MR. JAMES ALLEN BRAZZALE (NPI# 1316162753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316162753 |
| Entity Type | Individual |
| Full Name | MR. JAMES ALLEN BRAZZALE |
| Credential | RPH |
| Practice Address |
119 Monna St Sugar Grove IL 60554-5424 |
| Practice Telephone | 6304669505 |
| Mailing Telephone | 6304669505 |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | IL | Pharmacy Service Providers |
| Street Address |
119 MONNA ST |
| City | SUGAR GROVE |
| State | IL |
| Zip Code | 60554-5424 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861027666 | Linda W Brinkman | Dietitian, Registered | 3s854 Finley Rd, Sugar Grove, IL 60554 | 2020-03-12 |
| 1497244859 | Attentive Individualized Management Physical Therapy, LLC | Clinic/Center | 330b Division Dr, Sugar Grove, IL 60554 | 2018-05-01 |
| 1225587835 | Santa Maria Health | Clinic/Center | 76 S. Main St, Sugar Grove, IL 60554 | 2016-09-23 |
| 1710363734 | Sk Dental Associates PC | Dentist | 495 Route 47, Suite J, Sugar Grove, IL 60554 | 2015-07-31 |
| 1871938621 | Christina Komaniecki | Occupational Therapist | 45 Winthrop New Road, Sugar Grove, IL 60554 | 2013-05-07 |
| 1245570381 | Aleksander Jakubowski | Obstetrics & Gynecology | 8 Heaton Court, Sugar Grove, IL 60554 | 2013-02-27 |
| 1831449172 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 376 N Sugar Grove Pkwy, Sugar Grove, IL 60554 | 2012-09-13 |
| 1518223791 | Hansel M Debartolo Jr Md Sc | Surgery | 11 Debartolo Dr., Sugar Grove, IL 60554 | 2012-04-02 |
| 1942577374 | Leanne Marie Walton | Chiropractor | 522 N Sugar Grove Pkwy Ste C, Sugar Grove, IL 60554 | 2011-11-30 |
| 1104055714 | Kathleen Diane Ely | Social Worker | 172 Brookhaven Court, Sugar Grove, IL 60554 | 2009-07-06 |
| Find all providers in zip 60554 | ||||
| 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 |
|---|---|---|---|---|
| 1700232337 | Michelle Linnae Byrd | Pharmacist | 465 Route 47, Sugar Grove, IL 60554-9402 | 2016-05-12 |
| 1154540649 | Kate Hahn | Pharmacist | 426 Brookhaven Cir, Sugar Grove, IL 60554-9411 | 2007-04-24 |
| 1134255292 | Thomas W Carr | Pharmacist | Rr 1 Box 190b, Sugar Grove, PA 16350-9224 | 2007-02-25 |
| 1386251171 | Emily Forbes | Pharmacist | 376 N Sugar Grove Pkwy, Sugar Grove, IL 60554-9784 | 2020-09-25 |
| 1457963589 | Courtney Hasemann | Pharmacist | 376 N Sugar Grove Pkwy, Sugar Grove, IL 60554-9784 | 2020-08-19 |
| 1902417652 | Eric Goebel | Pharmacist | 376 N Sugar Grove Pkwy, Sugar Grove, IL 60554-9784 | 2020-08-14 |
| 1598112104 | Viral Modi | Pharmacist | 465 Route 47, Sugar Grove, IL 60554-9402 | 2016-05-24 |
| 1497102941 | Kristen Kroening | Pharmacist | 465 Route 47, Sugar Grove, IL 60554-9402 | 2016-05-14 |
| 1558718080 | Mark Springer | Pharmacist | 465 Route 47, Sugar Grove, IL 60554-9402 | 2016-05-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760083414 | Cedomir Micic | Pharmacist | 1111 W 14th Pl Unit 126, Chicago, IL 60608-2796 | 2020-11-07 |
| 1831790674 | Cristopher Guzman | Pharmacist | 7122 40th St Ste 1, Stickney, IL 60402-5491 | 2020-11-06 |
| 1215538046 | Nancy Ann Blue | Pharmacist | 4101 N Vermilion St, Danville, IL 61834-5997 | 2020-11-06 |
| 1386245397 | Lynsey Perera | Pharmacist | 7610 N Orange Prairie Rd, Peoria, IL 61615-9324 | 2020-11-05 |
| 1629679899 | Rubegin F Torrevillas | Pharmacist | 731 Terry Rd, Glendale Heights, IL 60139-3330 | 2020-11-04 |
| 1730780214 | Rhonda Leigh Herrmann | Pharmacist | 13969 Moore Rd, Marion, IL 62959-6835 | 2020-11-03 |
| 1265033674 | Ghazala Raheel | Pharmacist | 4000 Route # 173, Zion, IL 60099 | 2020-11-03 |
| 1679174973 | Jeff Engwall | Pharmacist | 359 Knox Square Drive, Galesburg, IL 61401 | 2020-11-03 |
| 1609477280 | Marlene A Espinosa | Pharmacist | 2680 N, Il 83, Round Lake Beach, IL 60073 | 2020-11-02 |
| 1023619616 | Hetal Patel | Pharmacist | 3 S 100 Rt 53, Glen Ellyn, IL 60137 | 2020-11-02 |
| Find all providers with the same taxonomy | ||||
| City | SUGAR GROVE |
| Zip Code | 60554 |
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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.