TIMOTHY L LICHLYTER


Address: 2924 Siskiyou Blvd Ste 102, Medford, OR 97504-8194
Phone: 5417735356

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).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 2924 SISKIYOU BLVD STE 102
City MEDFORD
State OR
Zip Code 97504-8194

Providers in the same location

NPI Name Taxonomy Address Enumeration
1841743051 Cindy Reinhardt Pharmacist 2924 Siskiyou Blvd Ste 102, Medford, OR 97504-8194 2016-07-25

Providers in the same zip code

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 Information

Taxonomy Code 1835P0018X
Grouping Pharmacy Service Providers
Classification Pharmacist
Specialization Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Competitor

Search similar providers

City MEDFORD
Zip Code 97504

Improve Information

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Dataset Information

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.

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