DR. JENNIFER JEANNE LYON (NPI# 1114251568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114251568 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER JEANNE LYON |
| Credential | PHARMD |
| Practice Address |
I-40 Exit 102 San Fidel NM 87049 |
| Mailing Address |
Po Box 130 San Fidel NM 87049-0130 |
| Practice Telephone | 5055525395 |
| Mailing Telephone | 5055525395 |
| Enumeration Date | 2009-10-01 |
| Last Update Date | 2009-10-01 |
| 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 |
1535 | AK | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891221099 | Jennifer Lyon | Chore Provider | 1222 Lehman, Houston, TX 77018 | 2017-05-08 |
| 1447442272 | Jennifer Leigh Lyon | Counselor | 140 Hospital Dr, South Williamson, KY 41503-4022 | 2007-08-15 |
| 1528283199 | Jennifer Marie Lyon | Family Medicine | 647 E Eighth St, Traverse City, MI 49686-2630 | 2007-04-17 |
| 1992859912 | Jennifer Elaine Lyon | Marriage & Family Therapist | 130 Yellowstone Dr, Suite 110, Chico, CA 95973-5884 | 2007-01-23 |
| Street Address |
I-40 EXIT 102 |
| City | SAN FIDEL |
| State | NM |
| Zip Code | 87049 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851584213 | Melissa Y Wyaco | Registered Nurse | I-40 Exit 102, San Fidel, NM 87049-0130 | 2007-08-20 |
| 1447410196 | Olowan D Deherrera | Registered Nurse | I-40 Exit 102, Acl Phs Indian Hospital, San Fidel, NM 87049-0130 | 2008-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669937074 | James Blythe | Pharmacist | 80 Veterens Blvd, Acoma, NM 87049 | 2019-02-11 |
| 1689185571 | Jullliene Reed-tso | Social Worker | New Sunrise Rtc 20 Mockingbird Drive, San Fidel, NM 87049 | 2017-10-18 |
| 1245635309 | Donna Enfield | Counselor | Exit 102 1/2 Mi S of I-40, San Fidel, NM 87049 | 2014-10-30 |
| 1336425826 | Jodi Gee | Pharmacist | Acl Hospital Pharmacy Dept. I-40 @ Exit 102 (acomita), San Fidel, NM 87049 | 2011-10-27 |
| 1659528354 | Elaine Little | Dietitian, Registered | Acl Phs Indian Hospital, I - 40 Exit 102, San Fidel, NM 87049 | 2008-08-25 |
| 1366612830 | Lisa Ann Cohn | Pharmacist | Interstate 40 @ Exit 102, Acl Hospital Pharmacy Dept, San Fidel, NM 87049 | 2008-03-11 |
| 1619182821 | Melissa M Salinas | Physician Assistant | Exit 102 Off I-40 Half Mile S, San Fidel, NM 87049 | 2007-05-11 |
| 1083828453 | Edwina Faye Lee | Dental Hygienist | Exit 102 Off I40, 1/2 Mi South, San Fidel, NM 87049 | 2007-05-09 |
| 1730200171 | Carol Rose Cummins | Pharmacist | Interstate 40 Exit 102, San Fidel, NM 87049 | 2007-04-03 |
| 1881727873 | Acoma Canoncito Laguna Ihs Pharmacy | Pharmacy | 1 40 Exit 203 Acomita, San Fidel, NM 87049 | 2007-03-13 |
| Find all providers in zip 87049 | ||||
| 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 |
|---|---|---|---|---|
| 1003426016 | Natalia Carmen Mendez | Pharmacist | 409 Kathleen Pl, Farmington, NM 87401-3535 | 2020-08-04 |
| 1346897162 | Kali Autrey | Pharmacist | Junction Hwy 371 and Rt 9, Crownpoint, NM 87313 | 2019-08-26 |
| 1831752286 | Eillim De Jesus Rentas | Pharmacist | 6301 Alameda Blvd Ne Unit 1051, Albuquerque, NM 87113-2583 | 2019-04-20 |
| 1124594148 | Danielle Schavz | Pharmacist | 1691 Galisteo St Ste A, Santa Fe, NM 87505-4781 | 2018-10-17 |
| 1720589336 | Colin Wingfield Williams | Pharmacist | 8100 Constitution Pl Ne Ste 300, Albuquerque, NM 87110-7643 | 2018-02-28 |
| 1720501489 | Julia Poynor Lawrence | Pharmacist | 2705 Highland Rd, Roswell, NM 88201-1330 | 2017-07-24 |
| 1780030973 | Welly Agate | Pharmacist | U.S. Hwy. 491 North, Shiprock, NM 87420-0160 | 2016-05-06 |
| 1467836502 | Quentin Cooper Florence | Pharmacist | 44 Calle Del Media, Tijeras, NM 87059 | 2015-07-18 |
| 1669855698 | Krystle Tapia | Pharmacist | 601 Menaul Blvd Ne, Unit 203, Albuquerque, NM 87107-1531 | 2015-07-08 |
| 1386044006 | Richard Groh | Pharmacist | 905 Saunders Dr, Roswell, NM 88201-1002 | 2014-08-29 |
| Find all providers with the same taxonomy | ||||
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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.