M LISA KIM (NPI# 1871878371) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871878371 |
| Entity Type | Individual |
| Full Name | M LISA KIM |
| Practice Address |
1700 Saddleridge Ct Washington IL 61571 |
| Mailing Address |
1700 Saddleridge Ct Washington IL 61571-2290 |
| Practice Telephone | 3096480922 |
| Mailing Telephone | 3096480922 |
| Enumeration Date | 2011-10-15 |
| Last Update Date | 2011-10-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 051285871 | IL | Pharmacy Service Providers |
| Street Address |
1700 SADDLERIDGE CT |
| City | WASHINGTON |
| State | IL |
| Zip Code | 61571 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164904504 | Kelly Hornberger | Physical Therapist | 1201 Newcastle Rd., Washington, IL 61571 | 2018-09-01 |
| 1073050407 | Jillyn Cross | Occupational Therapist | 14 Oxford Court, Washington, IL 61571 | 2017-01-24 |
| 1639410772 | Stephen L Dejaynes | Counselor | 100 Hillcrest Drive, Washington, IL 61571 | 2013-03-14 |
| 1184998692 | One Counseling and Wellness | Counselor | 1003 North Cummings Lane, Washington, IL 61571 | 2012-03-01 |
| 1073805156 | Skill Sprout International | Behavioral Analyst | 102 Walnut Street, Washington, IL 61571 | 2011-05-09 |
| 1659600948 | Skill Sprout, LLC | Behavioral Analyst | 128 Washington Square, Washington, IL 61571 | 2009-12-15 |
| 1700024916 | Julie Adams | Developmental Therapist | 700 S. Elm, Washington, IL 61571 | 2009-01-26 |
| 1851595128 | Michael John Herman | Dentist | 106 So Cummings Lane, Washington, IL 61571 | 2007-06-12 |
| 1861539132 | Gary Lee Cunningham | Dentist | 5 Laurel Ct., Washington, IL 61571 | 2007-01-30 |
| 1790745958 | Jane A Goeken | Physical Therapist | 209 North Cummings Lane, Washington, IL 61571 | 2006-03-23 |
| Find all providers in zip 61571 | ||||
| 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 |
|---|---|---|---|---|
| 1356941967 | Shahad Abdulaaima | Pharmacist | 1400 7th St Nw, Washington, DC 20001-3387 | 2020-11-01 |
| 1245830587 | Sharon Ann Mowery | Pharmacist | 215 Coachside Dr, Washington, PA 15301-8963 | 2020-10-27 |
| 1568075463 | Brent West | Pharmacist | 19 W Clover Ln, Washington, UT 84780-8208 | 2020-08-28 |
| 1417569344 | Bryan Mark Snapp | Pharmacist | 1220 L St Nw Ste 900, Washington, DC 20005-4018 | 2020-08-21 |
| 1285270504 | Tyika Bassagou | Pharmacist | 1815 Conn Ave Nw, Washington, DC 20009-5702 | 2019-11-21 |
| 1477199818 | Kenneth Walter Stachnik | Pharmacist | 214 Hillman St, Washington, IL 61571-9750 | 2019-11-20 |
| 1528602745 | O'neal Ford Jr. | Pharmacist | 2646 Naylor Rd Se, Washington, DC 20020-7269 | 2019-10-31 |
| 1962053975 | Erica B Shepperd-debnam | Pharmacist | 3700 Newark St Nw, Washington, DC 20016-3036 | 2019-09-23 |
| 1225685928 | Andrew D Wherley | Pharmacist | 7059 Blair Rd Nw Ste 101, Washington, DC 20012-1960 | 2019-08-19 |
| 1114581105 | Gidey Amare | Pharmacist | 441 4th St Nw Ste 900s, Washington, DC 20001-2714 | 2019-04-25 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 61571 |
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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.