PAUL CICHON (NPI# 1417561887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417561887 |
| Entity Type | Individual |
| Full Name | PAUL CICHON |
| Credential | PHARMD |
| Practice Address |
1704 E Riverside Blvd Loves Park IL 61111-4850 |
| Practice Telephone | 8156330475 |
| Enumeration Date | 2020-09-03 |
| Last Update Date | 2020-09-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 051303229 | IL | Pharmacy Service Providers |
| Street Address |
1704 E RIVERSIDE BLVD |
| City | LOVES PARK |
| State | IL |
| Zip Code | 61111-4850 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033368618 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1704 E Riverside Blvd, Loves Park, IL 61111-4850 | 2008-09-18 |
| 1275925885 | Sheila Isit | Pharmacist | 1704 E Riverside Blvd, Loves Park, IL 61111-4850 | 2015-02-19 |
| 1790118461 | Anne-marie Mondo | Pharmacist | 1704 E Riverside Blvd, Loves Park, IL 61111-4850 | 2013-08-16 |
| 1922383389 | Tu Cam D Nguyen | Pharmacist | 1704 E Riverside Blvd, Loves Park, IL 61111-4850 | 2011-10-18 |
| 1043592322 | Denise Freethy | Pharmacist | 1704 E Riverside Blvd, Loves Park, IL 61111-4850 | 2011-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316562788 | Salli Jacobsen | Technician | 6699 Torch Lite Tr, Loves Park, IL 61111 | 2020-06-11 |
| 1003476425 | Costco Wholesale Corporation | Pharmacy | 5000 Stadium Drive, Loves Park, IL 61111 | 2019-06-18 |
| 1427541077 | Ronit Golan | Physical Therapist | 4401 Peak Dr Ste 1, Loves Park, IL 61111 | 2018-06-08 |
| 1598049025 | Sara Debelak | Developmental Therapist | 7225 Golden Eagle Drive, Loves Park, IL 61111 | 2011-10-03 |
| 1083906382 | Gagandeep Goyal | Anesthesiology | 5504 N 2nd St, Loves Park, IL 61111 | 2011-05-05 |
| 1124354261 | Asap Transport, LLC | Taxi | 7117 Clinton Rd, Suite 4, Loves Park, IL 61111 | 2009-10-25 |
| 1235212275 | Roger H Hill | Optometrist | 4301 N Mulford Rd, Loves Park, IL 61111 | 2006-10-23 |
| 1831104546 | Pointcore, Inc. | Pharmacy | 9951 Rock Cut Crossing, Loves Park, IL 61111 | 2006-07-30 |
| 1629099627 | Lisa A. Breisch | Counselor | Harmony Center for Holistic Psychotherapy, 6625 N. 2nd Street, Loves Park, IL 61111 | 2006-07-22 |
| 1386670529 | Joseph L Digirolamo | Chiropractor | 116 East Riverside Blvd, Loves Park, IL 61111 | 2006-06-22 |
| Find all providers in zip 61111 | ||||
| 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 |
|---|---|---|---|---|
| 1770069841 | David Edward Matson | Pharmacist | 1810 Harlem Rd, Loves Park, IL 61111-2674 | 2018-07-12 |
| 1790067957 | Glenn M Carguillo | Pharmacist | 7090 Golden Eagle Dr, Loves Park, IL 61111-5386 | 2011-09-14 |
| 1396026159 | Paul T Anast | Pharmacist | 4704 Stirrup Cup Ct, Loves Park, IL 61111-5302 | 2011-09-06 |
| 1720132723 | Patricia M Wegner | Pharmacist | Ichp, 4055 N. Perryville Road, Loves Park, IL 61111-8653 | 2007-01-23 |
| 1184778755 | Scott A Meyers | Pharmacist | 4055 N Perryville Rd, Loves Park, IL 61111-8653 | 2007-01-22 |
| 1780297838 | Dipsa Merchant | Pharmacist | 5900 N 2nd St, Loves Park, IL 61111-4647 | 2020-08-28 |
| 1497301360 | Elena Cheptene | Pharmacist | 5000 Stadium Dr, Loves Park, IL 61111-2301 | 2019-08-15 |
| 1467938175 | Linda Anne Carlson | Pharmacist | 1810 Harlem Rd, Loves Park, IL 61111-2674 | 2018-07-16 |
| 1962988857 | James Michael Tillman | Pharmacist | 1810 Harlem Rd, Loves Park, IL 61111-2674 | 2018-07-14 |
| 1336650803 | Adebola U Erogbogbo | Pharmacist | 5900 N 2nd St, Loves Park, IL 61111-4647 | 2017-10-23 |
| Find all providers in LOVES PARK | ||||
| City | LOVES PARK |
| Zip Code | 61111 |
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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.