GARY JURGENSON (NPI# 1073691895) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073691895 |
| Entity Type | Individual |
| Full Name | GARY JURGENSON |
| Practice Address |
322 E 22nd St Fremont NE 68025-2608 |
| Mailing Address |
1859 Phelps Ave Fremont NE 68025-4424 |
| Practice Telephone | 4027215433 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 7620 | NE | Pharmacy Service Providers |
| Street Address |
322 E 22ND ST |
| City | FREMONT |
| State | NE |
| Zip Code | 68025-2608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700899432 | Miller Pharmacy Inc | Pharmacy | 322 E 22nd St, Fremont, NE 68025-2608 | 2006-08-14 |
| 1972140085 | Richard Wendal Barmore Jr. | Pharmacist | 322 E 22nd St, Fremont, NE 68025-2608 | 2019-12-08 |
| 1154491462 | Miller Pharmacy North | Pharmacy | 322 E 22nd St, Fremont, NE 68025-2608 | 2006-11-08 |
| 1548348691 | Terry Peterson | Pharmacist | 322 E 22nd St, Fremont, NE 68025-2608 | 2006-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710456934 | Methodist Fremont Health | Pharmacy | 450 E 23rd, Fremont, NE 68025 | 2018-11-16 |
| 1811484546 | Cynthia Jane Cusick | Social Worker | 748 North Main Street, Fremont, NE 68025 | 2018-04-18 |
| 1891298196 | Hergenrader Dental Rehab PC | Dentist | 3102 East Elk Lane, Fremont, NE 68025 | 2018-03-13 |
| 1982142857 | Paula Y. Walla | Speech-Language Pathologist | 130 E. 9th St., Fremont, NE 68025 | 2017-02-10 |
| 1619326709 | Debra Baker | Nurse Practitioner | 3140 Elk Ln Ste 600, Fremont, NE 68025 | 2016-06-09 |
| 1912368069 | Nicole Henkel | Occupational Therapist | 450 East 23rd, Fremont, NE 68025 | 2016-03-17 |
| 1265818017 | Orchid of Hope Counseling | Exclusive Provider Organization | 1919 North Broad Street, Fremont, NE 68025 | 2015-08-04 |
| 1265770366 | James N Orr | Pharmacist | 840 E 23 St, Fremont, NE 68025 | 2013-01-24 |
| 1902156086 | Penelope Anastasia Stoll | Speech-Language Pathologist | Nye Legacy, 3210 N. Clarkson St, Fremont, NE 68025 | 2012-09-14 |
| 1144582685 | Diane Marie Gehring | Case Management | 105 East 12th Street, Fremont, NE 68025 | 2012-06-11 |
| Find all providers in zip 68025 | ||||
| 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 |
|---|---|---|---|---|
| 1902419815 | Virginia Wong | Pharmacist | 34460 Fremont Blvd Ste B, Fremont, CA 94555-3324 | 2020-08-29 |
| 1427666767 | Eric Donald Schlegel | Pharmacist | 350 W 23rd St Ste E, Fremont, NE 68025-2592 | 2020-07-22 |
| 1003445891 | Ranjit Singh Kali-rai | Pharmacist | 45372 Whitetail Ct, Fremont, CA 94539-6038 | 2020-04-03 |
| 1811529993 | Pius N Bachan Jr. | Pharmacist | 34573 Hurst Ave, Fremont, CA 94555-3124 | 2020-02-06 |
| 1104477173 | Suparna Sandip Umrotkar | Pharmacist | 428 Escobar St, Fremont, CA 94539-5713 | 2019-09-21 |
| 1194374223 | Alameda Adult Day Health Center | Pharmacist | 40922 Fremont Blvd, Fremont, CA 94538-4375 | 2019-09-11 |
| 1376190322 | Vincent Lacariere | Pharmacist | 3051 Christine Ct, Fremont, CA 94536-5210 | 2019-08-23 |
| 1215596853 | Sonal Sehgal | Pharmacist | 46307 Klamath St, Fremont, CA 94539-6908 | 2019-06-07 |
| 1285100362 | Amina Azam | Pharmacist | 34077 Paseo Padre Pkwy Apt 115, Fremont, CA 94555-2370 | 2018-10-16 |
| 1134694169 | Christina S Yeh | Pharmacist | 41641 Mission Creek Dr, Fremont, CA 94539-4771 | 2018-10-05 |
| Find all providers in FREMONT | ||||
Please comment or provide details below to improve the information on GARY JURGENSON.
| 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.