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
- 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 and National Provider Directory roles.
-
- Pharmacy
- Cape Girardeau, MO
- NPI 1003821257
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- Pharmacy
- Longview, TX
- NPI 1629956545
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.