Provider Demographics
NPI:1679131064
Name:MEADE, PAIGE KRISTINE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:PAIGE
Middle Name:KRISTINE
Last Name:MEADE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:PAIGE
Other - Middle Name:KRISTINE
Other - Last Name:CROMER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:116 W PENNSYLVANIA AVE
Mailing Address - Street 2:
Mailing Address - City:URBANA
Mailing Address - State:IL
Mailing Address - Zip Code:61801-5033
Mailing Address - Country:US
Mailing Address - Phone:317-646-7822
Mailing Address - Fax:
Practice Address - Street 1:1900 E MAIN ST BLDG 982053
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:IL
Practice Address - Zip Code:61832-5100
Practice Address - Country:US
Practice Address - Phone:217-665-4183
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-31
Last Update Date:2019-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0513013861835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist