LILLIAN PORTILLO (NPI# 1396398269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396398269 |
| Entity Type | Individual |
| Full Name | LILLIAN PORTILLO |
| Credential | RPH |
| Practice Address |
930 New Hope Rd Lawrenceville GA 30045-6407 |
| Mailing Address |
588 Martha Sue Drive Lawrenceville GA 30045 |
| Practice Telephone | 7706822433 |
| Enumeration Date | 2019-07-19 |
| Last Update Date | 2019-07-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RPH031494 | GA | Pharmacy Service Providers |
| Street Address |
930 NEW HOPE RD |
| City | LAWRENCEVILLE |
| State | GA |
| Zip Code | 30045-6407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265471205 | Publix Super Markets Inc | Durable Medical Equipment & Medical Supplies | 930 New Hope Rd, Lawrenceville, GA 30045-6407 | 2006-06-05 |
| 1235628256 | Mm Surgical Services, LLC | Specialist/Technologist, Other | 930 New Hope Rd, Suite 11-526, Lawrenceville, GA 30045 | 2018-05-04 |
| 1336636679 | Minela Mahmutovic | Specialist/Technologist, Other | 930 New Hope Rd, Suite 11-526, Lawrenceville, GA 30045 | 2018-04-20 |
| 1407200579 | Saudia Ally | Pharmacist | 930 New Hope Rd, Lawrenceville, GA 30045-6407 | 2016-04-14 |
| 1982941753 | Nadene A Roberts | Pharmacist | 930 New Hope Rd, Lawrenceville, GA 30045-6407 | 2013-01-13 |
| 1497092266 | Aaron William Fink | Pharmacist | 930 New Hope Rd, Lawrenceville, GA 30045-6407 | 2013-01-13 |
| 1578800512 | Robert Wayne Nobs | Pharmacist | 930 New Hope Rd, Lawrenceville, GA 30045-6407 | 2013-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285104315 | Shalanda Monique Booker | Counselor | 2940 Emerald Springs Drive, Lawrenceville, GA 30045 | 2018-12-02 |
| 1669957320 | Chantelle S Fuller | Behavioral Analyst | 805 Donington Cir, Lawrenceville, GA 30045 | 2018-09-28 |
| 1356836035 | Gad Health Care LLC | Home Health | 1140 Great Oaks Dr, Lawrenceville, GA 30045 | 2018-06-26 |
| 1346668662 | Eca Optical, LLC | Eyewear Supplier (Equipment, not the service) | 601-a Professional Drive, Ste 170, Lawrenceville, GA 30045 | 2014-04-03 |
| 1598102733 | Selena Fuller | Nurse Practitioner | 181 South Clayton Street, Lawrenceville, GA 30045 | 2013-05-29 |
| 1942555982 | Vida Michele James-bryant | Community Health Worker | 1309 Avington Glen Dr, Lawrenceville, GA 30045 | 2012-07-16 |
| 1770840639 | Rebecca Vinson D'angelo | Occupational Therapist | 1518 Great Shoals Cir, Lawrenceville, GA 30045 | 2012-04-17 |
| 1427346774 | Amanda Michelel Woods | Psychologist | 285 South Perry Street, Lawrenceville, GA 30045 | 2011-07-20 |
| 1790070563 | M & G Pharmacy Inc | Pharmacy | 100 Hurricane Shoals Rd Suite F, Lawrenceville, GA 30045 | 2011-06-09 |
| 1306146154 | Thanh Dau | Optometrist | 1250 Scenic Highway, Ste 1268, Lawrenceville, GA 30045 | 2010-10-27 |
| Find all providers in zip 30045 | ||||
| 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 |
|---|---|---|---|---|
| 1851990394 | Emmanuel Dingsangha | Pharmacist | 3324 Shady Woods Cir, Lawrenceville, GA 30044-2569 | 2020-10-24 |
| 1700404670 | Abel E Kusovschi | Pharmacist | 146 Lancelot Way, Lawrenceville, GA 30046-4756 | 2020-07-08 |
| 1699339374 | Kimberly Woodruff | Pharmacist | 1 Old Bridle Path, Lawrenceville, NJ 08648-1080 | 2019-04-28 |
| 1063920668 | Elizabeth Darbee | Pharmacist | 68 Hopatcong Dr, Lawrenceville, NJ 08648-4136 | 2018-01-17 |
| 1952829368 | Shannon Alexander | Pharmacist | 2780 Commons Dr, Lawrenceville, GA 30044-5761 | 2017-09-06 |
| 1467992289 | Stephanie J Henklein | Pharmacist | 3197 River Oak Ct, Lawrenceville, GA 30044-5650 | 2017-02-27 |
| 1396282125 | Bhumika Dhanani | Pharmacist | 1600 Creek Pointe Cir, Lawrenceville, GA 30043-8355 | 2017-01-31 |
| 1811446511 | Niki J Patel | Pharmacist | 9 Dix Ln, Lawrenceville, NJ 08648-4844 | 2016-09-23 |
| 1891158382 | Justin George | Pharmacist | 1179 Ridge Hollow Lane, Lawrenceville, GA 30043 | 2016-04-01 |
| 1770956153 | Deepika Choudhri | Pharmacist | 315 Stratford Dr, Lawrenceville, NJ 08648-1251 | 2015-11-05 |
| Find all providers in LAWRENCEVILLE | ||||
| City | LAWRENCEVILLE |
| Zip Code | 30045 |
Please comment or provide details below to improve the information on LILLIAN PORTILLO.
| 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.