KENDALL KOTTER (NPI# 1730791005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730791005 |
| Entity Type | Individual |
| Full Name | KENDALL KOTTER |
| Credential | PHARMD |
| Practice Address |
401 Beltline Rd Collinsville IL 62234 |
| Practice Telephone | 6183446639 |
| Mailing Telephone | 6183446639 |
| Enumeration Date | 2020-08-18 |
| Last Update Date | 2020-08-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 051.303181 | IL | Pharmacy Service Providers |
| Street Address |
401 BELTLINE RD |
| City | COLLINSVILLE |
| State | IL |
| Zip Code | 62234 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851804207 | Apex Physical Therapy, LLC | Clinic/Center | 1095 Beltine Rd., Ste. 400, Collinsville, IL 62234 | 2017-11-08 |
| 1205361110 | Pc Associates, LLC | Family Medicine | 1095 Beltline Road, Suite 500, Collinsville, IL 62234 | 2017-04-28 |
| 1538405451 | Joan M Polwort | Pharmacist | 801 Braidwood Ct, Collinsville, IL 62234 | 2012-12-20 |
| 1275818080 | Stephen Scott Branding | Pharmacist | 401 Beltline Rd., Collinsville, IL 62234 | 2011-10-13 |
| 1447534417 | Lindsay Eakin | Pharmacist | 401 Beltline, Collinsville, IL 62234 | 2011-10-07 |
| 1700171568 | Patrick Joseph Swierczek | Social Worker | 820 St. Louis Rd Apt#232, Collinsville, IL 62234 | 2011-06-09 |
| 1366670887 | Susan M. Smith Dc LLC | Chiropractor | 226 South Morrison, Collinsville, IL 62234 | 2009-06-23 |
| 1649418492 | Lynette M Patton | Counselor | 415 W Main St Ste 3, Collinsville, IL 62234 | 2009-02-02 |
| 1558506626 | Kimberly Jean Miller | Counselor | Meadow Heights Professional Park, Suite 2b, Collinsvile, IL 62234 | 2008-12-03 |
| 1750530424 | Southern Illinois Health Care Foundation, Inc. | Counselor | 1215 Vandalia Avenue, Collinsville, IL 62234 | 2008-09-17 |
| Find all providers in zip 62234 | ||||
| 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 |
|---|---|---|---|---|
| 1538405451 | Joan M Polwort | Pharmacist | 801 Braidwood Ct, Collinsville, IL 62234 | 2012-12-20 |
| 1942550280 | Adam Turbyfill | Pharmacist | 9155 Hwy 19, Collinsville, MS 39325-0175 | 2012-09-13 |
| 1902154164 | Donnie Joe Scrivner | Pharmacist | 9155 Highway 19 N, Collinsville, MS 39325-9330 | 2012-08-20 |
| 1275818080 | Stephen Scott Branding | Pharmacist | 401 Beltline Rd., Collinsville, IL 62234 | 2011-10-13 |
| 1447534417 | Lindsay Eakin | Pharmacist | 401 Beltline, Collinsville, IL 62234 | 2011-10-07 |
| 1932480498 | Ben D Blackburn | Pharmacist | 16657 E 122nd St N, Collinsville, OK 74021-5180 | 2011-08-29 |
| 1497077184 | Carol O Muzzarelli | Pharmacist | 1101 Belt Line Rd, Collinsville, IL 62234-4368 | 2010-02-22 |
| 1730357906 | Steven Scott Smith | Pharmacist | 29 Hillsborough Dr, Collinsville, IL 62234-6309 | 2008-02-11 |
| 1598366429 | Leann Herschbach | Pharmacist | 1040 Collinsville Crossing Blvd, Collinsville, IL 62234 | 2020-11-06 |
| 1861092363 | Emily Marie Shepherd | Pharmacist | 1101 Belt Line Rd, Collinsville, IL 62234-4368 | 2020-10-26 |
| Find all providers in COLLINSVILLE | ||||
| City | COLLINSVILLE |
| Zip Code | 62234 |
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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.