CLARE IDASZAK (NPI# 1295021558) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295021558 |
| Entity Type | Individual |
| Full Name | CLARE IDASZAK |
| Credential | RPH |
| Practice Address |
17601 Halsted St Homewood IL 60430-2007 |
| Practice Telephone | 7083355255 |
| Practice Fax Number | 7083355255 |
| Mailing Telephone | 7083355255 |
| Mailing Fax Number | 7083355255 |
| Enumeration Date | 2011-06-24 |
| Last Update Date | 2011-06-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 051.288524 | IL | Pharmacy Service Providers |
| Street Address |
17601 HALSTED ST |
| City | HOMEWOOD |
| State | IL |
| Zip Code | 60430-2007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962873307 | Amanda Leigh Miller | Pharmacist | 17601 Halsted St, Homewood, IL 60430-2007 | 2015-10-12 |
| 1538456959 | Emily E Jones | Pharmacist | 17601 Halsted St, T-1460, Homewood, IL 60430-2007 | 2011-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831702307 | Sms Dental LLC | Dentist | 17727 Halsted St, Homewood, IL 60430 | 2020-08-25 |
| 1619431020 | Jewish Child and Family Services | Clinic/Center | 1800 Ridge Road, Unit 204, Suite 4, Homewood, IL 60430 | 2019-01-30 |
| 1437636966 | Miracle Healthcare LLC | Clinic/Center | 2024 Hickory Rd Ste 306, Homewood, IL 60430 | 2018-07-26 |
| 1518443381 | Elizabeth Carol Rodgers | Developmental Therapist | 2820 Willow Rd, Homewood, IL 60430 | 2018-07-16 |
| 1114431764 | Kyla Shaneek O'neal | Counselor | 935 175th St Ste 300, Homewood, IL 60430 | 2017-11-17 |
| 1699221986 | Visionworks Inc | Eyewear Supplier (Equipment, not the service) | 17723 S Halsted St, Homewood, IL 60430 | 2016-08-28 |
| 1528420155 | Nathan Patrick Lagacy | Counselor | 3650 W. 183rd St., Homewood, IL 60430 | 2016-03-23 |
| 1891175725 | Quaneta Gates | Homeopath | 18216 Harwood Ave Unit 1 S, Homewood, IL 60430 | 2015-06-05 |
| 1164817334 | Shachi Pandya | Family Medicine | 18350 Kedzie Ave Ste 101, Homewood, IL 60430 | 2015-04-03 |
| 1790182327 | Floss Dental Care LLC | Preferred Provider Organization | 18650 Dixie Highway, Homewood, IL 60430 | 2014-11-25 |
| Find all providers in zip 60430 | ||||
| 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 |
|---|---|---|---|---|
| 1437609336 | Meredith Thompson | Pharmacist | 233 Montgomery Ln, Homewood, AL 35209-6542 | 2016-10-04 |
| 1609228956 | Sara Thompson | Pharmacist | 2036 Spruce Rd, Homewood, IL 60430-1044 | 2016-07-11 |
| 1659708725 | Kimberly Lynn O'hara | Pharmacist | 958 Coach Rd, Homewood, IL 60430-4143 | 2013-10-03 |
| 1508298662 | Latosha L Cherry | Pharmacist | 939 187th St, Homewood, IL 60430-4136 | 2013-07-31 |
| 1861838393 | Emily Michelle Allen | Pharmacist | 1201 Wildforest Drive, Homewood, AL 35209 | 2013-05-10 |
| 1972948834 | William Gilbert Jernigan | Pharmacist | 141 E Glenwood Dr, Homewood, AL 35209-3949 | 2013-05-06 |
| 1376896084 | Charles Nolis Anderson | Pharmacist | 17605 S. Halsted Street, Homewood, IL 60430 | 2012-10-18 |
| 1003193962 | George Bardahl | Pharmacist | 18461 Dixie Hwy, Homewood, IL 60430-3229 | 2011-11-07 |
| 1043521701 | Mary Katherine Jeffreys | Pharmacist | 1627 Manhattan St, Homewood, AL 35209-2313 | 2010-06-28 |
| 1194047456 | Maryalys W Washer | Pharmacist | 230 Green Springs Hwy, Homewood, AL 35209-4906 | 2010-02-26 |
| Find all providers in HOMEWOOD | ||||
Please comment or provide details below to improve the information on CLARE IDASZAK.
| 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.