JON PELLERIN (NPI# 1043629512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043629512 |
| Entity Type | Individual |
| Full Name | JON PELLERIN |
| Practice Address |
621 Montara Barstow CA 92311 |
| Mailing Address |
621 Montara Rd Barstow CA 92311-5737 |
| Practice Telephone | 7602525022 |
| Practice Fax Number | 7602525091 |
| Mailing Telephone | 7602525022 |
| Mailing Fax Number | 7602525091 |
| Enumeration Date | 2014-08-08 |
| Last Update Date | 2014-08-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 31860 | CA | Pharmacy Service Providers |
| Street Address |
621 MONTARA |
| City | BARSTOW |
| State | CA |
| Zip Code | 92311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528552437 | Sheri Lorena Brady | Counselor | 309 E. Mt. View Suite 100, Barstow, CA 92311 | 2018-06-15 |
| 1205352556 | Julie Ann Pellman | Dietitian, Registered | 100 Veterans Parkway, Barstow, CA 92311 | 2017-08-18 |
| 1821511106 | Ambria Nicole Flippo | Counselor | 309 E Mountain View, Suite 100, Barstow, CA 92311 | 2017-07-19 |
| 1124485289 | Wellness Acupuncture Clinic | Case Management | 1866 E Main St, Barstow, CA 92311 | 2016-01-20 |
| 1346606407 | Kirsten Cheong | Counselor | 306 E. Mountain View St., Suite 100, Barstow, CA 92311 | 2016-01-05 |
| 1205222536 | American Health Services LLC | Substance Abuse Rehabilitation Facility | 234/236, 300, 304 and 308e Fredricks Street, Barstow, CA 92311 | 2015-04-14 |
| 1255777421 | Ramendeep K Singh | Family Medicine | 1890 W. Main St., Suite 110, Barstow, CA 92311 | 2013-05-15 |
| 1760731061 | Jenifer Kristine Cordova | Physical Therapist | 1815 E. Main St., Barstow, CA 92311 | 2012-08-31 |
| 1053697250 | Lisa Herrmann | Counselor | 222 E Main St. Suite 117, Barstow, CA 92311 | 2011-11-01 |
| 1497050298 | Patricia C. Johnson | Counselor | 225 Barstow Rd., Barstow, CA 92311 | 2011-01-26 |
| Find all providers in zip 92311 | ||||
| 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 |
|---|---|---|---|---|
| 1427565027 | Paul Ha | Pharmacist | 621 Montara Rd, Barstow, CA 92311-5737 | 2018-01-04 |
| 1558634428 | Lavonne Wayne Sorenson | Pharmacist | 29370 Dryden St, Barstow, CA 92311-1711 | 2012-02-22 |
| 1164716445 | Brad H Lindstrom | Pharmacist | 1270 E Main St, Barstow, CA 92311-2409 | 2011-06-04 |
| 1275853939 | Amanda Ta | Pharmacist | 1380 Barstow Rd, Barstow, CA 92311-4944 | 2010-06-04 |
| 1144245929 | The Prescription Shoppe | Pharmacist | 400 S 2nd Ave Ste 101, Barstow, CA 92311-2805 | 2006-07-13 |
| 1427512011 | Kevin Ngo | Pharmacist | 301 Montara Rd, Barstow, CA 92311-5708 | 2019-01-28 |
| 1386131068 | Ankush Dhir | Pharmacist | 301 Montara Rd, Barstow, CA 92311-5708 | 2018-04-18 |
| 1548795453 | Borrego Community Health Foundation | Pharmacist | 750 E Main St, Barstow, CA 92311-2354 | 2017-04-28 |
| 1073987160 | Paul Dang | Pharmacist | 1380 Barstow Rd, Barstow, CA 92311-4944 | 2015-11-30 |
| 1720477391 | Anh Le | Pharmacist | 1380 Barstow Rd, Barstow, CA 92311-4944 | 2015-01-20 |
| Find all providers in BARSTOW | ||||
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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.