BRIAN WAYNE LOGUE (NPI# 1649345786) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649345786 |
| Entity Type | Individual |
| Full Name | BRIAN WAYNE LOGUE |
| Credential | RPH. |
| Practice Address |
101 N University St Isu Health Service Pharmacy Normal IL 61790-2540 |
| Mailing Address |
32800 Fast Ave Mackinaw IL 61755-8894 |
| Practice Telephone | 3094388713 |
| Practice Fax Number | 3094387569 |
| Mailing Telephone | 3093598706 |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | IL | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467450767 | Brian J Logue | Urology | 2907 S Mcintire Dr, Bloomington, IN 47403-4224 | 2005-07-11 |
| 1134731631 | Brian Logue | Pharmacist | 4926 Cane Run Rd, Louisville, KY 40216-1149 | 2020-08-18 |
| 1730234212 | Brian Logue | Pharmacist | 45 Pine St, 1st Medical Group, Langley Afb, VA 23665-2025 | 2007-01-24 |
| Street Address |
101 N UNIVERSITY ST ISU HEALTH SERVICE PHARMACY |
| City | NORMAL |
| State | IL |
| Zip Code | 61790-2540 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952460388 | Illinois State University | Pharmacy | 101 N University St, Normal, IL 61790-2540 | 2006-12-08 |
| 1245305374 | Tamra Ann Purcell | Pharmacist | 101 N University St, Isu Health Service Pharmacy, Normal, IL 61790-2540 | 2006-11-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124478714 | Noelle Selkow | Specialist/Technologist | 251c Mcormick Hall, Campus Box 5120, Normal, IL 61790 | 2016-06-15 |
| 1679920375 | Yvette Renee Pigman | Nurse Practitioner | 201 North University, Illinois State Studnet Health Services, Normal, IL 61790 | 2016-05-23 |
| 1912263815 | Kelly Haley | Specialist/Technologist | 7130 Horton Fieldhouse, Normal, IL 61790 | 2012-04-04 |
| 1023391331 | Marie Rupert | Pharmacist | 201 N University Street, Normal, IL 61790 | 2011-09-22 |
| 1770615502 | Illinois State University | Psychologist | 408 Fairchild Hall, Campus Box 4625, Normal, IL 61790 | 2007-03-09 |
| 1578161865 | Abigail Hardesty | Nurse Practitioner | 201 Illinois State Univ, Normal, IL 61790-0001 | 2020-10-09 |
| 1245846989 | Susan M Carl | Nurse Practitioner | 201 North University Street, Normal, IL 61790-0001 | 2020-09-18 |
| 1891336277 | Rebecca Ludolph | Registered Nurse | 201 N University, Normal, IL 61790-0001 | 2019-10-07 |
| 1184188633 | Rachel Elizabeth Heinz | Specialist/Technologist | 347 Illinois State Univ, Normal, IL 61790-0001 | 2019-01-29 |
| 1487118063 | Jean Sawyer | Speech-Language Pathologist | Mail Code 4720, Normal, IL 61790-0001 | 2019-01-28 |
| Find all providers in zip 61790 | ||||
| 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 |
|---|---|---|---|---|
| 1144820515 | Michelle Kurtyak | Pharmacist | 300 Greenbriar Dr # 1125, Normal, IL 61761-2278 | 2020-10-27 |
| 1477980118 | Jeffrey William Bowman | Pharmacist | 1322 Beacon Hill Ct, Normal, IL 61761-5410 | 2013-09-26 |
| 1073897823 | Dean W Stephan | Pharmacist | 1513 Adam Dr, Normal, IL 61761-2145 | 2011-09-28 |
| 1023391331 | Marie Rupert | Pharmacist | 201 N University Street, Normal, IL 61790 | 2011-09-22 |
| 1851674543 | Elkanah Israel Kindseth | Pharmacist | 1114 Liberty Rd, Normal, IL 61761-1311 | 2011-09-20 |
| 1972885622 | Chad Garner | Pharmacist | 411 Hovey Ave, Normal, IL 61761-3520 | 2011-09-19 |
| 1124306634 | David William Held | Pharmacist | 104 Malvern Dr, Normal, IL 61761-2743 | 2011-08-01 |
| 1972792943 | Lisa M Schaefer | Pharmacist | 1900 E College Ave, Normal, IL 61761-4577 | 2007-10-16 |
| 1568679926 | Matthew Dennis Loy | Pharmacist | 1108 Oak Hill St, Normal, IL 61761-4873 | 2007-05-16 |
| 1669503306 | Jason Joseph Degenhart | Pharmacist | 2939 Wild Horse St, Normal, IL 61761-9656 | 2007-03-07 |
| Find all providers in NORMAL | ||||
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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.