DR. JAMIE LYNN BRAZO (NPI# 1063719458) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063719458 |
Entity Type | Individual |
Full Name | DR. JAMIE LYNN BRAZO |
Credential | PHARMD |
Practice Address |
4444 W Western Ave South Bend IN 46619-2641 |
Practice Telephone | 5742460052 |
Practice Fax Number | 5742460293 |
Mailing Telephone | 5742460052 |
Mailing Fax Number | 5742460293 |
Enumeration Date | 2011-02-21 |
Last Update Date | 2011-02-21 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 183500000X | Pharmacist | 26021630A | IN | Pharmacy Service Providers |
Street Address |
4444 W WESTERN AVE |
City | SOUTH BEND |
State | IN |
Zip Code | 46619-2641 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871721746 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 4444 W Western Ave, South Bend, IN 46619-2641 | 2009-06-30 |
1780088062 | Alina Singh | Pharmacist | 4444 W Western Ave, South Bend, IN 46619-2641 | 2014-10-15 |
1205118015 | Leslie Thompson | Pharmacist | 4444 W Western Ave, South Bend, IN 46619-2641 | 2011-09-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578015103 | Martin's Super Markets, Inc. | Pharmacy | 525 S. Mayflower Rd, South Bend, IN 46619 | 2016-10-31 |
1124449053 | Sandra J Jackson | Counselor | 4218 Western Ave., South Bend, IN 46619 | 2013-12-19 |
1902227911 | Patricia Ann Miller | Counselor | 4218 Western Ave, South Bend, IN 46619 | 2013-12-17 |
1740611953 | Cynthia G. Finney | Counselor | 4218 Western Avenue, So Bend, IN 46619 | 2013-12-13 |
1437433406 | Angela Nicole Zolvinski | Pharmacist | 4444 W. Western Ave, South Bend, IN 46619 | 2011-10-07 |
1871674556 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 4600 W Washington St, South Bend, IN 46619 | 2006-10-18 |
1942302203 | April Holtgren | Family Medicine | 1901 #b Western Ave, South Bend, IN 46619 | 2006-09-05 |
1447737002 | Graciela Jimenez-martinez | Registered Nurse | 1901 #b Western Avenue, South Bend, IN 46619 | 2018-07-25 |
1821397878 | Wright Dream | In Home Supportive Care | 706 S Sheridan St, South Bend, IN 46619 | 2011-03-16 |
1740439223 | Scott J. Vanslambrouck | Dentist | 1901 #b Western Avenue, Ihc South Bend, South Bend, IN 46619 | 2008-09-09 |
Find all providers in zip 46619 |
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 |
---|---|---|---|---|
1255945705 | Richard B Pearson | Pharmacist | 2913 S Michigan St, South Bend, IN 46614-1033 | 2020-09-02 |
1033759394 | Diane Galvas | Pharmacist | 1217 E. Ireland Rd., South Bend, IN 46614 | 2020-01-14 |
1053899617 | Korilyn Hauersperger | Pharmacist | 22370 Ice Trl, South Bend, IN 46614-4401 | 2018-08-05 |
1386159622 | Dusti Ann Yost | Pharmacist | 707 N Michigan St Ste 114, South Bend, IN 46601-1068 | 2017-12-08 |
1851715155 | Rachel Cundiff | Pharmacist | 52482 Sr 933 N, South Bend, IN 46637 | 2014-02-07 |
1104251479 | Tao Bai | Pharmacist | 52482 State Rd 933, South Bend, IN 46637 | 2013-09-05 |
1285989079 | Craig Merrick | Pharmacist | 901 E Donald St, South Bend, IN 46613-2920 | 2012-07-17 |
1396021218 | Jada Rashon Bush | Pharmacist | 201 S William St Ste 202, South Bend, IN 46601-2515 | 2011-10-24 |
1609151596 | Monica Lynn Parkhurst | Pharmacist | 54590 Ironwood Rd, South Bend, IN 46635-1617 | 2011-10-11 |
1437433406 | Angela Nicole Zolvinski | Pharmacist | 4444 W. Western Ave, South Bend, IN 46619 | 2011-10-07 |
Find all providers in SOUTH BEND |
City | SOUTH BEND |
Zip Code | 46619 |
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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.