ELYSHA SAMANTHA ROBERTS (NPI# 1912244849) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912244849 |
| Entity Type | Individual |
| Full Name | ELYSHA SAMANTHA ROBERTS |
| Practice Address |
206 W 5th St Metropolis IL 62960-1810 |
| Practice Telephone | 6185249368 |
| Practice Fax Number | 6185249551 |
| Mailing Telephone | 6185249368 |
| Mailing Fax Number | 6185249551 |
| Enumeration Date | 2013-01-11 |
| Last Update Date | 2015-07-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RPH023607 | GA | Pharmacy Service Providers |
| Street Address |
206 W 5TH ST |
| City | METROPOLIS |
| State | IL |
| Zip Code | 62960-1810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902419583 | Brittney Lynn Woods | Counselor | 206 W 5th St, Metropolis, IL 62960-1810 | 2020-08-25 |
| 1447863063 | Maribeth Dippie Ethridge-hicks | Counselor | 206 W 5th St, Metropolis, IL 62960-1810 | 2020-08-24 |
| 1093327322 | Jessica Weaver | Counselor | 206 W 5th St, Metropolis, IL 62960-1810 | 2020-08-18 |
| 1023636479 | Jennea Harris | Counselor | 206 W 5th St, Metropolis, IL 62960-1810 | 2020-07-13 |
| 1831725050 | Shantaye Powell | Social Worker | 206 W 5th St, Metropolis, IL 62960-1810 | 2020-03-19 |
| 1699306332 | Kelsey Mcnichols | Counselor | 206 W 5th St, Metropolis, IL 62960-1810 | 2020-01-31 |
| 1649827155 | Tina Michelle Mathis | Social Worker | 206 W 5th St, Metropolis, IL 62960-1810 | 2019-08-20 |
| 1376190884 | Lily Madison Holland | Social Worker | 206 W 5th St, Metropolis, IL 62960-1810 | 2019-08-20 |
| 1629530498 | Cicely Ronielle Shelton | Counselor | 206 W 5th St, Metropolis, IL 62960-1810 | 2019-04-02 |
| 1013471424 | Dylan Wade Street | Student in an Organized Health Care Education/Training Program | 206 W 5th St, Metropolis, IL 62960-1810 | 2019-01-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972069078 | Amber Nicole Garcia | Social Worker | 205 W 5th Street, Metropolis, IL 62960 | 2019-02-13 |
| 1407251622 | Massac County Surgery Center LLC | Clinic/Center | 1811 E 5th St, Metropolis, IL 62960 | 2014-10-30 |
| 1750535761 | Robert Hays Bryan | Dentist | 805 Market St., Metropolis, IL 62960 | 2008-11-05 |
| 1518144682 | Rebecca Louise Mcquage | Counselor | 206 West 5th St, Metropolis, IL 62960 | 2008-01-30 |
| 1154640902 | Syed S Kazmi | Family Medicine | 12 Hospital Drive, Metropolis, IL 62960 | 2007-04-20 |
| 1083736680 | Bharat K Patel Sc | Internal Medicine | 12 Hospital Dr., Memorial Heights, Metropolis, IL 62960 | 2007-04-04 |
| 1467594747 | Peggy Sue Legereit | Speech-Language Pathologist | 3037 Lakeview Dr, Metropolis, IL 62960 | 2007-02-13 |
| 1821150475 | Ruth E Johnson | Counselor | 206 West 5th, Metropolis, IL 62960 | 2006-12-13 |
| 1720140379 | James Allen Haley | Counselor | 206 West 5th Street, Metropolis, IL 62960 | 2006-12-13 |
| 1659432185 | Gary T Brush | Optometrist | 1801 E 5th Street, Metropolis, IL 62960 | 2006-12-12 |
| Find all providers in zip 62960 | ||||
| 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 |
|---|---|---|---|---|
| 1659413896 | Danny Bruce Yates | Pharmacist | 212 W 7th St, Metropolis, IL 62960-1604 | 2007-02-13 |
| 1295134104 | Kelsie Bradford | Pharmacist | 110 W 10th St, Metropolis, IL 62960-1502 | 2014-08-15 |
| 1497192124 | Ian Rich | Pharmacist | 110 W 10th St, Metropolis, IL 62960-1502 | 2013-06-04 |
| 1861733107 | Natalie Marie Connell | Pharmacist | 110 W 10th St, Metropolis, IL 62960-1502 | 2013-03-12 |
| 1659654689 | Melanie Hileman | Pharmacist | 110 W 10th St, Metropolis, IL 62960-1502 | 2011-09-26 |
| 1760763320 | Ann Scrivano | Pharmacist | 110 W 10th St, Metropolis, IL 62960-1502 | 2011-09-08 |
| 1194042986 | Ashley Lynne Thompson | Pharmacist | 1001 E 5th St, Metropolis, IL 62960-2311 | 2010-05-03 |
| 1124161930 | Danny B Yates | Pharmacist | 212 W 7th St, Metropolis, IL 62960-1604 | 2007-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760083414 | Cedomir Micic | Pharmacist | 1111 W 14th Pl Unit 126, Chicago, IL 60608-2796 | 2020-11-07 |
| 1831790674 | Cristopher Guzman | Pharmacist | 7122 40th St Ste 1, Stickney, IL 60402-5491 | 2020-11-06 |
| 1215538046 | Nancy Ann Blue | Pharmacist | 4101 N Vermilion St, Danville, IL 61834-5997 | 2020-11-06 |
| 1386245397 | Lynsey Perera | Pharmacist | 7610 N Orange Prairie Rd, Peoria, IL 61615-9324 | 2020-11-05 |
| 1629679899 | Rubegin F Torrevillas | Pharmacist | 731 Terry Rd, Glendale Heights, IL 60139-3330 | 2020-11-04 |
| 1730780214 | Rhonda Leigh Herrmann | Pharmacist | 13969 Moore Rd, Marion, IL 62959-6835 | 2020-11-03 |
| 1265033674 | Ghazala Raheel | Pharmacist | 4000 Route # 173, Zion, IL 60099 | 2020-11-03 |
| 1679174973 | Jeff Engwall | Pharmacist | 359 Knox Square Drive, Galesburg, IL 61401 | 2020-11-03 |
| 1609477280 | Marlene A Espinosa | Pharmacist | 2680 N, Il 83, Round Lake Beach, IL 60073 | 2020-11-02 |
| 1023619616 | Hetal Patel | Pharmacist | 3 S 100 Rt 53, Glen Ellyn, IL 60137 | 2020-11-02 |
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| City | METROPOLIS |
| Zip Code | 62960 |
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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.