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DOUGLAS DEAN LILL RPH, CCN
NPI 1285964197
Pharmacist - Nutrition Support in Washington, DC

Active since December 28, 2009
430 RANDOLPH ST NW, WASHINGTON, DC 20011(512) 426-2894 Get Directions Write a Review

NPPES record last updated: December 28, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Douglas Dean Lill Rph, Ccn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DOUGLAS DEAN LILL RPH, CCN (NPI 1285964197) is an individual nutrition support provider in Washington, District Of Columbia, licensed in District Of Columbia (PH00000655) and active in the NPI registry since December 2009.

NPPES Registry Identity

NPI1285964197
Entity TypeIndividualMale
Primary Taxonomy1835N1003X
Provider Legal NameDOUGLAS DEAN LILLCredential: RPH, CCN
Location Address430 RANDOLPH ST NWWashington, DC 20011-5940
Mailing Address430 Randolph St NwWashington, DC 20011-5940 · (512) 426-2894
Phone(512) 426-2894
Sole ProprietorYes
Enumeration DateDecember 28, 2009
✔ NPI 1285964197 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacist · Nutrition SupportPharmacy Service Providers
Taxonomy Code1835N1003X
Licenses✔ Licensed in DC · PH00000655✔ Licensed in TX · 30711✔ Licensed in NJ · 29RI03240500✔ Licensed in MD · 19342✔ Licensed in PA · RP442622✔ Licensed in NY · 053358-1
Definition

A licensed pharmacist who has demonstrated specialized knowledge and skill in maintenance and/or restoration of optimal nutritional status, designing and modifying treatment according to patient needs.

430 RANDOLPH ST NW, Washington, DC 20011
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Frequently Asked Questions

What is Douglas Lill's NPI number?

The NPI number assigned to this healthcare provider is 1285964197, enumerated as an "individual" on December 28, 2009.

Where is the provider located?

The provider is located at 430 RANDOLPH ST NW WASHINGTON, DC 20011 and the phone number is (512) 426-2894.

What is the provider's specialty?

Pharmacist with taxonomy code 1835N1003X and a focus in Nutrition Support.