LESLIE DANIEL GRIFFIN (NPI# 1467053330) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467053330 |
| Entity Type | Individual |
| Full Name | LESLIE DANIEL GRIFFIN |
| Practice Address |
1640 S Galena Ave Dixon IL 61021-9611 |
| Practice Telephone | 8152887797 |
| Mailing Telephone | 8152887797 |
| Enumeration Date | 2020-11-05 |
| Last Update Date | 2020-11-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 051302777 | IL | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023518636 | Leslie Griffin | Speech-Language Pathologist | 8270 Willow Oaks Corporate Dr, Fairfax, VA 22031-4511 | 2018-02-20 |
| 1659620037 | Leslie M Griffin | Speech-Language Pathologist | 201 N Forest Ave, Special Services -- Claim Care, Independence, MO 64050-2513 | 2012-08-31 |
| 1871882324 | Leslie S. Griffin | Marriage & Family Therapist | 450 E Atlantic Blvd, Pompano Beach, FL 33060-6256 | 2011-04-06 |
| 1326215120 | Leslie C Griffin | Family Medicine | 60 Erlanger South Drive, Erlanger Medical Center, Ringgold, GA 30736-3179 | 2008-05-12 |
| 1598810483 | Leslie Carol Griffin | Radiology | 7141 Security Blvd, Baltimore, MD 21244-1811 | 2007-01-24 |
| 1336247402 | Leslie Griffin | Nurse Practitioner | 75 Francis St, Boston, MA 02115-6110 | 2006-09-20 |
| Street Address |
1640 S GALENA AVE |
| City | DIXON |
| State | IL |
| Zip Code | 61021-9611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396762696 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 1640 S Galena Ave, Dixon, IL 61021-9611 | 2006-07-16 |
| 1821698085 | Titilayo Oladipupo | Pharmacist | 1640 S Galena Ave, Dixon, IL 61021-9611 | 2020-10-27 |
| 1710538178 | James Melvin Anderson | Pharmacist | 1640 S Galena Ave, Dixon, IL 61021-9611 | 2019-09-26 |
| 1366452518 | Wal-mart Stores, Inc. | Technician/Technologist | 1640 S Galena Ave, Dixon, IL 61021-9611 | 2006-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699331082 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 1600 South Galena Ave, Dixon, IL 61021 | 2019-05-12 |
| 1285135590 | Richard Allen Sibert | Counselor | 325 Il Route 2,dixon Il, Dixon, IL 61021 | 2018-02-22 |
| 1518485432 | Madeline Luniewicz | Counselor | 325 Il-2, Dixon, IL 61021 | 2017-08-30 |
| 1669992566 | Nicole Marie Shaffer | Specialist/Technologist | 650 Reynoldswood Road, Dixon, IL 61021 | 2017-06-21 |
| 1346660446 | Lydia Sitter | Audiologist | 215 3. 1st Street, Suite 317, Ksb Medical Group, Dixon, IL 61021 | 2014-04-16 |
| 1053600080 | Janet I. Malmberg | Nurse Practitioner | 309 South Galena Ave, Suite 100, Dixon, IL 61021 | 2011-03-30 |
| 1376775262 | Kelly L Klein | Optometrist | 511 Palmyra Street, Ksb Eye & Vision Care, Dixon, IL 61021 | 2009-08-11 |
| 1013119106 | Michael Joseph Sarno | Physical Therapist | 401 E. First Street, Dixon, IL 61021 | 2007-06-01 |
| 1891905600 | Thomas G. Gehlbach | Internal Medicine | 215 E 1st St Ste 111, Dixon, IL 61021 | 2007-05-23 |
| 1699987230 | Sameer Jain | Family Medicine | 102 S. Hennepin Ave., Ksb Medical Group, Dixon, IL 61021 | 2007-05-04 |
| Find all providers in zip 61021 | ||||
| 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 |
|---|---|---|---|---|
| 1790836740 | Jpie Inc. | Pharmacist | 742 N Galena Ave, Dixon, IL 61021-1510 | 2007-01-16 |
| 1821698085 | Titilayo Oladipupo | Pharmacist | 1640 S Galena Ave, Dixon, IL 61021-9611 | 2020-10-27 |
| 1710538178 | James Melvin Anderson | Pharmacist | 1640 S Galena Ave, Dixon, IL 61021-9611 | 2019-09-26 |
| 1275090805 | Christopher Choy Won | Pharmacist | 1057 N 1st St, Dixon, CA 95620-2428 | 2019-03-01 |
| 1134692189 | James Michael Pietryga | Pharmacist | 301 N Galena Ave, Dixon, IL 61021-2113 | 2019-01-02 |
| 1396229373 | Van Lu | Pharmacist | 1235 Stratford Ave, Dixon, CA 95620-2024 | 2018-09-17 |
| 1689198897 | Martin Bui | Pharmacist | 235 E Dorset Dr, Dixon, CA 95620-9232 | 2017-07-29 |
| 1609301571 | Sasha Jordan Gould | Pharmacist | 1057 N 1st St, Dixon, CA 95620-2428 | 2017-04-27 |
| 1023427572 | Kim Willard | Pharmacist | 235 E Dorset Dr, Dixon, CA 95620-9232 | 2014-08-08 |
| 1346587623 | Renee M Grady | Pharmacist | 1275 N Galena Ave, Dixon, IL 61021-1001 | 2013-01-07 |
| Find all providers in DIXON | ||||
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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.