DR. ANTHONY A PROVENZANO (NPI# 1760517718) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760517718 |
| Entity Type | Individual |
| Full Name | DR. ANTHONY A PROVENZANO |
| Credential | PHARM D |
| Practice Address |
3030 Cullerton St Franklin Park IL 60131-2205 |
| Mailing Address |
7222 Bayberry Ln Darien IL 60561-3708 |
| Practice Telephone | 8479164703 |
| Practice Fax Number | 8479164114 |
| Mailing Telephone | 6306630294 |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | IL | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710371091 | Anthony Provenzano | Internal Medicine | 511 Paladin Dr, Greenville, NC 27834-7826 | 2015-03-24 |
| 1205995776 | Anthony Frank Provenzano | Internal Medicine | 1 Pondfield Rd W, Ste 1, Bronxville, NY 10708-2666 | 2006-12-08 |
| Street Address |
3030 CULLERTON ST |
| City | FRANKLIN PARK |
| State | IL |
| Zip Code | 60131-2205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811088453 | Jewel Food Stores Inc | Pharmacy | 3030 Cullerton St, Franklin Park, IL 60131-2205 | 2006-09-27 |
| 1356801948 | American Drug Stores LLC | Durable Medical Equipment & Medical Supplies | 3030 Cullerton St, Franklin Park, IL 60131-2205 | 2019-03-21 |
| 1770993099 | American Drug Stores LLC | Pharmacy | 3030 Cullerton St, Franklin Park, IL 60131-2205 | 2014-05-08 |
| 1932445905 | Emi Okano | Pharmacist | 3030 Cullerton St, Franklin Park, IL 60131-2205 | 2012-12-20 |
| 1972865954 | Nikki Price | Pharmacist | 3030 Cullerton St, Franklin Park, IL 60131-2205 | 2012-06-14 |
| 1376713222 | Malgorzata Marta Bogun | Pharmacist | 3030 Cullerton St, Franklin Park, IL 60131-2205 | 2008-03-06 |
| 1912118316 | Rebecca S Broderick | Pharmacist | 3030 Cullerton St, Franklin Park, IL 60131-2205 | 2007-05-25 |
| 1700097821 | Nancy L Lyons | Pharmacist | 3030 Cullerton St, Franklin Park, IL 60131-2205 | 2007-05-24 |
| 1477764355 | Marc E Allgood | Pharmacist | 3030 Cullerton St, Franklin Park, IL 60131-2205 | 2007-05-24 |
| 1588870521 | Matthew Wright | Pharmacist | 3030 Cullerton St, Pharmacy Education, Franklin Park, IL 60131-2205 | 2007-05-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518431683 | Zachary Michael Loveland | Social Worker | Leyden Family Services, 10001 W. Grand Ave, Franklin Park, IL 60131 | 2019-01-11 |
| 1235657735 | Med-elite Innovation Inc. | Durable Medical Equipment & Medical Supplies | 11101 Franklin Ave., Franklin Park, IL 60131 | 2017-09-05 |
| 1427572395 | Whitney Lynn Lai | Counselor | 10001 West Grand Avenue, Franklin Park, IL 60131 | 2017-08-01 |
| 1457809931 | Michael Jackson | Counselor | 10001 W. Grand Avenue, Franklin Park, IL 60131 | 2016-09-14 |
| 1073905311 | Cardio Medical Center Sc | Internal Medicine | 7746 West Madison Ave, Forrest Park, IL 60131 | 2015-02-24 |
| 1124433404 | Anna Califf | Developmental Therapist | 3047 Ruby Street, Franklin Park, IL 60131 | 2014-06-25 |
| 1275955700 | Matthew Wayne Jones | Counselor | 10200 W. Grand Ave, Franklin Park, IL 60131 | 2014-01-17 |
| 1467761056 | Shalvi Rutul Shah | Physical Therapist | 2930 N. Manheim Road, Suit 3a, Franklin Park, IL 60131 | 2010-09-29 |
| 1427227669 | Leyden Family Service & Mental Health Center | Clinic/Center | 10200 Grand Ave, Franklin Park, IL 60131 | 2008-02-21 |
| 1902082100 | Vincent Domingo Dc Sc | Chiropractor | 3545 N Rose Street, Franklin Park, IL 60131 | 2008-01-17 |
| Find all providers in zip 60131 | ||||
| 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 |
|---|---|---|---|---|
| 1669952255 | Satish Bhalani | Pharmacist | 3191 State Route 27 # Store3, Franklin Park, NJ 08823-1356 | 2018-08-14 |
| 1417316993 | Kesha Desai | Pharmacist | 137 Sapphire Ln, Franklin Park, NJ 08823-1646 | 2016-02-12 |
| 1538412200 | Nira Patel | Pharmacist | 9 Columbus Dr, Franklin Park, NJ 08823 | 2012-10-18 |
| 1942521760 | Mahjabeen Motiwala | Pharmacist | 408 Green Hill Manor Dr, Franklin Park, NJ 08823-2622 | 2010-06-15 |
| 1659696466 | Harshad Vithalbhai Patel | Pharmacist | 8 Minebrook Ln, Private House, Franklin Park, NJ 08823-1784 | 2010-04-05 |
| 1194952556 | Badrinath Boggaram Ramamohan | Pharmacist | 10 Cobblers Cir, Franklin Park, NJ 08823-1737 | 2009-06-12 |
| 1730213661 | Suzanne M Roland | Pharmacist | 3030 Cullerton Drive, Franklin Park, IL 60131-2205 | 2007-03-15 |
| 1821091448 | John S Klimek | Pharmacist | 3030 Cullerton, Franklin Park, IL 60131 | 2005-05-27 |
| 1508478645 | Zena Darhoom | Pharmacist | 9595 Grand Ave, Franklin Park, IL 60131-3305 | 2020-08-19 |
| 1033625751 | Elisabeth Pasquini | Pharmacist | 9595 Grand Ave, Franklin Park, IL 60131-3305 | 2017-12-18 |
| Find all providers in FRANKLIN PARK | ||||
| City | FRANKLIN PARK |
| Zip Code | 60131 |
Please comment or provide details below to improve the information on DR. ANTHONY A PROVENZANO.
| 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.