Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Douglas Dean Lill, RPH, CCN

Individual provider Nutrition Support Pharmacist · NPI 1285964197

Douglas Dean Lill, RPH, CCN is a Nutrition Support Pharmacist in Washington, District of Columbia. Practices as a sole proprietor. Licensed in District of Columbia, Maryland, New Jersey and New York and 2 more.

Licensed in
DC, MD, NJ, NY, PA, TX
In the registry since
2009
Specialties on file
6
What do these letters mean?
RPH — Registered Pharmacist
A pharmacist licensed by a state board.

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Practice location Address checks out

430 Randolph St NW
Washington, DC 20011-5940
Phone: (512) 426-2894
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nutrition Support Pharmacist (primary) Taxonomy 1835N1003X · Licence PH00000655 (DC)
Nutrition Support Pharmacist Taxonomy 1835N1003X · Licence 30711 (TX)
Nutrition Support Pharmacist Taxonomy 1835N1003X · Licence 29RI03240500 (NJ)
Nutrition Support Pharmacist Taxonomy 1835N1003X · Licence 19342 (MD)
Nutrition Support Pharmacist Taxonomy 1835N1003X · Licence RP442622 (PA)
Nutrition Support Pharmacist Taxonomy 1835N1003X · Licence 053358-1 (NY)

Record details

NPI number1285964197
Entity typeIndividual (Type 1)
GenderMale
Credentials RPH , CCN
Sole proprietorYes
NPI enumeratedDecember 28, 2009
Last updated in NPPESDecember 28, 2009

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