TARGET (NPI# 1730579350) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730579350 |
| Entity Type | Organization |
| Organization Name | TARGET |
| Practice Address |
2209 Howard St Evanston IL 60202-3636 |
| Practice Telephone | 8477331166 |
| Mailing Telephone | 8477331166 |
| Enumeration Date | 2015-02-03 |
| Last Update Date | 2015-02-03 |
| Authorized Official Name | MR. JACOB KIM (HEAD PHARMACIST) |
| Authorized Official Telephone | 8477331166 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183700000X | Pharmacy Technician | 049217818 | IL | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477927069 | Target | Pharmacist | 6944 Lakeway St, Ypsilanti, MI 48197-1052 | 2015-11-19 |
| 1093183113 | Target | Clinic/Center | 2228 S Sanctuary Dr, New Berlin, WI 53151-1920 | 2015-09-05 |
| 1841666328 | Target | Community/Behavioral Health | 14391 Chantilly Crossing Lane, Chantilly, VA 20151 | 2015-08-19 |
| 1336540301 | Target | Pharmacy | 1040 Deer Ridge Dr, Baltimore, MD 21210-2558 | 2014-09-10 |
| 1164781167 | Target | Pharmacist | 2840 Ash Ridge Dr, Beavercreek, OH 45434-5895 | 2012-05-10 |
| 1104295054 | Target | Pharmacy | 474 Chamberlain Hwy, Meriden, CT 06451-1818 | 2015-09-22 |
| 1215306642 | Target | Pharmacy | 3150 Business Park Dr, Vista, CA 92081-8520 | 2015-09-15 |
| 1356719454 | Target | Pharmacist | 500 W Sunrise Hwy, Valley Stream, NY 11581-1001 | 2015-09-04 |
| 1336525054 | Target | Pharmacist | 3944 Grand Ave, Chino, CA 91710-5422 | 2015-08-04 |
| 1104200203 | Target | Pharmacy | 15922 Crain Hwy, Brandywine, MD 20613-8000 | 2015-07-17 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | TARGET | 500 S Hicks Rd, Palatine, IL 60067-6943 |
| Vermont Business Registrations | TARGET - R.A.D. | Rfd #1, Newport, VT 05855 |
| Indiana Business Entities | TARGET 1 MARKETING LLC | 597 Country Club Estates Dr., Corydon, IN 47112 |
| Colorado Business Entities | Target 1, LLC | 36 Rue De La Rose, Sedona, AZ 86336 |
| New York State Corporations | TARGET 10 NICHE MARKETING & PUBLIC RELATIONS, INC. | 522 West 50th Street, #c2, New York, New York 10019 |
| Washington State Corporations | TARGET 13, L.L.C. | 1316 E College Way, Mount Vernon, WA 98273-5619 |
| Colorado Business Entities | Target 2 LLC | 36 Rue De La Rose, Sedona, AZ 86336 |
| Oregon Corporations, Companies and Business Names | TARGET 2004, L.L.C. | 3136 Ne Jackson Rd Lp, Hillsboro, OR 97124 |
| New York State Corporations | TARGET 250, INC. | Hippodrome Ctr 4th Floor, 1120 Avenue of The Americas, New York, New York 10036 |
| Massachusetts Corporations | TARGET 250, INC. | 1170 Headquarters Plaza, Morristown, NJ 07960 |
| Street Address |
2209 HOWARD ST |
| City | EVANSTON |
| State | IL |
| Zip Code | 60202-3636 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407878218 | Highland Park Cvs LLC | Durable Medical Equipment & Medical Supplies | 2209 Howard St, Evanston, IL 60202-3636 | 2006-07-24 |
| 1417478553 | Fatima El Hawary | Nurse Practitioner | 2209 Howard St, Evanston, IL 60202-3636 | 2017-06-28 |
| 1063871028 | Anelia Stamatova | Nurse Practitioner | 2209 Howard St, Evanston, IL 60202-3636 | 2016-02-18 |
| 1336508753 | Irene Cheung | Nurse Practitioner | 2209 Howard St, Evanston, IL 60202-3636 | 2016-02-12 |
| 1881094167 | Nabila Mirza | Pharmacist | 2209 Howard St, Evanston, IL 60202-3636 | 2014-08-24 |
| 1619398641 | John A Kirklys | Pharmacist | 2209 Howard St, C/o Target Pharmacy, Evanston, IL 60202-3636 | 2013-12-17 |
| 1225465487 | Diana Diakakis | Nurse Practitioner | 2209 Howard St, Evanston, IL 60202-3636 | 2013-10-02 |
| 1356636922 | Ellen Edelman | Pharmacist | 2209 Howard St, T0927, Evanston, IL 60202-3636 | 2011-06-12 |
| 1669767448 | Cheryl Lynn Jezwinski | Pharmacist | 2209 Howard St, Evanston, IL 60202-3636 | 2011-06-09 |
| 1871894899 | Tracy I Jackson | Registered Nurse | 2209 Howard St, Evanston, IL 60202-3636 | 2010-11-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548889496 | Ktsmiles, Inc | Clinic/Center | 2408 Main Street, Evanston, IL 60202 | 2020-04-10 |
| 1831751163 | Dorcas Matowe | Marriage & Family Therapist | The Family Institute, 618 Library Place, Evanston, IL 60202 | 2019-07-08 |
| 1457847170 | Lilah Handler | Social Worker | 905 Forest Ave, Apt 1, Evanston, IL 60202 | 2018-07-05 |
| 1528574472 | Jessica Kubacki | Developmental Therapist | 535 Hinman Ave Apt F3, Evanston, IL 60202 | 2017-12-14 |
| 1376075853 | Lisa Meyerson Acupuncture | Acupuncturist | 1234 Sherman Avenue, Lighthouse Yoga and Acupuncture, Evanston, IL 60202 | 2017-04-03 |
| 1427597368 | Lillian Obucina Dds PC | Dentist | 111 North Wabash, Suite 1522, Chicago, IL 60202 | 2017-02-13 |
| 1184176893 | Amelia Willcox | Speech-Language Pathologist | 620 Sheridan Square, Apartment 1, Evanston, IL 60202 | 2016-10-28 |
| 1831547785 | Thomas Hagerty Jr. | Pharmacist | 2491 W Howard St, Evanston, IL 60202 | 2016-06-01 |
| 1013361948 | Autism Hope Support | In Home Supportive Care | 815 Seward Apt. 1s, Evanston, IL 60202 | 2016-04-18 |
| 1215302625 | Preferred Dentistry Associates, LLC | Dentist | 1029 Howard Street, Evanston, IL 60202 | 2015-12-10 |
| Find all providers in zip 60202 | ||||
| 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 |
|---|---|---|---|---|
| 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.