DR. PAMELA LYN LETZKUS (NPI# 1164574034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164574034 |
Entity Type | Individual |
Full Name | DR. PAMELA LYN LETZKUS |
Credential | PHARM.D |
Practice Address |
422 W White St Clinton IL 61727-2272 |
Mailing Address |
705 Thomas Dr Heyworth IL 61745-9325 |
Practice Telephone | 2179359571 |
Practice Fax Number | 2179375250 |
Mailing Telephone | 2179359571 |
Mailing Fax Number | 2179375250 |
Enumeration Date | 2007-01-18 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 183500000X | Pharmacist | IL | Pharmacy Service Providers |
Street Address |
422 W WHITE ST |
City | CLINTON |
State | IL |
Zip Code | 61727-2272 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619950060 | Farrukh A Kureishy | Internal Medicine | 422 W White St, Clinton, IL 61727-2272 | 2005-11-21 |
1639546047 | Maureen Elisabeth Wilson | Nurse Practitioner | 422 W White St, Clinton, IL 61727-2272 | 2015-09-01 |
1992171698 | Colleen Elliott-mccandless | Nurse Practitioner | 422 W White St, Clinton, IL 61727-2272 | 2015-08-17 |
1609277060 | Angela Cunningham | Nurse Practitioner | 422 W White St, Clinton, IL 61727-2272 | 2014-09-04 |
1811174402 | City of Clinton | Clinic/Center | 422 W White St, Clinton, IL 61727-2272 | 2008-01-25 |
1447479324 | Danna Elizabeth Powers | Nurse Practitioner | 422 W White St, Clinton, IL 61727-2272 | 2007-04-25 |
1295898427 | Dr John Warner Hospital | Ambulance | 422 W White St, Clinton, IL 61727-2272 | 2006-12-19 |
1275695470 | City of Clinton | General Acute Care Hospital | 422 W White St, Clinton, IL 61727-2272 | 2006-12-14 |
1366504565 | City of Clinton | Clinic/Center | 422 W White St, Clinton, IL 61727-2272 | 2006-12-14 |
1891873816 | City of Clinton | General Acute Care Hospital | 422 W White St, Clinton, IL 61727-2272 | 2006-11-01 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144692393 | Complete Wellness and Integrative Health Center Ltd | General Practice | 211 E Quincy St, Clinton, IL 61727 | 2015-10-28 |
1124247507 | Clinton Unit School District 15 | Local Education Agency (LEA) | 1210 State Route 54 West, Clinton, IL 61727 | 2007-04-24 |
1578600615 | Dewitt County Human Resource Center | Clinic/Center | 1150 Rt 54 West, Clinton, IL 61727 | 2007-01-30 |
1164569265 | Kara Lynn Johnson | Case Manager/Care Coordinator | 1150 Route 54 West, Clinton, IL 61727 | 2007-01-30 |
1659474328 | Highland Park Cvs, L.L.C. | Pharmacy | 60 Clinton Plz Sc, Clinton, IL 61727 | 2006-09-07 |
1528095510 | St. Joseph Medical Center | Nurse Practitioner | 1231 Kleeman Dr., Clinton, IL 61727 | 2006-06-27 |
1588652044 | Residential Alternatives of Illinois Inc | Skilled Nursing Facility | 1 Park Lane West, Clinton, IL 61727 | 2005-10-10 |
1629218466 | Olympian Surgical Suites LLC | Clinic/Center | 803 Illini Dr, Clinton, IL 61727 | 2009-03-05 |
1023238920 | Sara Ann Holmes | Case Manager/Care Coordinator | 1150 Route 54 West, Clinton, IL 61727 | 2007-04-26 |
1740327881 | Cory William Baxter | Counselor | 1150 Route 54 West, Clinton, IL 61727 | 2007-01-30 |
Find all providers in zip 61727 |
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] |
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1346841582 | Autumn Brooke Trifone | Pharmacist | 1795 In 163, Clinton, IN 47842 | 2020-11-04 |
1447857909 | Marinda Renee Bryan | Pharmacist | 2526 Hwy 65 S. Ste 101, Clinton, AR 72031 | 2020-10-07 |
1811455629 | Deva Sandroni | Pharmacist | 132 Fairmont St Ste B, Clinton, MS 39056-4721 | 2019-03-11 |
1225514458 | April Walker | Pharmacist | 100 N. 30th, Clinton, OK 73601 | 2018-07-11 |
1659857845 | Sally Drinnon | Pharmacist | 200 S 30th St, Clinton, OK 73601-3657 | 2018-07-11 |
1730673237 | Raisa Vladimir Reznik | Pharmacist | 6300 Coventry Way, Clinton, MD 20735-2256 | 2018-06-18 |
1962929331 | Jonathan Glen Hubanks | Pharmacist | 202 Clinton Blvd, Clinton, MS 39056-5126 | 2017-08-27 |
1871022830 | Mary Venetta Rothermal | Pharmacist | 140 W Michigan Ave, Clinton, MI 49236-9577 | 2017-06-05 |
1689028896 | Bridget Piko | Pharmacist | 165 Clinton Lake Rd, Clinton, PA 15026-1927 | 2016-04-14 |
1023487055 | Tyler Dougherty | Pharmacist | 1130 N Charles G Seivers Blvd, Clinton, TN 37716-3937 | 2015-09-21 |
Find all providers in CLINTON |
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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.