MELINDA MOORE (NPI# 1497146484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497146484 |
| Entity Type | Individual |
| Full Name | MELINDA MOORE |
| Practice Address |
3050 N Lewis Ave Waukegan IL 60087-2231 |
| Mailing Address |
2521 N Augusta Ct Wadsworth IL 60083-8907 |
| Practice Telephone | 8475999079 |
| Mailing Telephone | 2629459977 |
| Enumeration Date | 2015-02-11 |
| Last Update Date | 2015-02-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183700000X | Pharmacy Technician | 049178864 | IL | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801412424 | Melinda Moore | Psychologist | 144 E Lowry Ln, Lexington, KY 40503-2403 | 2020-06-19 |
| 1003442419 | Melinda Moore | Nurse Practitioner | 6332 Summerwood Dr E, Puyallup, WA 98373-5005 | 2020-03-17 |
| 1235466012 | Melinda Lou Moore | Massage Therapist | 16313 S Tamiami Trl, Fort Myers, FL 33908-5326 | 2009-11-16 |
| 1508003849 | Melinda Beth Moore | Podiatrist | 807 S Division St, Carterville, IL 62918-1528 | 2009-01-08 |
| 1174771737 | Melinda Beth Moore | Psychologist | 15521 Midlothian Turnpike, Suite 105, Midlothian, VA 23114 | 2008-09-08 |
| 1891358453 | Melinda Moore | Counselor | 5945 Sawmill Rd Unit B, Dublin, OH 43017-1623 | 2019-04-19 |
| 1932304151 | Melinda Moore | Counselor | 107 S High St, Antlers, OK 74523-3818 | 2007-06-18 |
| 1316095490 | Melinda Jane Moore | Nurse Practitioner | 430 W Napa St Ste F, Sonoma, CA 95476-6545 | 2007-01-08 |
| Street Address |
3050 N LEWIS AVE |
| City | WAUKEGAN |
| State | IL |
| Zip Code | 60087-2231 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124040936 | Highland Park Cvs LLC | Durable Medical Equipment & Medical Supplies | 3050 N Lewis Ave, Waukegan, IL 60087-2231 | 2006-07-24 |
| 1720461288 | Irene Diana Sebeh | Pharmacist | 3050 N Lewis Ave, Waukegan, IL 60087-2231 | 2015-07-02 |
| 1336528108 | Andreina Navarro | Pharmacy Technician | 3050 N Lewis Ave, Waukegan, IL 60087-2231 | 2015-05-26 |
| 1245622307 | Jaime Santana | Pharmacy Technician | 3050 N Lewis Ave, Waukegan, IL 60087-2231 | 2015-02-26 |
| 1063803849 | Adam Miscichowski | Pharmacy Technician | 3050 N Lewis Ave, Waukegan, IL 60087-2231 | 2015-02-14 |
| 1174914105 | Darlene Castillo | Pharmacy Technician | 3050 N Lewis Ave, Waukegan, IL 60087-2231 | 2015-02-12 |
| 1225429210 | Martha C Acosta | Pharmacy Technician | 3050 N Lewis Ave, Waukegan, IL 60087-2231 | 2015-02-11 |
| 1215328489 | Charolette Bodden | Pharmacy Technician | 3050 N Lewis Ave, Waukegan, IL 60087-2231 | 2015-02-10 |
| 1902190275 | Ashley Denise Brown | Pharmacist | 3050 N Lewis Ave, T1070, Waukegan, IL 60087-2231 | 2011-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982268017 | Michael Donavan Wilson | Counselor | 200 North Lewis, Waukegan, IL 60087 | 2019-04-24 |
| 1114412160 | David B Fuentes | Specialist/Technologist | 2904 Wall Ave, Waukegan, IL 60087 | 2018-06-22 |
| 1578912713 | Fulton Family Dental, Ltd. | Dentist | 1308 Sunset Ave., Waukegan, IL 60087 | 2016-06-08 |
| 1902852825 | American Drug Stores LLC | Durable Medical Equipment & Medical Supplies | 3124 N Lewis Ave, Waukegan, IL 60087 | 2006-05-25 |
