JEREMY DEAN JANSEN (NPI# 1164054052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164054052 |
Entity Type | Individual |
Full Name | JEREMY DEAN JANSEN |
Credential | PHARM.D. |
Practice Address |
1900 Ne 3rd St Ste 111 Bend OR 97701-3888 |
Mailing Address |
4500 Sergeant Rd Sioux City IA 51106-4705 |
Practice Telephone | 8007483243 |
Mailing Telephone | 7122742949 |
Mailing Fax Number | 7122748072 |
Enumeration Date | 2020-02-07 |
Last Update Date | 2020-09-06 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 183500000X | Pharmacist | RPH0017215 | OR | Pharmacy Service Providers |
N | 183500000X | Pharmacist | 22223 | IA | Pharmacy Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
4500 Sergeant Rd, Sioux City, IA 511064705 | 7122742949 | 7122748072 |
Street Address |
1900 NE 3RD ST STE 111 |
City | BEND |
State | OR |
Zip Code | 97701-3888 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104465525 | Andrew Kyle Burzynski | Denturist | 853 Ne 4th St., Bend, OR 97701 | 2020-01-02 |
1013480714 | Andrew Traut | Specialist/Technologist | Oregon State Force Lab, 2200 Ne Neff Rd Suite 202, Bend, OR 97701 | 2019-01-04 |
1871063917 | Calley Asbill, Nd LLC | Chiropractor | 2146 Ne 4th Street, Suite 160, Bend, OR 97701 | 2018-12-02 |
1902372212 | Carisa S Battin | Counselor | 361 Ne Franklin Avenue Bldg E #4, Bend, OR 97701 | 2018-10-15 |
1366921223 | Hillside Eye Center LLC | Ophthalmology | 625 Nw Colorado Avenue, Bend, OR 97701 | 2018-08-11 |
1528545514 | Kellie Michiko Kawasaki-jones | Dentist | 62968 Ob Riley Road, Suite 12, Bend, OR 97701 | 2018-07-23 |
1992255327 | Shelby Chiropractic | Chiropractor | 561 Ne Bellevue Dr Ste 102, Bend, OR 97701 | 2016-10-10 |
1144671520 | Kevin Richard Pett | Acupuncturist | 39 Nw Louisanna Ave., Hawthorn Healing Arts Center, Bend, OR 97701 | 2016-06-27 |
1912357500 | Sheldon Shawn Doveri | Driver | 233 Nw Revere Ave, Bend, OR 97701 | 2016-06-15 |
1740647411 | Anne Power | Homeopath | 2100 Ne Neff Rd Suite B, Bend, OR 97701 | 2016-01-26 |
Find all providers in zip 97701 |
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 |
---|---|---|---|---|
1356949713 | Keith Mckie | Pharmacist | 64564 Research Rd, Bend, OR 97703-8583 | 2020-10-16 |
1659938686 | Colleen Cordis | Pharmacist | 2051 Ne Bluebird Ct, Bend, OR 97701-3907 | 2019-05-24 |
1578010278 | Shana Eighan | Pharmacist | 1900 Ne 3rd St Ste 1111, Bend, OR 97701-3894 | 2016-09-09 |
1497126593 | Alexis Jean Riva Barr | Pharmacist | St. Charles Health System, 2500 Ne Neff Rd., Bend, OR 97701 | 2015-10-14 |
1124455449 | Maria Jose Montenegro Oreamuno | Pharmacist | 19655 Harvard Pl, Bend, OR 97702-3368 | 2013-10-01 |
1851647291 | Darcy Lynn Miller | Pharmacist | 2441 Ne Ravenwood Dr, Bend, OR 97701-3761 | 2012-08-02 |
1386909182 | Diane Wong Yamamoto | Pharmacist | 740 Ne 3rd St, Ste 3 Pmb 120, Bend, OR 97701-4700 | 2012-07-08 |
1801155734 | Jeff Ramseyer | Pharmacist | 61476 Davis Lake Loop, Bend, OR 97702-1955 | 2012-05-12 |
1720347198 | Tara Lynn Okeeffe | Pharmacist | 210 Sw Century Dr, Bend, OR 97702-1958 | 2012-05-04 |
1043586241 | Chris Edward Reynolds | Pharmacist | 20276 Halfway Rd, Bend, OR 97701-9018 | 2012-04-02 |
Find all providers in BEND |
Please comment or provide details below to improve the information on JEREMY DEAN JANSEN.
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.