Active NPI
Lauren Dillman, PHARM.D.
- Pharmacist
- Cape Girardeau, MO
National Provider Identifier
1194066480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2012026232
- Practice address
- 1 S Kingshighway St
Cape Girardeau, MO 63703-5742 - Phone
- (573) 339-1700
- NPI assigned
- Mar 11, 2013
- Last updated
- Mar 11, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 2012026232 | MO | Primary |
Addresses
Primary practice location
1 S Kingshighway St
Cape Girardeau, MO 63703-5742
Mailing address
2704 Independence St
Apartment 3
Cape Girardeau, MO 63703-5014
Phone (217) 840-9726
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2012026232 | MO | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362960000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1362960000000",
"number": "1194066480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2704 INDEPENDENCE ST",
"address_2": "APARTMENT 3",
"city": "CAPE GIRARDEAU",
"state": "MO",
"postal_code": "637035014",
"telephone_number": "217-840-9726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 S KINGSHIGHWAY ST",
"city": "CAPE GIRARDEAU",
"state": "MO",
"postal_code": "637035742",
"telephone_number": "573-339-1700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DILLMAN",
"first_name": "LAUREN",
"name_prefix": "Miss",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-03-11",
"last_updated": "2013-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "2012026232",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cape Girardeau, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.