DR. MARIE TILLEMA (NPI# 1720532815) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720532815 |
| Entity Type | Individual |
| Full Name | DR. MARIE TILLEMA |
| Credential | PHARM.D. |
| Practice Address |
1000 E 41st St Austin TX 78751-4810 |
| Mailing Address |
2420 Spanish Camp Cv Austin TX 78725-2948 |
| Practice Telephone | 5124598308 |
| Enumeration Date | 2016-08-07 |
| Last Update Date | 2016-08-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 58819 | TX | Pharmacy Service Providers |
| Street Address |
1000 E 41ST ST |
| City | AUSTIN |
| State | TX |
| Zip Code | 78751-4810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023080041 | Luis E. Ortiz-quiles | Dentist | 1000 E 41st St, Suite 230, Austin, TX 78751-4810 | 2006-02-03 |
| 1487266987 | Eseer Al Rukabi | Pharmacist | 1000 E 41st St, Austin, TX 78751-4810 | 2020-08-18 |
| 1861032211 | Adrienne Acosta | Pharmacist | 1000 E 41st St, Austin, TX 78751-4810 | 2020-01-14 |
| 1699255547 | Joseph Maa | Pharmacist | 1000 E 41st St, Austin, TX 78751-4810 | 2018-08-20 |
| 1316462567 | Julie Elizabeth Gould | Pharmacist | 1000 E 41st St, Austin, TX 78751-4810 | 2017-08-09 |
| 1689107591 | Sana Sami Sankari | Pharmacist | 1000 E 41st St, Austin, TX 78751-4810 | 2017-04-07 |
| 1700329760 | Brian Russell Gore | Chiropractor | 1000 E 41st St, #915, Austin, TX 78751-4808 | 2016-11-23 |
| 1851745020 | National Vision, Inc. | Technician/Technologist | 1000 E 41st St, Ste 710, Austin, TX 78751-4810 | 2016-04-14 |
| 1205297892 | Simonek Vision | Optometrist | 1000 E 41st St, Suite 120, Austin, TX 78751-4810 | 2016-03-10 |
| 1962895441 | Chelsea Anne Pollard | Physician Assistant | 1000 E 41st St, Ste 925, Austin, TX 78751-4810 | 2015-03-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235657867 | Joy Miller | Social Worker | 4920 N Ih 35 Suite 110, Austin, TX 78751 | 2017-09-04 |
| 1053859306 | Metabolic Therapy Inc. | Pharmacy | 4103 Avenue D, Austin, TX 78751 | 2017-02-07 |
| 1316390438 | Hillary Guest | Speech-Language Pathologist | 5406 Middle Fiskville Rd Apt 410, Austin, TX 78751 | 2016-07-14 |
| 1891151866 | Simonek Vision, Pllc | Optometrist | 1000 E. 41st Street, Suite 120, Austin, TX 78751 | 2016-01-06 |
| 1750771911 | Angela Ziskis | Psychologist | 4110 Gualdalupe Street, Building 794, Specialty Services, Austin, TX 78751 | 2015-01-27 |
| 1750783841 | Lizette Araujo | Psychologist | 5225 North Lamar Blvd., Austin, TX 78751 | 2014-09-19 |
| 1013323724 | Matrix Therapy, LLC | Clinic/Center | 5204 Avenue F, Austin, TX 78751 | 2014-07-02 |
| 1215281738 | Elizabeth Ann White | Clinical Nurse Specialist | 818 East 53rd Street, Austin, TX 78751 | 2012-11-06 |
| 1619259934 | Samir K Momin | Dentist | 1000 E 41st Street, Suite 230, Austin, TX 78751 | 2011-09-13 |
| 1467740753 | Gary G. Plakias | Technician, Other | 5400 N Lamar Blvd, 206b, Austin, TX 78751 | 2011-07-20 |
| Find all providers in zip 78751 | ||||
| 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 |
|---|---|---|---|---|
| 1730780230 | Han Nguyen | Pharmacist | 12900 N Interstate 35 Ste 5, Austin, TX 78753-1054 | 2020-11-03 |
| 1164022620 | Casey Nicole Franklin | Pharmacist | 13201 N Fm 620 Rd, Austin, TX 78717-1011 | 2020-10-26 |
| 1811595648 | Lisa Nguyen | Pharmacist | 6908 Colorado Bluffs Rd, Austin, TX 78744-3330 | 2020-10-14 |
| 1184231680 | Caroline Nguyen | Pharmacist | 12900 N Ih 35, Austin, TX 78753-1049 | 2020-09-29 |
| 1063028074 | Deepika Mcconnell | Pharmacist | 2102 Peach Tree St, Austin, TX 78704-2843 | 2020-09-16 |
| 1982218004 | Cassey Gracey | Pharmacist | 3201 Bee Caves Rd Ste 132, Austin, TX 78746-6777 | 2020-09-04 |
| 1518579440 | Cassandra Castillo | Pharmacist | 5908 Daly Dr, Austin, TX 78747-4101 | 2020-08-21 |
| 1194336834 | Shalini Tripathi | Pharmacist | 11506 Heathrow Dr, Austin, TX 78759-4428 | 2020-08-15 |
| 1528682986 | Charlotte C Boyce | Pharmacist | 4150 Freidrich Ln Ste I, Austin, TX 78744-1052 | 2020-06-02 |
| 1295356723 | Victoria Tackett | Pharmacist | 12005 Bee Caves Rd Ste 1a, Austin, TX 78738-6387 | 2020-05-06 |
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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.