ELIZABETH BRACKETT (NPI# 1487255741) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487255741 |
| Entity Type | Individual |
| Full Name | ELIZABETH BRACKETT |
| Practice Address |
1941 W Morton Ave Jacksonville IL 62650-2620 |
| Mailing Address |
1532 Mobil Rd Jacksonville IL 62650-6299 |
| Practice Telephone | 2172455815 |
| Mailing Telephone | 2173707387 |
| Enumeration Date | 2020-11-03 |
| Last Update Date | 2020-11-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 051294469 | IL | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447678735 | Elizabeth Brackett | Pharmacist | 178 Wintersweet Way, Sharpsburg, GA 30277-4689 | 2014-04-03 |
| 1801241633 | Elizabeth Erin Brackett | Obstetrics & Gynecology | 234 Goodman St, Center for Women's Health, Cincinnati, OH 45219-2364 | 2016-04-29 |
| 1528035102 | Elizabeth C Brackett | Family Medicine | 5100 Gamble Dr Suite 100, Mail Stop 31200a Helathpartners West Clinic, Saint Louis Park, MN 55416-1582 | 2006-03-02 |
| Street Address |
1941 W MORTON AVE |
| City | JACKSONVILLE |
| State | IL |
| Zip Code | 62650-2620 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568489839 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 1941 W Morton Ave, Jacksonville, IL 62650-2620 | 2006-07-16 |
| 1720689094 | Kristy Abell | Pharmacist | 1941 W Morton Ave, Jacksonville, IL 62650-2620 | 2020-11-03 |
| 1417558776 | Daniel Vanmeter | Pharmacist | 1941 W Morton Ave, Jacksonville, IL 62650-2620 | 2020-11-03 |
| 1386244911 | Nathan Brown | Pharmacist | 1941 W Morton Ave, Jacksonville, IL 62650-2620 | 2020-11-01 |
| 1336318021 | Wal-mart Stores, Inc. | Eyewear Supplier (Equipment, not the service) | 1941 W Morton Ave, Jacksonville, IL 62650-2620 | 2008-02-27 |
| 1770678468 | Allan J Brummel | Optometrist | 1941 W Morton Ave, Jacksonville, IL 62650-2620 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134768708 | Stephanie Lee Mabus | Occupational Therapy Assistant | 873 Gorve St, Jacksonville, IL 62650 | 2019-12-31 |
| 1285281071 | Sharshon Pharmacy Inc | Pharmacy | 154 W Morton Ave, Jacksonville, IL 62650 | 2019-08-26 |
| 1992275499 | Brittany Ruth Helmich | Counselor | 340 W. State St., Jacksonville, IL 62650 | 2018-11-28 |
| 1811391782 | Rodney E. Overstreet | Hearing Instrument Specialist | 1521 W. Walnut, Jacksonville, IL 62650 | 2014-10-21 |
| 1407979818 | Jan Ala | Speech-Language Pathologist | 1111 W Morton, Speechworks, Jacksonville, IL 62650 | 2007-04-09 |
| 1083787592 | Eldon G Barrowes Dds & Assoc PC | Dentist | 1515 West Walnut, Bldg #3, Jacksonville, IL 62650 | 2006-11-15 |
| 1194895979 | Joseph J Kozma | Internal Medicine | 1440 West Walnut, Jacksonville, IL 62650 | 2006-11-08 |
| 1740350529 | Susan Weller | Dentist | 1614 West Lafayette Avenue, Jackson, IL 62650 | 2006-11-08 |
| 1659467793 | Shawn M Fry | Family Medicine | 610 N. Westgate, Jacksonville, IL 62650 | 2006-10-05 |
| 1518050061 | Ward Richard Dunseth II | Nurse Anesthetist, Certified Registered | 1400 W Walnut, Jacksonville, IL 62650 | 2006-10-02 |
| Find all providers in zip 62650 | ||||
| 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 |
|---|---|---|---|---|
| 1669073128 | Kandra Williams | Pharmacist | 10148 Kings Crossing Dr, Jacksonville, FL 32219-7621 | 2020-11-02 |
| 1568062131 | Matthew David Strawbridge | Pharmacist | 1335 Edgewood Ave S, Jacksonville, FL 32205-7739 | 2020-10-31 |
| 1639779036 | Jie Song | Pharmacist | 10991 San Jose Blvd, Jacksonville, FL 32223-6675 | 2020-10-27 |
| 1417564899 | Mit Manojkumar Suthar | Pharmacist | 1773 Chandelier Cir E, Jacksonville, FL 32225-5553 | 2020-09-29 |
| 1932715398 | Sena Aydogan | Pharmacist | 753 Candlebark Dr, Jacksonville, FL 32225-5321 | 2020-09-21 |
| 1780295949 | Daniel James Carr | Pharmacist | 1301 Palm Ave Ste 201, Jacksonville, FL 32207-8432 | 2020-08-12 |
| 1760093926 | Kaetlyn Parker | Pharmacist | 1301 Palm Ave Ste 210, Jacksonville, FL 32207-8432 | 2020-08-12 |
| 1316557507 | Lauren Meagan Condon | Pharmacist | 155 Bartram Market Dr, Jacksonville, FL 32259-4581 | 2020-08-03 |
| 1134746357 | Kathryn Leigh Kettler | Pharmacist | 4836 Brierwood Rd, Jacksonville, FL 32257-8027 | 2020-07-03 |
| 1902422306 | Morene Yvonne Kelly | Pharmacist | 4255 La Losa Dr, Jacksonville, FL 32217-4640 | 2020-06-22 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 62650 |
Please comment or provide details below to improve the information on ELIZABETH BRACKETT.
| 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.