JEREMY DEAN JANSEN


Address: 1900 Ne 3rd St Ste 111, Bend, OR 97701-3888
Phone: 8007483243

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).

Provider Overview

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

Taxonomy

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

Provider Secondary Practice Location

Address Telephone Number Fax Number
4500 Sergeant Rd, Sioux City, IA 511064705 7122742949 7122748072

Office Location

Street Address 1900 NE 3RD ST STE 111
City BEND
State OR
Zip Code 97701-3888

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NPI Name Taxonomy Address Enumeration
1104465525 Andrew Kyle Burzynski Denturist 853 Ne 4th St., Bend, OR 97701 2020-01-02
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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
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Taxonomy Information

Taxonomy Code 183500000X
Grouping Pharmacy Service Providers
Classification Pharmacist

Taxonomy Definition

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]

Providers in the same taxonomy and city

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
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Competitor

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City BEND
Zip Code 97701

Improve Information

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Dataset Information

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.

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