hwy, T-1166, Crystal Lake, IL 60014-8016 | 2011-06-11 |
| 1164716346 | Michael I Feinberg | Pharmacist | 5580 Northwest Hwy, T1166, Crystal Lake, IL 60014-8016 | 2011-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497394720 | Lorelei Mariano | Physical Therapist | 350 E Congress Parkway Ste A, Crystal Lake, IL 60014 | 2020-01-03 |
| 1396227070 | Behavioral Services for Autism, Inc | Behavioral Analyst | 1095 Pingree Road, Suite 204, Crystal Lake, IL 60014 | 2018-08-30 |
| 1831635564 | Isis Mendoza-garnica | Counselor | 6803 Rose Ave, Crystal Lake, IL 60014 | 2017-01-19 |
| 1134664402 | Derick Dermatology, LLC | Non-Pharmacy Dispensing Site | 525 E Congress Parkway, Suite 200, Crystal Lake, IL 60014 | 2016-12-22 |
| 1306394051 | Highland Park Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 177 W Virginia Street, Crystal Lake, IL 60014 | 2016-09-12 |
| 1124492830 | Align Spine & Orthopaedics | Durable Medical Equipment & Medical Supplies | 60 B West Terra Cotta Ave, #265, Crystal Lake, IL 60014 | 2015-11-18 |
| 1558747428 | Shabana Nawaz | Optometrist | 4777 Northwest Highway, Crystal Lake, IL 60014 | 2015-08-03 |
| 1548649205 | Daniel Okon | Social Worker | 304 Charllote Ave, Crystal Lake, IL 60014 | 2015-05-27 |
| 1154729838 | Crystal Lake Center for Chronic Pain Sc | Nurse Practitioner | 1 South Northwest Highway, Crystal Lake, IL 60014 | 2014-12-12 |
| 1558763581 | Brooke Nicole Grandt | Occupational Therapist | 394 Heisler Ct, Crystal Lake, IL 60014 | 2014-09-22 |
| Find all providers in zip 60014 | ||||
| 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 |
|---|---|---|---|---|
| 1700402203 | Edian Banuelos | Pharmacist | 1205 S State Route 31, Crystal Lake, IL 60014-8213 | 2020-06-19 |
| 1245572833 | Jennifer Lynn Oetgen | Pharmacist | 742 Seybrooke Ln, Crystal Lake, IL 60012-3773 | 2013-03-21 |
| 1447537469 | Sean Gale | Pharmacist | 135 Carmella Dr, Crystal Lake, IL 60012 | 2011-11-04 |
| 1215212022 | Jeffrey Schotke | Pharmacist | 315 N Rte 31, Crystal Lake, IL 60012-3778 | 2011-10-13 |
| 1104100213 | Greg Otis Padjen | Pharmacist | 151 W Northwest Highway, Crystal Lake, IL 60014 | 2011-10-07 |
| 1477836625 | Judy Meekyung Fakhouri | Pharmacist | 315 N. Route 31, Crystal Lake, IL 60012 | 2011-09-23 |
| 1730462136 | Leslie Dawn Weckerlin | Pharmacist | 315 N Route 31, Crystal Lake, IL 60012 | 2011-09-21 |
| 1639452188 | Laura Jean Galles | Pharmacist | 315 N. Routet 31, Crystal Lake, IL 60012 | 2011-09-21 |
| 1326320516 | Stacey Jean Knuth | Pharmacist | 315 North Route 31, Crystal Lake, IL 60012 | 2011-09-13 |
| 1902138126 | Samuel Gagliano | Pharmacist | 6000 Northwest Hwy, Crystal Lake, IL 60014-8062 | 2010-02-12 |
| Find all providers in CRYSTAL LAKE | ||||
| City | CRYSTAL LAKE |
| Zip Code | 60014 |
Please comment or provide details below to improve the information on JERRY LEE NEWMAN.
| 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.