| 1396723565 | Daram H Reddy Md | Psychiatry & Neurology | 609 Greenwood Ave, Waukegan, IL 60087 | 2006-01-06 |
| 1609200328 | Rosa Margaret Uriostegui | Interpreter | 2117 Edgewood Rd, Waukegan, IL 60087-1442 | 2013-08-29 |
| 1518390871 | Mary Sol Enriquez | Developmental Therapist | 11307 W Edgewood Rd, Beach Park, IL 60087-1526 | 2013-08-09 |
| 1649894130 | Kelly M Ingram | Developmental Therapist | 38229 N North Ave, Beach Park, IL 60087-1662 | 2020-06-01 |
| 1467735209 | Kelly A. Holverson | Speech-Language Pathologist | 38286 N Geraghty Ave, Beach Park, IL 60087-1748 | 2011-09-27 |
| 1487669594 | Walgreen Co | Pharmacy | 39023 N Green Bay Rd, Beach Park, IL 60087-1978 | 2006-07-29 |
| Find all providers in zip 60087 | ||||
| Taxonomy Code | 183700000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacy Technician |
| A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. |
| Notes: Source: Pharmacy Technician Certification Board, www.ptcb.org [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336528108 | Andreina Navarro | Pharmacy Technician | 3050 N Lewis Ave, Waukegan, IL 60087-2231 | 2015-05-26 |
| 1245622307 | Jaime Santana | Pharmacy Technician | 3050 N Lewis Ave, Waukegan, IL 60087-2231 | 2015-02-26 |
| 1063803849 | Adam Miscichowski | Pharmacy Technician | 3050 N Lewis Ave, Waukegan, IL 60087-2231 | 2015-02-14 |
| 1174914105 | Darlene Castillo | Pharmacy Technician | 3050 N Lewis Ave, Waukegan, IL 60087-2231 | 2015-02-12 |
| 1225429210 | Martha C Acosta | Pharmacy Technician | 3050 N Lewis Ave, Waukegan, IL 60087-2231 | 2015-02-11 |
| 1215328489 | Charolette Bodden | Pharmacy Technician | 3050 N Lewis Ave, Waukegan, IL 60087-2231 | 2015-02-10 |
| 1770983710 | Cortney Cadby | Pharmacy Technician | 3010 Grand Ave, Waukegan, IL 60085-2321 | 2014-08-27 |
| 1528088671 | Teresa Tanner | Pharmacy Technician | 3012 Grand Ave, Waukegan, IL 60085-2321 | 2006-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023616299 | Marina Bozovic | Pharmacy Technician | 2229 S Lexington Dr Apt 208, Mount Prospect, IL 60056-5959 | 2020-10-11 |
| 1124633094 | Lorena Sadiku | Pharmacy Technician | 9 Regent Ct, Oak Brook, IL 60523-1755 | 2020-09-08 |
| 1457966301 | Hoang Bich Thuy Tran | Pharmacy Technician | 496 Vaughn Cir, Aurora, IL 60502-6764 | 2020-09-08 |
| 1093320947 | David Li | Pharmacy Technician | 2848 S Quinn St Apt A, Chicago, IL 60608-5979 | 2020-09-08 |
| 1922612928 | Valentina Iliescu | Pharmacy Technician | 2440 N Luna Ave, Chicago, IL 60639-1335 | 2020-09-07 |
| 1972128486 | Peter Redden | Pharmacy Technician | 15232 S 82nd Ave, Orland Park, IL 60462-4116 | 2020-06-10 |
| 1306492186 | Camiesa Rashida Rogers | Pharmacy Technician | 626 N Austin #7, Oak Park, IL 60302 | 2019-08-16 |
| 1679029995 | Meghan Robbins | Pharmacy Technician | 10428 S. Springfield, Chicago, IL 60655 | 2016-08-28 |
| 1093185209 | Kristin Kalivoda | Pharmacy Technician | 2 N. Cass Avenue, Westmont, IL 60559 | 2015-09-30 |
| 1922498484 | Heather Boslem | Pharmacy Technician | 1016 Emerald Ln, Machesney Park, IL 61115-2130 | 2015-02-04 |
| 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.