MR. LEWAYNE MORSE GARRISON (NPI# 1417270463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417270463 |
| Entity Type | Individual |
| Full Name | MR. LEWAYNE MORSE GARRISON |
| Credential | RPH |
| Practice Address |
4610 Cedarweed Blvd Pueblo CO 81001-1067 |
| Practice Telephone | 7192500269 |
| Practice Fax Number | 7192673468 |
| Mailing Telephone | 7192500269 |
| Mailing Fax Number | 7192673468 |
| Enumeration Date | 2010-03-04 |
| Last Update Date | 2010-03-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
11109 | CO | Pharmacy Service Providers |
| Street Address |
4610 CEDARWEED BLVD |
| City | PUEBLO |
| State | CO |
| Zip Code | 81001-1067 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588222863 | 1111 Bonforte Opco LLC | Respite Care | 855 Hunter Dr., Pueblo, CO 81001 | 2019-06-03 |
| 1992276026 | Andrew Benjamin Basham | Counselor | 1003 Rupple St Pueblo Co 81001, 606, Pueblo, CO 81001 | 2018-12-16 |
| 1316456981 | Amy R Leibli | Nurse Practitioner | 1080 Chinook Lane, Pueblo, CO 81001 | 2017-09-26 |
| 1457781262 | Ron Concialdi | Dentist | 2037 Jerry Murphy Rd., Pueblo, CO 81001 | 2013-11-14 |
| 1609146950 | Natasha Liette Mondragon | Registered Nurse | 1302 E. 5th, Pueblo, CO 81001 | 2012-01-04 |
| 1023303575 | Malinda Lee Davis | Registered Nurse | 1302 E 5th, Pueblo, CO 81001 | 2011-06-13 |
| 1679876429 | Michael Edward Leyba | Substance Abuse Rehabilitation Facility | 4 Montebello Rd., Pueblo, CO 81001 | 2010-12-17 |
| 1609008796 | Laura Ann Mcmahon | Nurse Practitioner | 4020 Jerry Murphy Rd/, Pueblo, CO 81001 | 2009-08-21 |
| 1730380882 | Corrine Stella Tafoya | Counselor | 44 Calhoun Rd, Pueblo, CO 81001 | 2007-05-29 |
| 1518171008 | George Henry Beck | Dentist | 1700 N Salem Ave, Suite A, Pueblo, CO 81001 | 2007-05-10 |
| Find all providers in zip 81001 | ||||
| Taxonomy Code | 1835P1200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacotherapy |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992264105 | Heather Crump Thoreson | Pharmacist | 1008 Minnequa Ave, Pueblo, CO 81004-3733 | 2019-03-18 |
| 1285174987 | Joseph Benjamin Netanel-surek | Pharmacist | 400 W 16th St, Pueblo, CO 81003-2745 | 2017-02-28 |
| 1659736429 | Matt Thielbar | Pharmacist | 400 W 16th St, Pueblo, CO 81003-2745 | 2015-12-22 |
| 1740249606 | Jennifer Gemmell | Pharmacist | 4112 Outlook Blvd, Pueblo, CO 81008-1667 | 2006-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689286718 | Jordan Dawson | Pharmacist | 8195 W 20th Ave, Lakewood, CO 80214-5500 | 2020-08-19 |
| 1679109110 | Jennifer L Wienold | Pharmacist | 575 Rivergate Unit 111, Durango, CO 81301-7490 | 2020-03-17 |
| 1265956189 | Aldo Boris Vasquez | Pharmacist | 25060 E Ottawa Dr, Aurora, CO 80016-7531 | 2017-08-01 |
| 1689047268 | Tracy Danielle Mahvan | Pharmacist | 7157 Waterford Ct, 7157 Waterford Ct, Niwot, CO 80503-7649 | 2015-11-04 |
| 1962815365 | Kym D Colvin | Pharmacist | 2460 Golden Edge Drive, Kremmling, CO 80458 | 2014-06-04 |
| 1639414790 | Susan High | Pharmacist | 3501 E 7th Avenue Pkwy, Denver, CO 80206-4001 | 2012-11-30 |
| 1265791180 | David Aguirre | Pharmacist | 453 E Wonder View Ave # 1, Estes Park, CO 80517-9647 | 2012-05-12 |
| 1235412651 | Tamara A Thompson | Pharmacist | 20301 Highway 52, Fort Morgan, CO 80701-9009 | 2011-09-21 |
| 1366768012 | Daniel J. Feuer | Pharmacist | 4915 Red Rock Dr, Larkspur, CO 80118-9054 | 2010-04-20 |
| 1598089781 | Jasmine Trang Le | Pharmacist | 2500 S. Havana St, Aurora, CO 80014-0911 | 2010-03-17 |
| Find all providers with the same taxonomy | ||||
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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.