MAREN THOMPSON (NPI# 1871047977) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871047977 |
| Entity Type | Individual |
| Full Name | MAREN THOMPSON |
| Credential | PHARM D |
| Practice Address |
120 Ne Glen Oak Ave Suite 301 Peoria IL 61603-4314 |
| Practice Telephone | 3096481359 |
| Mailing Telephone | 3096481359 |
| Enumeration Date | 2016-08-08 |
| Last Update Date | 2016-08-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P2201X |
Pharmacist Specialization: Ambulatory Care |
051.286918 | IL | Pharmacy Service Providers |
| Street Address |
120 NE GLEN OAK AVE SUITE 301 |
| City | PEORIA |
| State | IL |
| Zip Code | 61603-4314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184670663 | Methodist Medical Center of Illinois | Emergency Medicine | 120 Ne Glen Oak Ave, Suite 101, Peoria, IL 61603 | 2006-05-26 |
| 1225234206 | Allergy and Asthma Carecenter Sc | Clinic/Center | 120 Ne Glen Oak Ave, Suite 408, Peoria, IL 61603-4314 | 2007-06-26 |
| 1063538940 | Joan K Selburg | Specialist/Technologist, Other | 120 Ne Glen Oak Ave, Suite 407, Peoria, IL 61603-4301 | 2007-03-22 |
| 1104986330 | Diane Lynn Dunniway | Nurse Practitioner | 120 Ne Glen Oak Ave, Suite 200, Peoria, IL 61603-4314 | 2006-12-11 |
| 1609936707 | Kindred LLC | Obstetrics & Gynecology | 120 Ne Glen Oak Ave, Suite 200, Peoria, IL 61603-4314 | 2006-12-11 |
| 1225145196 | Daniel W Palmer Jr. | Specialist | 120 Ne Glen Oak Ave, Suite 408, Peoria, IL 61603-4314 | 2006-08-24 |
| 1912912213 | Vaughn Hanna | Internal Medicine | 120 Ne Glen Oak Ave, Suite 100, Peoria, IL 61603-4314 | 2006-07-29 |
| 1811901929 | Joseph Couri | Internal Medicine | 120 Ne Glen Oak Ave, Suite 100, Peoria, IL 61603-4314 | 2006-07-27 |
| 1528089687 | Gurramkonda Naidu | Family Medicine | 120 Ne Glen Oak Ave, Suite 306, Peoria, IL 61603-4314 | 2006-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598362980 | Courtney Klein | Nurse Practitioner | 1306 N. Berkley Ave, Peoria, IL 61603 | 2020-10-08 |
| 1114588217 | Kong Xing Wang | Dentist | 320 East Armstrong Ave, Peoria, IL 61603 | 2019-06-28 |
| 1073015319 | Sara Kristine Rosenbery | Nurse Practitioner | 515 Ne Glen Oak Ave Ste 202, Peoria, IL 61603 | 2018-03-02 |
| 1861860058 | Jennifer Michelle Kelsey | Clinical Nurse Specialist | 420 Ne Glen Oak Avenue, Suite 401, Peoria, IL 61603 | 2015-09-04 |
| 1467859793 | Bonnie Lansing | Counselor | 617 N Gendale Avenue, Behavioral Health Adult Program, Peoria, IL 61603 | 2014-12-02 |
| 1639597172 | Jael K. Mahasi | Counselor | 1800 Ne Perry Avenue, Peoria, IL 61603 | 2014-04-02 |
| 1992054829 | Justin S Ferragut | Radiology | 530 Northeast Glen Oak Avenue, Peoria, IL 61603 | 2012-09-06 |
| 1780952994 | Syed Muhammad Tayyab | Internal Medicine | 828 Ne Glen Oak Ave Apt No208a, Peoria, IL 61603 | 2011-12-02 |
| 1528389079 | St. Francis Medical Center | General Acute Care Hospital | 530 N E Glen Oak Ave, Peoria, IL 61603 | 2010-06-18 |
| 1780810648 | Children's Home Association of Illinois | Voluntary or Charitable | 400 E. Frye, Peoria, IL 61603 | 2009-06-05 |
| Find all providers in zip 61603 | ||||
| Taxonomy Code | 1835P2201X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Ambulatory Care |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in the provision of integrated, accessible health care services by pharmacists and is accountable for addressing medication needs, developing sustained partnerships with patients, and practicing in the context of family and community. |
| Notes: Source: Board of Pharmacy Specialties, www.bpsweb.org [7/1/2015: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871062158 | Samantha Mae Boartfield | Pharmacist | 13640 N Plaza Del Rio Blvd, Peoria, AZ 85381-4846 | 2018-11-16 |
| 1205351590 | Christine Lewis | Pharmacist | 21585 N 77th Ave, Peoria, AZ 85382-2138 | 2017-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780291690 | Kristina Ann Falk | Pharmacist | 5758 S Maryland Ave Ste 3c, Chicago, IL 60637-1426 | 2020-09-24 |
| 1639792476 | Katherine Mosio | Pharmacist | 722 W Maxwell St Ste 205, Chicago, IL 60607-5002 | 2020-05-27 |
| 1154807808 | Michael John Borak | Pharmacist | 975 S Annie Glidden Road, Schnucks Market Inc, Dekalb, IL 60115 | 2018-07-16 |
| 1437643319 | Ellie Luehring | Pharmacist | 1239 Declan Court, Naperville, IL 60563 | 2018-06-14 |
| 1477074599 | Elizabeth Van Dril | Pharmacist | 700 N Larrabee St Apt 310, Chicago, IL 60654-7015 | 2017-06-28 |
| 1720530751 | Charnell Hall | Pharmacist | 1900 W Polk St # 1200, Chicago, IL 60612-3723 | 2016-10-25 |
| 1649729427 | Carlos Varela | Pharmacist | 430 E 50th Place, Chicago, IL 60615 | 2016-09-22 |
| 1336695865 | Michael Short | Pharmacist | Memorial Medical Center Heart Failure Cinic, 340 West Miller, Springfield, IL 62781-0001 | 2016-08-25 |
| 1174969745 | Virginia Jones | Pharmacist | 106 19th Ave Ste 101, Moline, IL 61265-3700 | 2013-05-22 |
| 1720688856 | Donna Slas | Pharmacist | 1050 Ogden Ave, Montgomery, IL 60538-5404 | 2020-10-28 |
| 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.