JONATHAN EBROM (NPI# 1154779247) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154779247 |
| Entity Type | Individual |
| Full Name | JONATHAN EBROM |
| Credential | PHARMD |
| Practice Address |
318 W El Norte Pkwy Escondido CA 92026-1925 |
| Practice Telephone | 7734901711 |
| Practice Fax Number | 7604891002 |
| Mailing Telephone | 7734901711 |
| Mailing Fax Number | 7604891002 |
| Enumeration Date | 2016-05-30 |
| Last Update Date | 2016-05-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 69608 | CA | Pharmacy Service Providers |
| Street Address |
318 W EL NORTE PKWY |
| City | ESCONDIDO |
| State | CA |
| Zip Code | 92026-1925 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255315404 | Karen Ann Mckillop | Nurse Practitioner | 318 W El Norte Pkwy, Escondido, CA 92026-1925 | 2005-12-01 |
| 1104465780 | Alda Tran | Pharmacist | 318 W El Norte Pkwy, Escondido, CA 92026-1925 | 2019-12-31 |
| 1134773120 | Son Thanh Phan | Pharmacist | 318 W El Norte Pkwy, Escondido, CA 92026-1925 | 2019-07-29 |
| 1184276719 | Cindy Quejada | Pharmacist | 318 W El Norte Pkwy, Escondido, CA 92026-1925 | 2019-07-13 |
| 1902368186 | Sanaz Mehryar | Pharmacist | 318 W El Norte Pkwy, Escondido, CA 92026-1925 | 2019-04-04 |
| 1346706256 | Timothy Hickey | Nurse Practitioner | 318 W El Norte Pkwy, Escondido, CA 92026-1925 | 2019-02-15 |
| 1689185936 | Robert Brian Ellis | Audiologist | 318 W El Norte Pkwy, Escondido, CA 92026-1925 | 2017-10-13 |
| 1972038230 | Chen-hung Chang | Pharmacist | 318 W El Norte Pkwy, Escondido, CA 92026-1925 | 2017-04-25 |
| 1881134633 | Cvs Aoc Services, L.L.C. | Audiologist | 318 W El Norte Pkwy, Escondido, CA 92026-1925 | 2017-02-27 |
| 1346691219 | Christina Chang | Pharmacist | 318 W El Norte Pkwy, Escondido, CA 92026-1925 | 2016-06-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477908663 | Nancy Martinez-molano | Counselor | 1029 N. Broadway Avenue, Escondido, CA 92026 | 2016-04-26 |
| 1114322765 | Christina Boekamp | Speech-Language Pathologist | 1325 Las Villas Way, Escondido, CA 92026 | 2014-10-24 |
| 1609170356 | Pectus Services of Southern California LLC | Durable Medical Equipment & Medical Supplies | 317 N. Elcamino Real, Suite 502, Encinitas, CA 92026 | 2011-01-10 |
| 1518277987 | Maryam Delsen | Social Worker | 1029 N. Broadway Ave., Escondido, CA 92026 | 2010-10-19 |
| 1528372554 | Shirley Dianne Kunkel | Speech-Language Pathologist | 9649 Galatea Lane, Escondido, CA 92026 | 2010-08-02 |
| 1124295266 | Kendell Hales Ricks | Dentist | 8895 Lawrence Welk Dr, Escondido, CA 92026 | 2008-05-08 |
| 1861517005 | Mountain Shadows Support Group, Inc | Nursing Facility/Intermediate Care Facility | 4840 Fairhill Place, Riverside, CA 92026 | 2007-03-20 |
| 1982731253 | Cynthia Louise Canney | Marriage & Family Therapist | 502 W. El Norte Parkway, Excondido, CA 92026 | 2007-02-27 |
| 1992891790 | Vijaya Kv Prabhu | Dentist | El Norte Family Dental., 306 W.el Norte Pkwy. Suite D & E, Escondido, CA 92026 | 2006-10-05 |
| 1174065403 | Rashida Black | Counselor | 1341 N Escondido Blvd, Escondido, CA 92026 | 2016-11-17 |
| Find all providers in zip 92026 | ||||
| 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 |
|---|---|---|---|---|
| 1780284315 | Sally Berresse | Pharmacist | 21921 Long Trot Dr, Escondido, CA 92029-5936 | 2020-11-01 |
| 1568936961 | Angel Rose Ltc Pharmacy Inc | Pharmacist | 365 W 2nd Ave Ste 103, Escondido, CA 92025-4136 | 2019-01-18 |
| 1962938027 | Supraja Abbu | Pharmacist | 1665 E Valley Pkwy, Escondido, CA 92027-2408 | 2017-05-11 |
| 1912457771 | Neda-aileen Lin | Pharmacist | 1291 Dexter Pl, Escondido, CA 92029-5629 | 2016-10-05 |
| 1912353012 | Lauren Youngberg | Pharmacist | 200 W El Norte Pkwy, Suite #11, Escondido, CA 92026-2529 | 2016-05-06 |
| 1508223926 | Colleen Tholen | Pharmacist | 896 Corte Merano, Escondido, CA 92026-2260 | 2016-01-16 |
| 1720452949 | Vrajni Patel | Pharmacist | 2937 Burnet Dr, Escondido, CA 92027-5264 | 2015-11-26 |
| 1629441399 | Rana Dagher | Pharmacist | 3038 Wohlford Dr, Escondido, CA 92027-5273 | 2015-11-03 |
| 1396145728 | Jennifer Minh Trang Cao | Pharmacist | 757 Ball Ave, Escondido, CA 92026-3180 | 2014-09-04 |
| 1548685142 | Diana Mirzoian | Pharmacist | 1575 Tanglewood Ln Apt F221, Escondido, CA 92029-3220 | 2014-02-19 |
| Find all providers in ESCONDIDO | ||||
Please comment or provide details below to improve the information on JONATHAN EBROM.
| 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.