LEILA ANN TILLEY (NPI# 1316562978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316562978 |
| Entity Type | Individual |
| Full Name | LEILA ANN TILLEY |
| Credential | PHARMD |
| Practice Address |
200 Veterans Ave Beckley WV 25801-6444 |
| Practice Telephone | 3042552121 |
| Mailing Telephone | 3042522121 |
| Enumeration Date | 2020-06-10 |
| Last Update Date | 2020-06-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
RP0011695 | WV | Pharmacy Service Providers |
| Street Address |
200 VETERANS AVE |
| City | BECKLEY |
| State | WV |
| Zip Code | 25801-6444 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396735981 | John David Berryman | Obstetrics & Gynecology | 200 Veterans Ave, Beckley, WV 25801-6444 | 2005-10-25 |
| 1265031991 | Kristy Lea Moeller | Nurse Practitioner | 200 Veterans Ave, Beckley, WV 25801-6444 | 2020-10-23 |
| 1316546047 | Candice Marie Young | Registered Nurse | 200 Veterans Ave, Beckley, WV 25801-6444 | 2020-10-23 |
| 1902403686 | Ashley Brooke Dorsey | Pharmacist | 200 Veterans Ave, Beckley, WV 25801-6444 | 2020-10-05 |
| 1487251450 | Victoria Ann Redden | Registered Nurse | 200 Veterans Ave, Beckley, WV 25801-6444 | 2020-10-02 |
| 1598371726 | Robert David Estepp II | Recreation Therapist | 200 Veterans Ave, Beckley, WV 25801-6444 | 2020-09-22 |
| 1811510001 | Hannah Davidson Keeney | Pharmacist | 200 Veterans Ave, Beckley, WV 25801-6444 | 2020-05-21 |
| 1841820628 | Staci Morgan Little | Social Worker | 200 Veterans Ave, Beckley, WV 25801-6444 | 2020-01-22 |
| 1104473354 | Liem Nguyen | Pharmacist | 200 Veterans Ave, Beckley, WV 25801-6444 | 2019-08-22 |
| 1619535465 | Samantha Farah | Pharmacist | 200 Veterans Ave, Beckley, WV 25801-6444 | 2019-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144835190 | Misty Dawn Chambers | Psychologist | 154 Lagoon Way, Beckley, USA 25801 | 2020-09-15 |
| 1912511437 | Katherine Lynne Mcghee | Technician | 120 Schlager Dr., Beckley, WV 25801 | 2020-09-02 |
| 1255942421 | Tyesha Burger | Technician | 442 Industrial Dr, Beckley, WV 25801 | 2020-08-12 |
| 1053920553 | Angela Sanches | Case Manager/Care Coordinator | 134 Gooseberry Ln, Beckley, WV 25801 | 2020-07-30 |
| 1871119933 | Tiffani Michelle Dale | Counselor | 111 Coral Court, Apt 5, Beckley, WV 25801 | 2020-06-24 |
| 1679046049 | Liberty Dental Centers | Dentist | 102 Galleria Plaza, Beckley, WV 25801 | 2019-01-08 |
| 1952884942 | Susan Rae Rash | Nurse Practitioner | 250 Stanaford Rd Ste 203, Beckley, WV 25801 | 2018-09-14 |
| 1689169039 | Megan Rae Walker | Dentist | 3153 Robert C. Byrd Drive, Beckley, WV 25801 | 2018-06-28 |
| 1104318625 | Mountain State Vascular, Inc. | Surgery | 121 George Street, Beckley, WV 25801 | 2018-05-31 |
| 1356841100 | Harper Road Treatment Center LLC | Family Medicine | 1802 Harper Rd Ste 202, Beckley, WV 25801 | 2018-02-19 |
| Find all providers in zip 25801 | ||||
| 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 |
|---|---|---|---|---|
| 1053636704 | Patrick Robert Huffman | Pharmacist | 200 Veterans Avenue, Beckley, WV 25801 | 2010-04-06 |
| 1548425994 | Laurie Ann Fromm | Pharmacist | 112 Partridge Ln, Beckley, WV 25801-3606 | 2008-07-25 |
| 1811510001 | Hannah Davidson Keeney | Pharmacist | 200 Veterans Ave, Beckley, WV 25801-6444 | 2020-05-21 |
| 1437524790 | Heather Cornett | Pharmacist | 200 Veterans Ave, Beckley, WV 25801-6444 | 2015-12-11 |
| 1518335819 | Julia Edwards | Pharmacist | 200 Veterans Ave, Beckley, WV 25801-6444 | 2015-09-03 |
| 1790186914 | Cara Joy Goode | Pharmacist | 200 Veterans Ave, Beckley, WV 25801-6444 | 2014-09-08 |
| 1225357445 | Diana R Betkijian | Pharmacist | 200 Veterans Ave, Beckley, WV 25801-6444 | 2010-05-27 |
| 1902868375 | Kevin Wayne Garlow | Pharmacist | 200 Veterans Ave, Beckley, WV 25801-6444 | 2006-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346640406 | Angela Dawkins | Pharmacist | 9503 Middletown Mall, Fairmont, WV 26554-2195 | 2014-08-26 |
| 1336401892 | Jeffrey Davis Eddy | Pharmacist | 2792 Keller Ln, Williamstown, WV 26187-8309 | 2012-06-11 |
| 1780988022 | Gregg Michael Stern | Pharmacist | 505 Virginia Ave., Smithers, WV 25186-0577 | 2010-12-30 |
| 1922301035 | Dwan Shasta Hamons | Pharmacist | 180 Red Oaks Shopping Center, Ronceverte, WV 24970 | 2010-12-10 |
| 1295341741 | Lindsey Christine Judy | Pharmacist | 72 Whitewater Ave, Fayetteville, WV 25840-9648 | 2020-09-21 |
| 1700490125 | Kate Forman | Pharmacist | 4205 Maccorkle Ave Se, Charleston, WV 25304-2501 | 2020-09-02 |
| 1477162964 | Robert Logan Moneypenny | Pharmacist | 1 Medical Center Dr, Dept of Pharmaceutical Services 8045, Morgantown, WV 26506-1200 | 2020-07-30 |
| 1174132088 | Megan Ciborowski | Pharmacist | 1 Medical Center Dr Dept Of, Morgantown, WV 26506-1200 | 2020-07-27 |
| 1649896077 | Carol S Crosmun | Pharmacist | 2500 Hospital Dr, Martinsburg, WV 25401-3402 | 2020-06-22 |
| 1306467873 | Ashley Frazier Street | Pharmacist | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2020-05-06 |
| Find all providers with the same taxonomy | ||||
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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.