JACOB GOMEZ (NPI# 1487252110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487252110 |
| Entity Type | Individual |
| Full Name | JACOB GOMEZ |
| Credential | RPH |
| Practice Address |
9428 Dyer St El Paso TX 79924-6408 |
| Practice Telephone | 9157512494 |
| Mailing Telephone | 9157512494 |
| Enumeration Date | 2020-10-14 |
| Last Update Date | 2020-10-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835C0205X |
Pharmacist Specialization: Critical Care |
67653 | TX | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699944512 | Jacob John Gomez | Durable Medical Equipment & Medical Supplies | 1220 Pioneer St, Unit B, Brea, CA 92821-3715 | 2008-02-25 |
| 1164060935 | Jacob Joshua Gomez | Behavioral Analyst | 1947 Galileo Ct Ste 101, Davis, CA 95618-4882 | 2019-12-12 |
| 1922592799 | Jacob Gomez | Behavior Technician | 8200 Georgia St, Merrillville, IN 46410-6227 | 2018-06-15 |
| Street Address |
9428 DYER ST |
| City | EL PASO |
| State | TX |
| Zip Code | 79924-6408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740297654 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 9428 Dyer St, El Paso, TX 79924-6408 | 2006-08-02 |
| 1073021655 | Jolene Lettunich | Pharmacist | 9428 Dyer St, El Paso, TX 79924-6408 | 2018-01-17 |
| 1962808691 | Robert Herberger | Pharmacist | 9428 Dyer St, El Paso, TX 79924-6408 | 2014-11-06 |
| 1487056529 | William Holley | Pharmacist | 9428 Dyer St, El Paso, TX 79924-6408 | 2014-09-19 |
| 1699015875 | Alexandra Abbas | Pharmacist | 9428 Dyer St, El Paso, TX 79924-6408 | 2013-02-25 |
| 1770823163 | Ernest T Asaba | Pharmacist | 9428 Dyer St, El Paso, TX 79924-6408 | 2013-02-21 |
| 1174896906 | Hoanghai Pham | Pharmacist | 9428 Dyer St, El Paso, TX 79924-6408 | 2012-02-09 |
| 1619246402 | Sandra Varela | Pharmacist | 9428 Dyer St, El Paso, TX 79924-6408 | 2011-12-22 |
| 1639447907 | Jennifer Manion | Pharmacist | 9428 Dyer St, El Paso, TX 79924-6408 | 2011-12-01 |
| 1053624890 | Steve Pedro Lopez | Pharmacist | 9428 Dyer St, El Paso, TX 79924-6408 | 2010-07-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134761331 | Cep America LLC | Emergency Medicine | 4669 Cohen Ave, El Paso, TX 79924 | 2019-10-09 |
| 1962906735 | Clara Nohely Velasquez-morales | Pharmacist | 9839 Kenworthy St., Pharmacy, El Paso, TX 79924 | 2018-03-19 |
| 1861846305 | Attea Catherine Costanzo | Speech-Language Pathologist | 5132 Prince Edward, El Paso, TX 79924 | 2016-04-21 |
| 1962807669 | Sam's East, Inc. | Technician/Technologist | 9498 Gateway North, El Paso, TX 79924 | 2014-10-24 |
| 1700287034 | San Lorenzo Adult Provider Services and Pediatrics LLC | In Home Supportive Care | 5625 Hemmingway, El Paso, TX 79924 | 2014-09-05 |
| 1790194561 | Amir A Yavari | Dentist | 10039 Dyer Street, El Paso, TX 79924 | 2014-08-06 |
| 1366781676 | Mary L Halliburton | Dietitian, Registered | 4741 Joel Drive, Apt 33, El Paso, TX 79924 | 2013-02-06 |
| 1902144330 | El Paso Viva Dental | Dentist | 9584 Dyer St., Suite B, El Paso, TX 79924 | 2013-01-18 |
| 1053682823 | Florentino Ray Penilla | Pharmacist | 10090 Rushing Road, El Paso, TX 79924 | 2012-01-25 |
| 1518296284 | Jeffrey Charles Gorbett | Pharmacist | 10780 Kenworthy, El Paso, TX 79924 | 2009-12-09 |
| Find all providers in zip 79924 | ||||
| Taxonomy Code | 1835C0205X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Critical Care |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in the delivery of patient care services by pharmacists, as integral members of interprofessional teams, working to ensure the safe and effective use of medications in critically ill patients. |
| Notes: Source: Board of Pharmacy Specialties, www.bpsweb.org [1/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538778931 | Caroline Elizabeth Conner | Pharmacist | 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234-4504 | 2020-07-31 |
| 1629698030 | Diane Dreucean | Pharmacist | 6565 Fannin St, Houston, TX 77030-2703 | 2020-04-26 |
| 1447870209 | Annette Delovino Lista | Pharmacist | 6565 Fannin St, Houston, TX 77030-2703 | 2020-04-22 |
| 1659907517 | Marian Gaviola | Pharmacist | 3500 Camp Bowie Blvd, Fort Worth, TX 76107-2644 | 2020-03-22 |
| 1114573870 | Christina Tran | Pharmacist | 1441 N Beckley Ave, Dallas, TX 75203-1201 | 2019-08-16 |
| 1003349747 | Moses Musoke | Pharmacist | 36065 Santa Fe Ave, Fort Hood, TX 76544-5060 | 2017-04-10 |
| 1528516523 | Kaitlin Ann Pruskowski | Pharmacist | 3698 Chambers Pass, Jbsa Ft Sam Houston, TX 78234-7766 | 2016-09-19 |
| 1770039596 | Heidi Michaels | Pharmacist | 4500 S Lancaster Rd, Dallas, TX 75216-7167 | 2016-08-31 |
| 1861948689 | Olga Shvarts | Pharmacist | 4500 S Lancaster Rd, Dallas, TX 75216-7167 | 2016-08-31 |
Please comment or provide details below to improve the information on JACOB GOMEZ.
| 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.