TLC Immunization Clinic LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

TLC IMMUNIZATION CLINIC LLC

Practice address

9721 Ormsby Station Rd
Ste 106
Louisville, KY 40223-4095

Phone

(502) 423-1103

NPI assigned

Jul 14, 2006

Organization subpart

No

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

Authorized official

Name

Grzybowski John, ESQUIRE

Title

Secretary of Organization

Phone

(502) 301-7408

Specialties & licenses 1

Addresses

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christine Katherine Licina, PHARMD

  • Pharmacist
  • Marion, IL
  • NPI 1134400724
  NPD (past)
• Brittany Nicole Medlin, RPH

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Marion, IL
  • NPI 1518566561
  NPD (past)
• Kalaluka Nyumbu, PHARMACIST

  • Ambulatory Care Pharmacist
  • Marion, IL
  • NPI 1932783388
  NPD (past)
• Rikii A Pyle

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Marion, IL
  • NPI 1780214668
  NPD (past)
• Kailee Reinacher

  • Pharmacist
  • Murphysboro, IL
  • NPI 1225749591
  NPD (past)

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982620050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9721 ORMSBY STATION RD",
            "address_2": "STE 106",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402234095",
            "telephone_number": "502-423-1103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9721 ORMSBY STATION RD",
            "address_2": "STE 106",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402234095",
            "telephone_number": "502-423-1103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TLC IMMUNIZATION CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOHN",
        "authorized_official_first_name": "GRZYBOWSKI",
        "authorized_official_title_or_position": "SECRETARY OF ORGANIZATION",
        "authorized_official_telephone_number": "502-301-7408",
        "authorized_official_credential": "ESQUIRE"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mansoor I. Tiwana, M.D.
• Harsh Tiwari, MD
• Zelalem Tizazu
• Ansel Tsung Jin Tjin-a-Tam, M.D
• TLC Carehub, LLC
• Heather Marie Tluczek, D.O.
• TM Transportation Inc
• TMS Therapy Partners, LLC
• TNT Fitness Training, LLC
• To Be Blessed Home Health LLC

• Family Nurse Practitioner in Louisville, KY
• Providers in Louisville, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.