AMY EVENSTAD (NPI# 1043691819) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1043691819 |
Entity Type | Individual |
Full Name | AMY EVENSTAD |
Credential | PHARMD |
Practice Address |
9888 Genesee Ave Lj 18 La Jolla CA 92037 |
Practice Telephone | 8586264606 |
Mailing Telephone | 8586264606 |
Enumeration Date | 2015-06-17 |
Last Update Date | 2015-06-17 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
65708 | CA | Pharmacy Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386706455 | Amy Evenstad | Occupational Therapy Assistant | 2575 7th St S, La Crosse, WI 54601-5249 | 2006-12-15 |
Street Address |
9888 GENESEE AVE LJ 18 |
City | LA JOLLA |
State | CA |
Zip Code | 92037 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700886207 | Gregory Daniel Medley | Pharmacist | 9888 Genesee Ave, Lj-18, La Jolla, CA 92037-1276 | 2005-07-26 |
1548867864 | Caitlin Hopkins | Physician Assistant | 9888 Genesee Ave, La Jolla, CA 92037-1205 | 2020-10-08 |
1750998191 | Ginger Lo | Pharmacist | 9888 Genesee Ave, La Jolla, CA 92037-1205 | 2020-09-29 |
1265045652 | Leslie Ann Reynolds | Nurse Practitioner | 9888 Genesee Ave, La Jolla, CA 92037-1205 | 2020-08-26 |
1629690946 | Lillian H Pak | Registered Nurse | 9888 Genesee Ave, La Jolla, CA 92037-1205 | 2020-05-08 |
1285274894 | Diane Morgan | Pharmacist | 9888 Genesee Ave, La Jolla, CA 92037-1205 | 2020-01-11 |
1326684473 | Gina Marie Costi-wong | Speech-Language Pathologist | 9888 Genesee Ave, La Jolla, CA 92037-1205 | 2019-11-25 |
1144866294 | Cedar Raymond | Speech-Language Pathologist | 9888 Genesee Ave, La Jolla, CA 92037-1205 | 2019-11-25 |
1831735232 | Kyle Wade | Speech-Language Pathologist | 9888 Genesee Ave, La Jolla, CA 92037-1205 | 2019-11-20 |
1558903682 | Rajvi Rajesh Patel | Pharmacist | 9888 Genesee Ave, La Jolla, CA 92037-1205 | 2019-10-10 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982221768 | Equip Health Medical, PC | Clinic/Center | 2674 Costebelle Drive, Unit A, La Jolla, CA 92037 | 2020-06-29 |
1134745474 | Brenda Kay Wiederhold | Psychologist | Virtual Reality Medical Center, 9834 Genesee Avenue, Suite 427, La Jolla, CA 92037 | 2020-06-23 |
1316581598 | Kathleen M Blechertas | Physical Therapist | 9888 Genesee, Lj19, La Jolla, CA 92037 | 2019-10-31 |
1316592876 | Kevin Yanyan Li | Student in an Organized Health Care Education/Training Program | 9300 Campus Point Drive, Mc7400, La Jolla, CA 92037 | 2019-08-01 |
1407400542 | Juan J Salmeron | Dentist | Callejin Internacional 351 L2, Los Algodones, BAJA CALIFORNIA 92037 | 2019-07-26 |
1609428598 | Nicole Whitney Mark | Physician Assistant | 8103 Caminito Sonoma, La Jolla, CA 92037 | 2019-07-11 |
1700357936 | Cecelia Rose Greene/pendzich | Mastectomy Fitter | 7760 Fay Ave, Suite M., La Jolla, CA 92037 | 2018-12-16 |
1740765890 | Jeenal Ankit Gordhandas | Student in an Organized Health Care Education/Training Program | East Campus Office Building, Medical Center Dr, La Jolla, CA 92037 | 2018-09-25 |
1306325220 | Lisa Beth Perlov Marks | Marriage & Family Therapist | 7734 Hershel Avenue, Suite O, La Jolla, CA 92037 | 2018-08-10 |
1023596731 | Uc San Diego, Pathology Dept | Pathology | East Campus Office Building, Medical Center Dr, San Diego, CA 92037 | 2018-08-03 |
Find all providers in zip 92037 |
Taxonomy Code | 1835P0018X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacist |
Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104467885 | Mark Mariski Jr. | Pharmacist | 9300 Campus Point Dr, La Jolla, CA 92037-1300 | 2019-10-03 |
1871029439 | Sheryl Wu | Pharmacist | 9300 Campus Point Dr, Department of Pharmacy, Mcl7765, La Jolla, CA 92037-1300 | 2017-05-02 |
1922482538 | Mitul Patel | Pharmacist | 10666 N Torrey Pines Rd, La Jolla, CA 92037-1027 | 2015-07-13 |
1528483880 | Anahita Afshar | Pharmacist | 10666 N Torrey Pines Rd, La Jolla, CA 92037-1027 | 2014-02-24 |
1659659167 | Sarah M Lorentz | Pharmacist | 9500 Gilman Dr, La Jolla, CA 92093-0719 | 2011-08-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376142430 | Daria Mohazzab Hosseinian | Pharmacist | 450 E Spring St Ste 11, Long Beach, CA 90806-1625 | 2020-10-20 |
1235745100 | Ngoc Tran | Pharmacist | 10371 Luders Ave, Garden Grove, CA 92843-3213 | 2020-09-16 |
1275143752 | Sherine Ann Legge | Pharmacist | 17 Westchester Ct, Trabuco Canyon, CA 92679-4955 | 2020-08-09 |
1922618412 | Ashley Keane Hayes | Pharmacist | 6551 E El Pulcro St, Long Beach, CA 90815-2302 | 2020-08-09 |
1750991543 | Priyankumar Arvind Patel | Pharmacist | 2339 S G St, Fresno, CA 93721-3425 | 2020-08-05 |
1912521261 | Sharon Jung | Pharmacist | 851 Langholm Way, Riverside, CA 92508-6075 | 2020-06-02 |
1710500376 | Christine Nguyen | Pharmacist | 2248 E Nyon Ave, Anaheim, CA 92806-4634 | 2020-05-18 |
1134740582 | Cj3m Corporation | Pharmacist | 2626 El Camino Real Ste A, Carlsbad, CA 92008-1253 | 2020-04-27 |
1629607775 | Tiffany Chang | Pharmacist | 213 Quarry Rd Rm 2726a, Palo Alto, CA 94304-1416 | 2020-04-01 |
1124655782 | Noor Mikhail | Pharmacist | 220 W Main St Ste 102, El Cajon, CA 92020-3462 | 2020-03-24 |
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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.