JAY P FLESCH (NPI# 1215201223) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215201223 |
| Entity Type | Individual |
| Full Name | JAY P FLESCH |
| Credential | RPH |
| Practice Address |
330 S Chiloquin Blvd Chiloquin OR 97624-6747 |
| Mailing Address |
Po Box 3999 Sunriver OR 97707-3999 |
| Practice Telephone | 5417833551 |
| Practice Fax Number | 5417833554 |
| Mailing Telephone | 5417717457 |
| Mailing Fax Number | 5417833554 |
| Enumeration Date | 2012-03-08 |
| Last Update Date | 2016-01-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
9661 | OR | Pharmacy Service Providers |
| Street Address |
330 S CHILOQUIN BLVD |
| City | CHILOQUIN |
| State | OR |
| Zip Code | 97624-6747 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538156351 | Elizabeth Burton Matuk | Nurse Practitioner | 330 S Chiloquin Blvd, Chiloquin, OR 97624-6747 | 2005-10-06 |
| 1972148427 | Mason Zhang | Pharmacist | 330 S Chiloquin Blvd, Chiloquin, OR 97624-6747 | 2019-11-07 |
| 1881169464 | Sarah O'brien | Nurse Practitioner | 330 S Chiloquin Blvd, Chiloquin, OR 97624-6747 | 2018-10-10 |
| 1245747476 | Bita Vaghari | Dentist | 330 S Chiloquin Blvd, Chiloquin, OR 97624-6747 | 2018-01-09 |
| 1114448529 | Benjamin Russel Stuart | Registered Nurse | 330 S Chiloquin Blvd, Chiloquin, OR 97624-6747 | 2017-07-06 |
| 1356712392 | Daniel Wayne Conant | Pharmacist | 330 S Chiloquin Blvd, Chiloquin, OR 97624-6747 | 2015-10-16 |
| 1215218292 | Anjanette Michelle Devine | Nurse Practitioner | 330 S Chiloquin Blvd, Chiloquin, OR 97624-6747 | 2011-09-02 |
| 1639290778 | Klamath Tribal Health & Family Services | Pharmacy | 330 S Chiloquin Blvd, Chiloquin, OR 97624-6747 | 2007-04-03 |
| 1700952736 | Thuc Xuan Ngo | Dentist | 330 S Chiloquin Blvd, Chiloquin, OR 97624-6747 | 2006-11-28 |
| 1285610642 | Timothy George Langford | Pharmacist | 330 S Chiloquin Blvd, Chiloquin, OR 97624-6747 | 2005-12-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588805832 | Klamath Tribal Health and Family Services | Clinic/Center | 330 Chiloquin Boulevard, Chiloquin, OR 97624 | 2009-03-17 |
| 1922250364 | Melissa Sample | Registered Nurse | 103 Waso, Chiloquin, OR 97624 | 2008-10-16 |
| 1225291503 | Klamath Health Partnership Inc | Clinic/Center | 103 Wasco Ave, Chiloquin, OR 97624 | 2008-07-07 |
| 1598834822 | Edward Stuart Walker | Dentist | 330 Chiloquin, Chiloquin, OR 97624 | 2006-11-08 |
| 1295728624 | Jamie D. Rich | Internal Medicine | 330 Chiloquin Blvd., Chiloquin, OR 97624 | 2005-08-31 |
| 1629078274 | Klamath Tribal Health & Family Services | Clinic/Center | 330 Chiloquin Blvd, Chiloquin, OR 97624 | 2005-07-26 |
| 1114296720 | Marcy J. Ayres | Dietitian, Registered | 330 Chiloquin Blvd., Chiloquin, OR 97624 | 2011-12-28 |
| 1427351576 | Laura A. Snyder | Dentist | 330 Chiloquin Blvd., Chiloquin, OR 97624 | 2010-12-13 |
| 1225260946 | Qiang Yin | Transplant Surgery | 330 Chiloquin Blvd., Chiloquin, OR 97624 | 2009-08-13 |
| 1861412884 | Kathy Kiryang Bak | Family Medicine | 330 Chiloquin Blvd, Chiloquin, OR 97624 | 2006-07-20 |
| Find all providers in zip 97624 | ||||
| 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 |
|---|---|---|---|---|
| 1356712392 | Daniel Wayne Conant | Pharmacist | 330 S Chiloquin Blvd, Chiloquin, OR 97624-6747 | 2015-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194385674 | Joseph Lee Combee | Pharmacist | 4956 Sw Aster St, Corvallis, OR 97333-1367 | 2019-06-17 |
| 1538627377 | Jacquelyn Jessica Lansing | Pharmacist | 33190 Bloomberg Rd, Eugene, OR 97405-9609 | 2019-03-12 |
| 1972097699 | Nathan Daniel Hoover | Pharmacist | 1401 North 10th Ave, Stayton, OR 97383 | 2018-06-16 |
| 1083119994 | Timothy Warren Evans | Pharmacist | 2714 Harbeck Rd, Grants Pass, OR 97527-5630 | 2018-03-24 |
| 1144737677 | Matthew Ito | Pharmacist | 5805 Sw Delker Rd, Tualatin, OR 97062-7753 | 2018-01-05 |
| 1588178701 | Daniel Hendrickson | Pharmacist | 503 Sw 5th Avenue, Portland, OR 97204 | 2017-11-27 |
| 1336662204 | Jenny French | Pharmacist | 9427 Sw Barnes Rd Ste 295, Portland, OR 97225-6652 | 2017-07-21 |
| 1104378199 | Derek Andrus | Pharmacist | 5717 Nw 138th, Portland, OR 97230 | 2016-10-26 |
| 1841747649 | Richard Bennett | Pharmacist | 425 Burlwood Ave N, Monmouth, OR 97361-2252 | 2016-09-09 |
| 1316390008 | Timothy L Lichlyter | Pharmacist | 2924 Siskiyou Blvd Ste 102, Medford, OR 97504-8194 | 2016-07-18 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on JAY P FLESCH.
| 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.