JEANNE MARIE MENDAZONA (NPI# 1427529080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427529080 |
| Entity Type | Individual |
| Full Name | JEANNE MARIE MENDAZONA |
| Credential | RPH |
| Practice Address |
65 Ne Oak St Ste 100 Madras OR 97741-1814 |
| Practice Telephone | 5413252069 |
| Practice Fax Number | 5414756244 |
| Mailing Telephone | 5413252069 |
| Mailing Fax Number | 5414756244 |
| Enumeration Date | 2018-12-07 |
| Last Update Date | 2018-12-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RPH0009286 | OR | Pharmacy Service Providers |
| Street Address |
65 NE OAK ST STE 100 |
| City | MADRAS |
| State | OR |
| Zip Code | 97741-1814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760493431 | B L W Inc | Durable Medical Equipment & Medical Supplies | 65 Ne Oak St Ste 100, Madras, OR 97741-1814 | 2006-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750868196 | Orie Made | Counselor | 185 Nw D St, Suite D&e, Madras, OR 97741 | 2018-07-27 |
| 1831514603 | Robbin Webber Foster | Social Worker | 470 Ne 'a' St., St. Charles Hospice, Madras, OR 97741 | 2014-03-03 |
| 1184055931 | Sue Lillian Dixon | Nurse Practitioner | 715 S.w. 4th St., Ste.c, Madras, OR 97741 | 2013-12-04 |
| 1255769667 | Aaron Michael Lee | Physician Assistant | 76 N.e. 12th St., Madras, OR 97741 | 2013-10-22 |
| 1114276045 | April A Henselman Campanella | Dental Hygienist | 376 Ne Oak Street, Madras, OR 97741 | 2012-09-06 |
| 1487809091 | Bestcare Treatment Services | Substance Abuse Rehabilitation Facility | 125 Sw C Street, Madras, OR 97741 | 2008-11-24 |
| 1144417437 | Assisted Living Concepts Inc | Assisted Living Facility | 470 Ne Oak Street, Madras, OR 97741 | 2007-10-01 |
| 1518074327 | Janice K Monroe | Nurse Practitioner | 910 Sw Hwy 97, Suite 101, Madras, OR 97741 | 2006-08-25 |
| 1215966759 | Mark M Mullins | Chiropractor | 28 Ne 12th St, Madras, OR 97741 | 2006-06-30 |
| 1356389894 | St. Charles Health System, Inc. | Emergency Medicine | 470 Ne A Street, Madras, OR 97741 | 2006-06-04 |
| Find all providers in zip 97741 | ||||
| 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 |
|---|---|---|---|---|
| 1467995720 | Jennifer Tripp | Pharmacist | 470 Ne A St, Madras, OR 97741-1844 | 2016-11-18 |
| 1053767269 | Christina Dellera | Pharmacist | 1575 Sw Highway 97, Madras, OR 97741-9267 | 2016-05-05 |
| 1790021996 | Gerald D Gerke | Pharmacist | 80 Ne Cedar St, Madras, OR 97741-1956 | 2012-12-17 |
| 1346592201 | Barbara L Bowers | Pharmacist | 1575 Sw Highway 97, Madras, OR 97741-9267 | 2012-10-02 |
| 1265732788 | Catherine A. Adams | Pharmacist | 80 Ne Cedar St, Madras, OR 97741-1956 | 2010-10-31 |
| 1881882926 | Megan Isabelle Richards | Pharmacist | 1575 Sw Highway 97, Madras, OR 97741-9267 | 2007-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184225351 | Patrick James Brown | Pharmacist | 6465 Keizer Station Blvd Ne, Keizer, OR 97303-1695 | 2020-11-04 |
| 1356949713 | Keith Mckie | Pharmacist | 64564 Research Rd, Bend, OR 97703-8583 | 2020-10-16 |
| 1841805660 | Rae Ann Barnes | Pharmacist | 913 Ne Garden Valley Blvd, Pharmacy, Roseburg, OR 97471 | 2020-09-09 |
| 1407460371 | Samantha Nozomi Murata | Pharmacist | 5415 Sw Beaverton Ct Hwy, Portland, OR 97221 | 2020-09-08 |
| 1053923920 | Hoang Lan Ngoc Doan | Pharmacist | 4201 Ne 129th Pl, Portland, OR 97230-1405 | 2020-08-20 |
| 1609487164 | Gordon Paul Friesen | Pharmacist | 635 N Arrowleaf Trail, Sisters, OR 97759 | 2020-08-10 |
| 1245840917 | Eric Yanez | Pharmacist | 815 Nw 9th St Ste 123, Corvallis, OR 97330-6164 | 2020-08-06 |
| 1528677531 | Mi Pham | Pharmacist | 5824 Se 134th Pl, Portland, OR 97236-2987 | 2020-07-26 |
| 1649889726 | Christopher John Moorvartian | Pharmacist | 881 Meadow Ct Ne, Albany, OR 97322-3501 | 2020-07-24 |
| 1255949285 | Charles Whitney Bodreau | Pharmacist | 20233 Sw Jay St, Aloha, OR 97003-8137 | 2020-07-15 |
| 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.