DOUGLAS DEAN LILL RPH CCN NPI 1285964197

NPI Information

  • NPI: 1285964197
  • Provider Name: DOUGLAS DEAN LILL, RPH, CCN
  • Classification: Pharmacist - 1835N1003X
  • Specialization: Nutrition Support
  • Entity Type: Individual
  • Address: 430 RANDOLPH ST NW
    WASHINGTON, DC
    ZIP 20011
  • Phone: (512) 426-2894

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NPI Details

Douglas Dean Lill, RPH, CCN is a nutrition support pharmacist in Washington, DC. The provider is 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. Douglas Dean Lill, RPH, CCN NPI is 1285964197. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

430 RANDOLPH ST NW
WASHINGTON, DC
ZIP 20011-940
Phone: (512) 426-2894

The enumeration date for this NPI number is 12/28/2009 and was last updated on 12/28/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11835N1003XPharmacistNutrition Support30711TEXASNo
21835N1003XPharmacistNutrition Support29RI03240500NEW JERSEYNo
31835N1003XPharmacistNutrition Support19342MARYLANDNo
41835N1003XPharmacistNutrition SupportRP442622PENNSYLVANIANo
51835N1003XPharmacistNutrition Support053358-1NEW YORKNo
61835N1003XPharmacistNutrition SupportPH00000655DISTRICT OF COLUMBIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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