TIMOTHY L LICHLYTER (NPI# 1316390008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1316390008 |
Entity Type | Individual |
Full Name | TIMOTHY L LICHLYTER |
Credential | RPH |
Practice Address |
2924 Siskiyou Blvd Ste 102 Medford OR 97504-8194 |
Mailing Address |
4800 Crater Lake Ave Medford OR 97504-9753 |
Practice Telephone | 5417735356 |
Mailing Telephone | 5416901130 |
Enumeration Date | 2016-07-18 |
Last Update Date | 2016-07-18 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
RPH-0006953 | OR | Pharmacy Service Providers |
Street Address |
2924 SISKIYOU BLVD STE 102 |
City | MEDFORD |
State | OR |
Zip Code | 97504-8194 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841743051 | Cindy Reinhardt | Pharmacist | 2924 Siskiyou Blvd Ste 102, Medford, OR 97504-8194 | 2016-07-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225673833 | Lydia D Sneed | Behavioral Analyst | 3707 Citation Way, Suite 102, Medford, OR 97504 | 2019-11-07 |
1114577368 | Heather Ashley Fronek | Nurse Practitioner | 2825 E. Barnett Rd., Medford, OR 97504 | 2019-09-18 |
1255809109 | Justin Blasdel | Technician, Health Information | 3250 Lone Pine Rd, Medford, OR 97504 | 2018-11-08 |
1396220133 | Aimee K Michel | Massage Therapist | 3550 National Dr., Medford, OR 97504 | 2018-09-27 |
1437646908 | Zola Dental Medford LLC | Dentist | 922 E Main, Medford, OR 97504 | 2018-04-19 |
1376068015 | Megan Leggett | Counselor | 777 Murphy Road, Medford, OR 97504 | 2017-08-03 |
1023547536 | Joshua Morgan Rice | Dentist | 1117 E Main St Ste 1, Medford, OR 97504 | 2017-06-08 |
1427580232 | Paul James Dean | Counselor | 1175 Main St Ste 1c, Medford, OR 97504 | 2017-03-30 |
1811443542 | Taya Adams | Doula | 1201 Progress Dr #90, Medford, OR 97504 | 2016-09-01 |
1174076228 | Avalon Health Care - Hearthstone, LLC | Skilled Nursing Facility | 2091 E. Barnett Road, Medford, OR 97504 | 2016-07-25 |
Find all providers in zip 97504 |
Taxonomy Code | 1835P0018X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacist |
Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205377272 | Glatz Rx Consultants LLC | Pharmacist | 54 Broken Arrow Road, Medford, NJ 08055 | 2017-03-10 |
1255871745 | Charles W Glatz | Pharmacist | 54 Broken Arrow Bend, Medford, NJ 08055 | 2017-03-02 |
1649504507 | Drilon Saliu | Pharmacist | 75 Station Lndg, Medford, MA 02155-5127 | 2009-09-25 |
1679174080 | Tiffany Chau | Pharmacist | 981 Medford Ctr, Medford, OR 97504-6700 | 2020-11-03 |
1477162691 | Julian Thomas Sonnenburg | Pharmacist | 2424 Crater Lake Hwy, Medford, OR 97504-4181 | 2020-07-23 |
1386283166 | Ruthie Nguyen | Pharmacist | 2825 E Barnett Rd, Medford, OR 97504-8332 | 2019-12-27 |
1861034621 | Mark Vance | Pharmacist | 70 Bower Dr, Medford, OR 97501-3689 | 2019-10-14 |
1063061554 | Brandee Harris | Pharmacist | 2825 E Barnett Rd, Medford, OR 97504-8332 | 2019-09-06 |
1437631819 | Khabiba Abduganieva | Pharmacist | 1580 Route 112, Medford, NY 11763-3655 | 2018-09-03 |
1396273561 | Alison Sigler | Pharmacist | 19 Myrtle St, Medford, OR 97504-7337 | 2017-05-31 |
Find all providers in MEDFORD |
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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.