DANIEL KICKERTZ


Address: 816 Featherstone Rd, Rockford, IL 61107-6300
Phone: 8152270081

DANIEL KICKERTZ (NPI# 1770126187) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1770126187
Entity Type Individual
Full Name DANIEL KICKERTZ
Practice Address 816 Featherstone Rd
Rockford
IL 61107-6300
Practice Telephone 8152270081
Mailing Telephone 8152270081
Enumeration Date 2019-10-18
Last Update Date 2019-10-18
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 183500000X Pharmacist 051033042 IL Pharmacy Service Providers

Office Location

Street Address 816 FEATHERSTONE RD
City ROCKFORD
State IL
Zip Code 61107-6300

Providers in the same location

NPI Name Taxonomy Address Enumeration
1033177589 Madison Vamc Department of Veterans Affairs (VA) Pharmacy 816 Featherstone Rd, Rockford, IL 61107-6300 2006-05-03
1952941833 Amanda J Fruen Nurse Practitioner 816 Featherstone Rd, Rockford, IL 61107-6300 2020-01-08
1568027365 Jan Lori Vogeler Counselor 816 Featherstone Rd, Rockford, IL 61107-6300 2019-05-07
1285298901 Kahseem Edward Ward Social Worker 816 Featherstone Rd, Rockford, IL 61107-6300 2019-04-29
1659843852 Melissa Lynn Social Worker 816 Featherstone Rd, Rockford, IL 61107-6300 2018-12-28
1124590906 Aimee Michelle Jerding Social Worker 816 Featherstone Rd, Rockford, IL 61107-6300 2018-12-18
1174004998 Jessica Mari Syversen Social Worker 816 Featherstone Rd, Rockford, IL 61107-6300 2018-08-29
1033627526 Tavares Moore Social Worker 816 Featherstone Rd, Rockford, IL 61107-6300 2018-01-18
1679088124 Kourtney Fermanich Pharmacist 816 Featherstone Rd, Rockford, IL 61107-6300 2017-12-06
1386195634 Sarah Ostrum Social Worker 816 Featherstone Rd, Rockford, IL 61107-6300 2016-10-21
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1356952139 Jessica Marie Tamayo Fernandez Pharmacist 1145 Alpine Rd, Rockford, IL 61107 2020-08-13
1467092379 Unknown Safa Fatima Student in an Organized Health Care Education/Training Program Mercyhealth Mulford Clinic, 5970 Churchview Drive, Rockford, IL 61107 2020-01-08
1194367912 Matt J Kriebs Nurse Practitioner 1235 N Mulford Rd Suite 103, Rockford, IL 61107 2019-10-14
1265962336 Mary Golembeck Nurse Practitioner 7290 Argus Dr, Rockford, IL 61107 2017-06-12
1831644749 Tessa Lee Occupational Therapist 3422 Lauderdale Ln, Rockford, IL 61107 2016-08-20
1942626965 Elevated Health Essentials, LLC Chiropractor 124 N Water St Ste 204e, Rockford, IL 61107 2014-03-14
1093139909 Swedishamerican Hospital Surgery 1639 N Alpine Rd Ste 400, Rockford, IL 61107 2014-02-12
1346676582 Christopher Anthony Ziganto Pharmacist 494 Bienterra Trail #2, Rockford, IL 61107 2013-09-19
1023358272 Lavanya Durairajan Physical Therapist 7358 Shiligton Dr, Rockford, IL 61107 2013-02-26
1851523146 Great Smiles of Rockford Durable Medical Equipment & Medical Supplies 780 N. Mulfrord Road, Rockford, IL 61107 2009-08-20
Find all providers in zip 61107

Taxonomy Information

Taxonomy Code 183500000X
Grouping Pharmacy Service Providers
Classification Pharmacist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1356952139 Jessica Marie Tamayo Fernandez Pharmacist 1145 Alpine Rd, Rockford, IL 61107 2020-08-13
1447875604 Paulushi Patel Pharmacist 2013 Mcfarland Rd, Rockford, IL 61107-6835 2020-06-13
1174009765 Lynn Carlson Pharmacist 1672 Peconic Pl, Rockford, IL 61108-7033 2018-07-17
1700374568 Zarin F Haider Pharmacist 2662 Elmwood Rd Ste 101, Rockford, IL 61103-1573 2018-04-27
1932624400 Desmond Anthony Harold Pharmacist 250 Marcell Dr Ne Apt 9, Rockford, MI 49341-1380 2017-08-07
1528503216 Miles Skalnek Pharmacist 511 10 Mile Road, Rockford, MI 49341 2017-01-04
1629526421 Chi Zhang Pharmacist 8628 Blue River Rd, Rockford, IL 61107-5304 2016-09-21
1255701595 Patrick Donohoo Pharmacist 291 Bienterra Trl Apt 5, Rockford, IL 61107-5890 2015-09-29
1346676582 Christopher Anthony Ziganto Pharmacist 494 Bienterra Trail #2, Rockford, IL 61107 2013-09-19
1801234224 David Thomas Storm Pharmacist 4404 E State St, Suite 402, Rockford, IL 61108-2115 2013-06-07
Find all providers in ROCKFORD

Competitor

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City ROCKFORD
Zip Code 61107

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Dataset Information

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.

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