MR. JERRY EDWARD POTMESIL I (NPI# 1043623093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043623093 |
| Entity Type | Individual |
| Full Name | MR. JERRY EDWARD POTMESIL I |
| Credential | RPH |
| Practice Address |
2895 N Mccarran Blvd Sparks NV 89431-1882 |
| Practice Telephone | 7753538818 |
| Practice Fax Number | 7753538821 |
| Mailing Telephone | 7753538818 |
| Mailing Fax Number | 7753538821 |
| Enumeration Date | 2014-06-07 |
| Last Update Date | 2014-06-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 05137 | NV | Pharmacy Service Providers |
| Street Address |
2895 N MCCARRAN BLVD |
| City | SPARKS |
| State | NV |
| Zip Code | 89431-1882 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750792214 | Rajdeep Bhanver | Pharmacist | 2895 N Mccarran Blvd, Sparks, NV 89431-1882 | 2014-05-17 |
| 1689131211 | Michael Lynn O'leary | Pharmacist | 2895 N Mccarran Blvd, Sparks, NV 89431-1882 | 2019-03-01 |
| 1396159729 | Delia Munoz | Pharmacist | 2895 N Mccarran Blvd, Sparks, NV 89431-1882 | 2014-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053958033 | Jerome Johnson II | Behavioral Analyst | 3115 Saltern Way, Sparks, NV 89431 | 2019-12-09 |
| 1528520640 | Dynisha Bernee Richardson | Technician, Other | 616 Victorian Ave, Sparks, NV 89431 | 2019-04-05 |
| 1902376494 | Avalon Care Center-va Reno, LLC | Skilled Nursing Facility | 36 Battle Born Way, Sparks, NV 89431 | 2018-11-28 |
| 1669964128 | Abraham A Arellano | Behavioral Analyst | 2005 Probasco Way, Sparks, NV 89431 | 2018-05-31 |
| 1003335399 | Carresa Greer | Counselor | 390 Freeport Blvd #3, Sparks, NV 89431 | 2017-09-18 |
| 1689197444 | Fred Blauth Jr. | Counselor | 2105 Sullivan Ln, Sparks, NV 89431 | 2017-07-24 |
| 1548719255 | Adolescent Treatment Center | Community Based Residential Treatment Facility, Mental Illness | 480 Galetti Way, Sparks, NV 89431 | 2016-09-23 |
| 1124478862 | Kristina Schneider | Behavioral Analyst | 3230 Wedekind Rd, 50, Sparks, NV 89431 | 2016-06-14 |
| 1336506898 | Rikki Texter | Occupational Therapy Assistant | 1025 Robert Lane, Sparks, NV 89431 | 2016-01-28 |
| 1851760177 | Elizabeth Ojeda | Counselor | 490 Galletti Way, Building 8c, Sparks, NV 89431 | 2015-09-16 |
| Find all providers in zip 89431 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205475118 | Jamie Lum | Pharmacist | 1125 Ave of The Oaks Unit 523, Sparks, NV 89431-4928 | 2019-12-26 |
| 1225673742 | Bradley Baker | Pharmacist | 1287 Pullman Ct, Sparks, NV 89434-4073 | 2019-11-07 |
| 1750792214 | Rajdeep Bhanver | Pharmacist | 2895 N Mccarran Blvd, Sparks, NV 89431-1882 | 2014-05-17 |
| 1043654684 | Terri Bostick | Pharmacist | 5530 Knoll View Way, Sparks, NV 89436-0875 | 2013-04-25 |
| 1952647869 | Edward Tambi | Pharmacist | 2508 Emblem St, Sparks, NV 89436-9172 | 2012-12-20 |
| 1528344512 | Edwin Eugene Gonyou | Pharmacist | 8915 Jedediah Smith Dr, Sparks, NV 89441-9219 | 2011-10-23 |
| 1528341849 | Angel S Malabanan Jr. | Pharmacist | 1705 Canyon Terrace Dr, Sparks, NV 89436-3628 | 2011-09-22 |
| 1982986881 | John Eric Tolley | Pharmacist | 9705 Pyramid Hwy, Sparks, NV 89441-7541 | 2011-09-16 |
| 1710048657 | Christine Lynn Carr | Pharmacist | 2389 Wingfield Hills Rd, Sparks, NV 89436-7201 | 2006-12-13 |
| 1346331410 | Rosemaria K Kariampuzha | Pharmacist | 112 Hunt Creek Lane, Sparks, MD 21152 | 2006-09-27 |
| Find all providers in SPARKS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.