JACKIE ANN PERRIELLO (NPI# 1215301445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215301445 |
| Entity Type | Individual |
| Full Name | JACKIE ANN PERRIELLO |
| Credential | PHARMD |
| Practice Address |
12236 Montana Ave El Paso TX 79938-4851 |
| Practice Telephone | 9152554038 |
| Mailing Telephone | 9152554038 |
| Enumeration Date | 2015-11-27 |
| Last Update Date | 2015-11-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 57049 | TX | Pharmacy Service Providers |
| Street Address |
12236 MONTANA AVE |
| City | EL PASO |
| State | TX |
| Zip Code | 79938-4851 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497061485 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 12236 Montana Ave, El Paso, TX 79938-4851 | 2010-08-27 |
| 1740880384 | Eyasu Teshale | Pharmacist | 12236 Montana Ave, El Paso, TX 79938-4851 | 2020-10-30 |
| 1699258822 | Annette Villalobos | Pharmacist | 12236 Montana Ave, El Paso, TX 79938-4851 | 2018-09-13 |
| 1083166540 | Stephanie Leanne De Santiago | Pharmacist | 12236 Montana Ave, El Paso, TX 79938-4851 | 2016-11-01 |
| 1447568050 | Wal-mart Stores Texas, LLC | Technician/Technologist | 12236 Montana Ave, El Paso, TX 79938-4851 | 2010-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962047795 | Brooke Raanne Beaver | Behavioral Analyst | Wells Fargo Plaza, Kansas St # 700, El Paso, TX 79938 | 2019-11-15 |
| 1386109635 | Judith Roman | Nurse Practitioner | 12810 Edgemere, El Paso, TX 79938 | 2019-01-31 |
| 1033681564 | Project Vida Health Center | Clinic/Center | 3216 Tim Foster Street, El Paso, TX 79938 | 2018-12-21 |
| 1851868384 | Possibilities Speculation, Pllc | Dentist | 2260 N Zaragoza Rd Unit A112, El Paso, TX 79938 | 2018-11-02 |
| 1578030276 | Connor Family Dentistry East Pllc | Dentist | 1920 N. Zaragoza Rd., Suite 107, El Paso, TX 79938 | 2018-10-31 |
| 1952895039 | Marlen Hernandez Cortez | Behavior Technician | 15165 Snohomish Loop, El Paso, TX 79938 | 2018-06-21 |
| 1497287155 | Assisting Alliance L.L.C. | Physician Assistant | 14048 Oso Rock Way, El Paso, TX 79938 | 2017-03-31 |
| 1619428703 | Sege Medical PC | Family Medicine | 2260 N Zaragoza, Suite A118, El Paso, TX 79938 | 2016-10-24 |
| 1891148110 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 12051 Tierra Este Rd, El Paso, TX 79938 | 2016-07-21 |
| 1639538077 | Early Bird Pediatric Therapy Clinic, Inc | Occupational Therapist | 2114 N Zaragoza Rd Ste C1, El Paso, TX 79938 | 2016-02-13 |
| Find all providers in zip 79938 | ||||
| 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 |
|---|---|---|---|---|
| 1043822992 | Roxanne Villegas | Pharmacist | 800 Oxfordshire St, El Paso, TX 79928-2227 | 2020-08-21 |
| 1295384394 | Elizabeth Michel | Pharmacist | 5500 Doniphan Dr Ste 201&202, El Paso, TX 79932-1454 | 2019-09-11 |
| 1225680366 | Oscar Rivas | Pharmacist | 12717 Tierra Aurora Dr, El Paso, TX 79938-4784 | 2019-07-09 |
| 1508323486 | Aaron John Palos | Pharmacist | 11320 Montwood, Pharmacy, El Paso, TX 79936 | 2019-02-27 |
| 1689149213 | Jose Alejandro Hernandez | Pharmacist | 1110 Sunland Park Dr, El Paso, TX 79922-1379 | 2018-10-10 |
| 1962906735 | Clara Nohely Velasquez-morales | Pharmacist | 9839 Kenworthy St., Pharmacy, El Paso, TX 79924 | 2018-03-19 |
| 1407369077 | Winifred Agyei Ampomaah | Pharmacist | 101 E Redd Road, El Paso, TX 79931 | 2017-11-06 |
| 1972032894 | Belinda Gomez | Pharmacist | 7338 Remcon Cir Ste 300, El Paso, TX 79912-1637 | 2017-06-05 |
| 1265963672 | Albertsons LLC | Pharmacist | 9111 Dyer St, El Paso, TX 79924-6401 | 2017-03-27 |
| 1053769422 | Winston Lu | Pharmacist | 3001 N Mesa St, El Paso, TX 79902 | 2016-05-26 |
| Find all providers in EL PASO | ||||
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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.