NICOLE RENEE SCHAFFENACKER (NPI# 1447548359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447548359 |
| Entity Type | Individual |
| Full Name | NICOLE RENEE SCHAFFENACKER |
| Credential | RPH |
| Practice Address |
603 Woodlawn Rd Lincoln IL 62656-1406 |
| Mailing Address |
7 Lamplighter Cir Mount Pulaski IL 62548-6060 |
| Practice Telephone | 2177321825 |
| Practice Fax Number | 2177327796 |
| Mailing Telephone | 2177321825 |
| Mailing Fax Number | 2177327796 |
| Enumeration Date | 2011-07-12 |
| Last Update Date | 2011-07-12 |
| 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 |
051290093 | IL | Pharmacy Service Providers |
| Street Address |
603 WOODLAWN RD |
| City | LINCOLN |
| State | IL |
| Zip Code | 62656-1406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801801097 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 603 Woodlawn Rd, Lincoln, IL 62656-1406 | 2006-07-29 |
| 1396358065 | Eric Pan | Pharmacist | 603 Woodlawn Rd, Lincoln, IL 62656-1406 | 2020-08-24 |
| 1760764666 | Cynthia D Bivin | Pharmacist | 603 Woodlawn Rd, Lincoln, IL 62656-1406 | 2011-09-15 |
| 1861772774 | Tyler J Gehlbach | Pharmacist | 603 Woodlawn Rd, Lincoln, IL 62656-1406 | 2011-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437678943 | Carissa Jo O'donoghue | Speech-Language Pathologist | 1000 Railer Way, Lincoln, IL 62656 | 2017-09-15 |
| 1083972012 | Cynthia Dorchinecz | Speech-Language Pathologist | 200 Fifth Street, Lincoln, IL 62656 | 2012-04-27 |
| 1104100114 | Jan E Fehrenbacher | Pharmacist | 603 Woodlawn, Lincoln, IL 62656 | 2011-10-10 |
| 1053633263 | Tazwood Mental Health Center, Inc. | Community/Behavioral Health | 124-126 S. Chicago Street, Lincoln, IL 62656 | 2010-02-16 |
| 1649428756 | Diane E Ulrich | Dentist | 400 N. Chicago St, Lincoln, IL 62656 | 2008-09-03 |
| 1922202944 | Robert C Miller | Dentist | 217 S Kickapoo St, Lincoln, IL 62656 | 2007-06-13 |
| 1720290638 | Lifetime Dental Care of Illinois, PC | Dentist | 411 Keokuk Street, Lincoln, IL 62656 | 2007-05-04 |
| 1982734539 | Wal-mart Stores, Inc. Dba Wal-mart | Technician/Technologist | 825 Malerich Dr., Lincoln, IL 62656 | 2007-03-06 |
| 1861571663 | David R Hepler II | Chiropractor | 2000 Pulaski Street, Lincoln, IL 62656 | 2006-11-03 |
| 1477561793 | Raymond Todd Nobbe | Optometrist | 1400 Woodlawn Road, Lincoln, IL 62656 | 2006-08-03 |
| Find all providers in zip 62656 | ||||
| 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 |
|---|---|---|---|---|
| 1497381123 | David John Effken | Pharmacist | 5566 S 56th St, Lincoln, NE 68516-1834 | 2020-03-13 |
| 1346875523 | Tara Grau | Pharmacist | 7002 O St, Lincoln, NE 68510-2425 | 2020-03-07 |
| 1427571496 | Caitlyn Stutzman | Pharmacist | 1600 S 48th St, Lincoln, NE 68506-1283 | 2017-07-21 |
| 1255785549 | Maggie Kruschel | Pharmacist | 600 S 70th St, Lincoln, NE 68510-2451 | 2016-04-22 |
| 1265858872 | Megan Kehrli | Pharmacist | 2300 S 16th St, Lincoln, NE 68502-3704 | 2014-03-07 |
| 1508281841 | Jeffrey Jerome Weber | Pharmacist | 1600 S 48th St, Lincoln, NE 68506-1283 | 2014-02-24 |
| 1073745774 | Chad A Bartholomew | Pharmacist | 600 S 70th St, Lincoln, NE 68510-2451 | 2009-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790392223 | Michelle To | Pharmacist | 2252 Aster Ct, Naperville, IL 60565-8893 | 2020-09-29 |
| 1760099253 | Kelsey Schultz | Pharmacist | 1058 N Paulina St Apt 2, Chicago, IL 60622-3918 | 2020-09-28 |
| 1053927988 | Caleb David Braasch | Pharmacist | 1818 South Airport Rd, Decatur, IL 62521 | 2020-09-16 |
| 1578176061 | Omolara Akintilo | Pharmacist | 3254 Toulouse, Bourbonnais, IL 60914-4554 | 2020-08-25 |
| 1972120285 | Susan F. Michaelis | Pharmacist | 405 W South St, Arlington Heights, IL 60005-1703 | 2020-07-02 |
| 1730701392 | Alexander Tam-phan Nguyen | Pharmacist | 773 N Silver Leaf Ln, Round Lake, IL 60073-5267 | 2020-05-17 |
| 1336769074 | Shakeel Ahmed | Pharmacist | 1471 E Business Center Dr Ste 500, Mt Prospect, IL 60056-6082 | 2020-04-22 |
| 1780214668 | Rikii A Pyle | Pharmacist | 1704 W Deyoung St, Marion, IL 62959-1054 | 2020-01-20 |
| 1629608773 | Madeline Lea Taitt | Pharmacist | 3637 Herrin Rd, Carterville, IL 62918-3156 | 2020-01-16 |
| 1235769464 | Joshua David Chady | Pharmacist | 550 E Industrial Park Rd, Murphysboro, IL 62966-3947 | 2020-01-15 |
| 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.