DR. JONATHON ROSS CLOSEN (NPI# 1649553561) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649553561 |
| Entity Type | Individual |
| Full Name | DR. JONATHON ROSS CLOSEN |
| Credential | PHARMD |
| Practice Address |
1200 E War Memorial Dr Peoria Heights IL 61616-7723 |
| Mailing Address |
2008 Westgate Dr Pekin IL 61554-2422 |
| Practice Telephone | 3096843822 |
| Mailing Telephone | 3092678682 |
| Enumeration Date | 2011-09-27 |
| Last Update Date | 2011-09-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 051.294811 | IL | Pharmacy Service Providers |
| Street Address |
1200 E WAR MEMORIAL DR |
| City | PEORIA HEIGHTS |
| State | IL |
| Zip Code | 61616-7723 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346255569 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1200 E War Memorial Dr, Peoria Heights, IL 61616-7723 | 2006-07-29 |
| 1730514332 | Jonas Parker | Pharmacist | 1200 E War Memorial Dr, Peoria Heights, IL 61616-7723 | 2013-09-13 |
| 1427309970 | Veronica Patel | Pharmacist | 1200 E War Memorial Dr, Peoria Heights, IL 61616-7723 | 2012-09-24 |
| 1528336245 | Lisa Gandhi | Pharmacist | 1200 E War Memorial Dr, Peoria Heights, IL 61616-7723 | 2011-12-08 |
| 1578848891 | Aletha Frei | Pharmacist | 1200 E War Memorial Dr, Peoria Heights, IL 61616-7723 | 2011-10-18 |
| 1871878280 | Katherine Sue Wiekert | Pharmacist | 1200 E War Memorial Dr, Peoria Heights, IL 61616-7723 | 2011-10-17 |
| 1932482015 | Virginia Mattern | Pharmacist | 1200 E War Memorial Dr, Peoria Heights, IL 61616-7723 | 2011-09-24 |
| 1588947980 | Stephanie Rewinkel | Pharmacist | 1200 E War Memorial Dr, Peoria Heights, IL 61616-7723 | 2011-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558748350 | Jennifer Lynn Kroll | Pediatrics | 1317 E Kelly Ave, Peoria Heights, IL 61616 | 2015-04-30 |
| 1649583485 | Aline Azar | Internal Medicine | 1120 E War Memorial Drive, Peoria Heights, IL 61616 | 2010-07-22 |
| 1417137217 | Reza Vakili | Dentist | 4450 N. Prospect Rd, Suite S5, Peoria Heights, IL 61616 | 2007-11-08 |
| 1588700348 | Sandra Kay Chatwood | Counselor | 3709 N Atlantic Ave, Peoria Heights, IL 61616 | 2007-01-29 |
| 1578619524 | Donald B Braunagel | Dentist | 924b F Glen Ave, Peoria Heights, IL 61616 | 2007-01-25 |
| 1417009481 | Jeffrey Scott Whitson | Dentist | 924 E Glen Ave, #b, Peoria Heights, IL 61616 | 2007-01-18 |
| 1003986019 | Sharshon Pharmacy. Inc. | Pharmacy | 4600 N. Prospect Rd., Suite 2, Peoria Heights, IL 61616 | 2006-11-08 |
| 1659790350 | Kevin Spangler | Nurse Practitioner | 1120 E War Memorial Dr, Peoria Heights, IL 61616 | 2014-04-09 |
| 1114026754 | Mark Montefolka | Family Medicine | 1120 E War Memorial Dr, Peoria Heights, IL 61616 | 2006-09-21 |
| 1467683334 | Unlimited Advacare Systems, Inc | Durable Medical Equipment & Medical Supplies | 819 E London Ave, Peoria, IL 61616-1360 | 2009-07-27 |
| Find all providers in zip 61616 | ||||
| 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 |
|---|---|---|---|---|
| 1043594211 | Mark D Jones | Pharmacist | 1200 War Memorial Drive, Peoria Heights, IL 61616-7723 | 2011-10-05 |
| 1346228418 | Jennifer A Siefert | Pharmacist | 4450 N Prospect Rd Ste 7, Peoria Heights, IL 61616-6578 | 2006-01-09 |
| 1730514332 | Jonas Parker | Pharmacist | 1200 E War Memorial Dr, Peoria Heights, IL 61616-7723 | 2013-09-13 |
| 1427309970 | Veronica Patel | Pharmacist | 1200 E War Memorial Dr, Peoria Heights, IL 61616-7723 | 2012-09-24 |
| 1528336245 | Lisa Gandhi | Pharmacist | 1200 E War Memorial Dr, Peoria Heights, IL 61616-7723 | 2011-12-08 |
| 1578848891 | Aletha Frei | Pharmacist | 1200 E War Memorial Dr, Peoria Heights, IL 61616-7723 | 2011-10-18 |
| 1871878280 | Katherine Sue Wiekert | Pharmacist | 1200 E War Memorial Dr, Peoria Heights, IL 61616-7723 | 2011-10-17 |
| 1932482015 | Virginia Mattern | Pharmacist | 1200 E War Memorial Dr, Peoria Heights, IL 61616-7723 | 2011-09-24 |
| 1588947980 | Stephanie Rewinkel | Pharmacist | 1200 E War Memorial Dr, Peoria Heights, IL 61616-7723 | 2011-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760083414 | Cedomir Micic | Pharmacist | 1111 W 14th Pl Unit 126, Chicago, IL 60608-2796 | 2020-11-07 |
| 1831790674 | Cristopher Guzman | Pharmacist | 7122 40th St Ste 1, Stickney, IL 60402-5491 | 2020-11-06 |
| 1215538046 | Nancy Ann Blue | Pharmacist | 4101 N Vermilion St, Danville, IL 61834-5997 | 2020-11-06 |
| 1386245397 | Lynsey Perera | Pharmacist | 7610 N Orange Prairie Rd, Peoria, IL 61615-9324 | 2020-11-05 |
| 1629679899 | Rubegin F Torrevillas | Pharmacist | 731 Terry Rd, Glendale Heights, IL 60139-3330 | 2020-11-04 |
| 1730780214 | Rhonda Leigh Herrmann | Pharmacist | 13969 Moore Rd, Marion, IL 62959-6835 | 2020-11-03 |
| 1265033674 | Ghazala Raheel | Pharmacist | 4000 Route # 173, Zion, IL 60099 | 2020-11-03 |
| 1679174973 | Jeff Engwall | Pharmacist | 359 Knox Square Drive, Galesburg, IL 61401 | 2020-11-03 |
| 1609477280 | Marlene A Espinosa | Pharmacist | 2680 N, Il 83, Round Lake Beach, IL 60073 | 2020-11-02 |
| 1023619616 | Hetal Patel | Pharmacist | 3 S 100 Rt 53, Glen Ellyn, IL 60137 | 2020-11-02 |
| Find all providers with the same taxonomy | ||||
| City | PEORIA HEIGHTS |
| Zip Code | 61616 |
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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.