A FAMILY PHARMACY-HESPERIA (NPI# 1356430045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356430045 |
| Entity Type | Organization |
| Organization Name | A FAMILY PHARMACY-HESPERIA |
| Practice Address |
11919 Hesperia Rd Ste C Hesperia CA 92345-1855 |
| Mailing Address |
Po Box 900 Victorville CA 92393-0900 |
| Practice Telephone | 7602443777 |
| Practice Fax Number | 7602428617 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2008-04-15 |
| Authorized Official Name | THOMAS TEKELE (PRESIDENT) |
| Authorized Official Telephone | 7602425452 |
| Authorized Official Credential | PHARMACIST |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHY46638 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 5614020 | 01 | |
| OTHER ID NUMBER | 5614020 | 01 |
| Street Address |
11919 HESPERIA RD STE C |
| City | HESPERIA |
| State | CA |
| Zip Code | 92345-1855 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255383188 | Desert Family Practice Associates | Family Medicine | 11919 Hesperia Rd, Hesperia, CA 92345-1855 | 2006-05-17 |
| 1679952154 | Family Practice Associates | General Practice | 11919 Hesperia Rd, Hesperia, CA 92345-2158 | 2015-05-29 |
| 1891036950 | Abigail Tamru | Nurse Practitioner | 11919 Hesperia Rd, Hesperia, CA 92345-2158 | 2013-03-13 |
| 1538423447 | Joseph Louis Tate | Physician Assistant | 11919 Hesperia Rd, Hesperia, CA 92345-2158 | 2012-06-26 |
| 1558632471 | Mayra Velazquez | Physician Assistant | 11919 Hesperia Rd, Hesperia, CA 92345-2158 | 2012-01-24 |
| 1457658171 | Jarnice Louise Johnson | Physician Assistant | 11919 Hesperia Rd, Suite A, Hesperia, CA 92345-2158 | 2011-02-15 |
| 1538286125 | Desert Family Practice Assocoiates Medical Group Inc | Family Medicine | 11919 Hesperia Rd, Suite C, Hesperia, CA 92345-1855 | 2007-03-26 |
| 1750491577 | Spring Valley Lake Pharmacy Inc | Pharmacy | 11919 Hesperia Rd, Ste C, Hesperia, CA 92345-2158 | 2006-08-30 |
| 1073523072 | Jose Angel Ortiz | Physician Assistant | 11919 Hesperia Rd, Hesperia, CA 92345-1855 | 2006-08-09 |
| 1235148289 | Rodrick L. Meraz | Personal Emergency Response Attendant | 11919 Hesperia Rd, Hesperia, CA 92345-2158 | 2006-08-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649881467 | Leslie Guzman | Behavioral Analyst | 6700 Newhall Ave, Hesperia, CA 92345 | 2020-08-14 |
| 1134769896 | Nu Wave Medical Group Inc | Family Medicine | 9390 Hesperia Rd Suite 7, Hesperia, CA 92345 | 2020-01-10 |
| 1760901383 | Lindsey Kathleen Dunnagan | Counselor | 16501 Walnut Street, Suite 12, Hesperia, CA 92345 | 2017-09-14 |
| 1356869374 | Deborah Irene Freeman | Nurse Practitioner | 15398 Main Street Suite A, Hesperia, CA 92345 | 2017-08-30 |
| 1902260151 | Serge Bronstein | Counselor | 16808 Main St., D-154, Hesperia, CA 92345 | 2016-04-13 |
| 1366815805 | Caremore Health Plan | Nurse Practitioner | 17085 Main Street, Hesperia, CA 92345 | 2015-11-05 |
| 1174928402 | Jennifer Cathrin Bayle | Counselor | 17130 Sequoia St, Suite 106, Hesperia, CA 92345 | 2014-10-29 |
| 1447654256 | Diana Grace Chilstrom | Marriage & Family Therapist | 11776 Mariposa Road, Hesperia, CA 92345 | 2014-10-22 |
| 1639597545 | Adrianna Ebony Williams | Physical Therapy Assistant | 8939 11th Ave, Hesperia, CA 92345 | 2014-03-29 |
| 1477974426 | Aja Stoll | Case Manager/Care Coordinator | 9655 Ninth Ave, Hesperia, CA 92345 | 2013-12-18 |
| Find all providers in zip 92345 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114524683 | Bear Valley Pharmacy | Pharmacy | 17003 Bear Valley Rd Ste B, Hesperia, CA 92345-1420 | 2020-10-07 |
| 1275158503 | Care Point Pharmacy Inc | Pharmacy | 16727 Bear Valley Rd # 270280, Hesperia, CA 92345-1897 | 2020-06-12 |
| 1609258383 | Advanced Pharmacy Group Inc. | Pharmacy | 15555 Main St., #d8, Hesperia, CA 92345-3423 | 2015-06-18 |
| 1184981995 | Tomshire Pharmacy Inc | Pharmacy | 14101 Main St Ste 103, Hesperia, CA 92345-8098 | 2012-04-18 |
| 1902186224 | Cambridge Pharmacy Inc | Pharmacy | 14101 Main St, Ste 103, Hesperia, CA 92345-8098 | 2011-08-17 |
| 1336397330 | Garfield Beach Cvs LLC | Pharmacy | 12795 Main St, Hesperia, CA 92345-9110 | 2008-09-03 |
| 1619912516 | Garfield Beach Cvs LLC | Pharmacy | 16975 Bear Valley Rd, Hesperia, CA 92345-1809 | 2006-06-17 |
| 1821359548 | Your Drug Store | Pharmacy | 17079 Main St, Hesperia, CA 92345-6071 | 2012-05-30 |
| 1972658151 | Vista Pharmacies, Inc. | Pharmacy | 15791 Bear Valley Rd, Hesperia, CA 92345-1746 | 2007-01-25 |
| 1750491577 | Spring Valley Lake Pharmacy Inc | Pharmacy | 11919 Hesperia Rd, Ste C, Hesperia, CA 92345-2158 | 2006-08-30 |
| Find all providers in HESPERIA | ||||
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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.