Douglas Dean Lill, RPH, CCN

Primary specialty

Nutrition Support PharmacistTaxonomy code 1835N1003X

License

PH00000655 Issued in DC

Practice address

430 Randolph St NW
Washington, DC 20011-5940

Phone

(512) 426-2894

NPI assigned

Dec 28, 2009

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 6

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1261958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261958400000",
    "number": "1285964197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 RANDOLPH ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200115940",
            "telephone_number": "512-426-2894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 RANDOLPH ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200115940",
            "telephone_number": "512-426-2894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LILL",
        "first_name": "DOUGLAS",
        "middle_name": "DEAN",
        "credential": "RPH, CCN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-12-28",
        "last_updated": "2009-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835N1003X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Nutrition Support",
            "state": "DC",
            "license": "PH00000655",
            "primary": true
        },
        {
            "code": "1835N1003X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Nutrition Support",
            "state": "TX",
            "license": "30711",
            "primary": false
        },
        {
            "code": "1835N1003X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Nutrition Support",
            "state": "NJ",
            "license": "29RI03240500",
            "primary": false
        },
        {
            "code": "1835N1003X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Nutrition Support",
            "state": "MD",
            "license": "19342",
            "primary": false
        },
        {
            "code": "1835N1003X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Nutrition Support",
            "state": "PA",
            "license": "RP442622",
            "primary": false
        },
        {
            "code": "1835N1003X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Nutrition Support",
            "state": "NY",
            "license": "053358-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neil Ligon
• Elie Likeng
• Fisseha Lilay
• Agnes Lilepe
• Latoya Liles-Walker
• Elianna Jane Lill, MS, CF-SLP
• Sonja Margareta Lillrank, M.D.
• Kirstin Lilly, SLP
• Marcus Anthony Lilly
• Kaitlin Lillywhite, OTR/L

• Pharmacist in Washington, DC
• Providers in Washington, DC by specialty
• Pharmacist in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.