ANNE KNIGHTLY (NPI# 1538579305) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538579305 |
| Entity Type | Individual |
| Full Name | ANNE KNIGHTLY |
| Practice Address |
9200 S Western Ave Evergreen Park IL 60805-2500 |
| Mailing Address |
9605 S Kilbourn Ave Oak Lawn IL 60453-3209 |
| Practice Telephone | 7084998110 |
| Practice Fax Number | 7084998165 |
| Enumeration Date | 2014-05-02 |
| Last Update Date | 2014-05-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
051295114 | IL | Pharmacy Service Providers |
| Street Address |
9200 S WESTERN AVE |
| City | EVERGREEN PARK |
| State | IL |
| Zip Code | 60805-2500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417398082 | Meijer Great Lakes Limited Partnership | Durable Medical Equipment & Medical Supplies | 9200 S Western Ave, Evergreen Park, IL 60805-2500 | 2013-07-11 |
| 1598153173 | Kristofer Dempsey | Pharmacist | 9200 S Western Ave, Evergreen Park, IL 60805-2500 | 2015-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487254603 | Cynthia Nicole Bucio | Pharmacist | 9400 S. Western, Evergreen Park, N/A 60805 | 2020-10-27 |
| 1124530456 | Foundations Counseling, LLC | Social Worker | 9730 S Western Ave Ste 215, Evergreen Park, IL 60805 | 2017-10-26 |
| 1184147886 | Luke Blaeser | Specialist/Technologist | 2856 W. 97th Pl., Evergreen Park, IL 60805 | 2017-07-25 |
| 1396193322 | Daniel Joseph Bierbaum Howard | Emergency Medicine | 2800 95th St, Emergency Department, Evergreen Park, IL 60805 | 2016-05-31 |
| 1588037873 | Lcr Primary Care LLC | Exclusive Provider Organization | 9237 S.pulaski, Ste. 2s, Evergreen Park, IL 60805 | 2015-11-09 |
| 1447639091 | Nancy Sanchez | Social Worker | 9832 S Utica Ave, Evergreen Park, IL 60805 | 2015-05-28 |
| 1629334743 | Harshad M. Mehta Md Sc | Psychiatry & Neurology | 2850 W. 95th Street, Suite 206, Evergreen Park, IL 60805 | 2012-04-03 |
| 1235407305 | Victoria T Adesina | Pharmacist | 8700 South Kedzie Ave, Evergreen Park, IL 60805 | 2011-12-05 |
| 1891072922 | Zahia-lena Refat Hussien | Pharmacist | 8700 S. Kedzie Ave, Evergreen Park, IL 60805 | 2011-11-03 |
| 1891079091 | Denise Adams | Occupational Therapy Assistant | 9217 S. Kedzie, Evergreen Park, IL 60805 | 2011-10-06 |
| Find all providers in zip 60805 | ||||
| Taxonomy Code | 1835P1200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacotherapy |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598153173 | Kristofer Dempsey | Pharmacist | 9200 S Western Ave, Evergreen Park, IL 60805-2500 | 2015-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134749716 | Bethany Nicole Jumps | Pharmacist | Broadway St & N 11th St, Quincy, IL 62301 | 2020-04-23 |
| 1386263234 | Pooja Ramnani | Pharmacist | 5841 S Maryland Ace, Chicago, IL 60637 | 2020-04-10 |
| 1740647767 | William Patrick Johnson Jr. | Pharmacist | 505 Jeffrey Pine Ct, O Fallon, IL 62269-2554 | 2016-01-21 |
| 1114382314 | Archariya Puangampai | Pharmacist | 4178 S Emerald Ave, Chicago, IL 60609-2645 | 2015-12-15 |
| 1285000992 | Dana Christine Losch | Pharmacist | 9000 W Golf Rd, Niles, IL 60714-5805 | 2015-08-17 |
| 1083013874 | Erin E Gianaras | Pharmacist | 2500 S Philo Rd, Urbana, IL 61802 | 2014-08-18 |
| 1033520705 | Donald Lellish | Pharmacist | 815 N. Randall Rd, Elgin, IL 60123 | 2014-05-15 |
| 1649680505 | Amanda E Gorman | Pharmacist | 14169 S Bell Rd, Homer Glen, IL 60491-8464 | 2014-05-01 |
| 1346650231 | Chayani Pam Kaenkumchorn | Pharmacist | 11305 W Lincoln Hwy, Mokena, IL 60448-2070 | 2014-05-01 |
| 1245640242 | Allison Ostrander | Pharmacist | 7111 Cermak Rd, Berwyn, IL 60402-2145 | 2014-04-30 |
| Find all providers with the same taxonomy | ||||
| City | EVERGREEN PARK |
| Zip Code | 60805 |
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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.