DR. JESSICA S PRUITT (NPI# 1518272020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518272020 |
| Entity Type | Individual |
| Full Name | DR. JESSICA S PRUITT |
| Credential | PHARM.D. |
| Practice Address |
576 Jefferson Ave Fort Eustis VA 23604-1373 |
| Practice Telephone | 7573147900 |
| Practice Fax Number | 7573147764 |
| Enumeration Date | 2010-08-10 |
| Last Update Date | 2016-06-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 0202206205 | VA | Pharmacy Service Providers |
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
0202206205 | VA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083275994 | Jessica Pruitt | Nurse Practitioner | 2 Dogwood Trail Ln, Ocala, FL 34472-9691 | 2019-06-23 |
| 1932528007 | Jessica Pruitt | Case Manager/Care Coordinator | 1638 Old Golden Hwy, Broken Bow, OK 74728-6846 | 2014-04-15 |
| 1609362011 | Jessica Lee Ann Pruitt | Case Manager/Care Coordinator | 28 Southpointe Dr, Paragould, AR 72450-6238 | 2018-07-09 |
| 1235597394 | Jessica Pruitt | Counselor | 87 N Clinton Ave, Rochester, NY 14604 | 2016-02-04 |
| 1093112047 | Jessica Pruitt | Veterinarian | 222 Sequoyah Rd, Soddy Daisy, TN 37379-5154 | 2014-11-19 |
| Street Address |
576 JEFFERSON AVE |
| City | FORT EUSTIS |
| State | VA |
| Zip Code | 23604-1373 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861498545 | Laura Ellen Higdon | Family Medicine | 576 Jefferson Ave, Fort Eustis, VA 23604-1602 | 2005-06-27 |
| 1497278733 | Honora Nicolai Francis | Radiologic Technologist | 576 Jefferson Ave, Fort Eustis, VA 23604 | 2017-07-19 |
| 1629444153 | Joshua Tobin Sigler | Emergency Medicine | 576 Jefferson Ave, Fort Eustis, VA 23604-1373 | 2015-08-19 |
| 1184007312 | Kelly Erin Mcelroy | Dentist | 576 Jefferson Ave, Fort Eustis, VA 23604-1373 | 2015-07-07 |
| 1104207877 | Mcdonald Army Health Care Center | Rehabilitation Unit | 576 Jefferson Ave, Fort Eustis, VA 23604-1373 | 2015-06-17 |
| 1477934867 | Sabrina Rebekah Szabo | Dermatology | 576 Jefferson Ave, Fort Eustis, VA 23604-1373 | 2015-06-11 |
| 1013325679 | Adam Edward Lang | Pharmacist | 576 Jefferson Ave, Mcdonald Army Health Center, Fort Eustis, VA 23604-5548 | 2014-07-28 |
| 1861807703 | Mcdonald Army Health Center | Military/U.S. Coast Guard Pharmacy | 576 Jefferson Ave, Fort Eustis, VA 23604-1373 | 2014-06-30 |
| 1245657329 | Stephany Anne Cockrum | Social Worker | 576 Jefferson Ave, Fort Eustis, VA 23604-1373 | 2014-03-26 |
| 1104165257 | Paula Trinchell Moore | Pharmacist | 576 Jefferson Ave, Fhc, Fort Eustis, VA 23604-1373 | 2013-02-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194375188 | Vincent Nevin Lattanzi | Dental Assistant | 576 Fort Eustis Blvd, Fort Eustis, VA 23604 | 2019-09-12 |
| 1730531872 | Steven Mansion | Dental Assistant | Bldg 669 Monroe Ave, Fort Eustis, VA 23604 | 2016-07-12 |
| 1497106140 | Cindy Delapena | Dental Hygienist | 577 Sternberg Avenue, Usa Dental Activity Headquarters, Fort Eustis, VA 23604 | 2016-06-23 |
| 1073990131 | Usv Optical Inc | Eyewear Supplier (Equipment, not the service) | 1386 Washington Blvd, Fort Eustis, VA 23604 | 2015-04-28 |
| 1548529985 | Sunland Optical Co., Inc. | Eyewear Supplier (Equipment, not the service) | Bldg. 1386, Fort Eustis, VA 23604 | 2012-05-04 |
| 1073708335 | Heather Dawn Guntherberg | Pharmacist | Mcdonald Army Health Clinic, Bldg 576 Jefferson Ave, Fpo, AE 23604 | 2007-09-10 |
| 1659577534 | Mcdonald Army Health Center | Clinic/Center | Building 576 Stemberg Avenue, Fort Eustis, VA 23604 | 2007-06-26 |
| 1508062779 | Mcdonald Army Health Center | Clinic/Center | Building 669 Monroe Avenue, Fort Eustis, VA 23604 | 2007-06-25 |
| 1922161157 | Kimberly Sue Strubhar | Licensed Practical Nurse | Harrison Loop, Building 2792a, Fort Eustiis, VA 23604 | 2006-12-19 |
| 1972666287 | Nkechi Trudy Ekwueme | Licensed Practical Nurse | Bldg 576 Jefferson Ave, Fort Eustis, VA 23604 | 2006-12-18 |
| Find all providers in zip 23604 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295363984 | Vandorn Apothecary | Pharmacist | 5724 Edsall Rd, Alexandria, VA 22304-4712 | 2020-03-30 |
| 1285261701 | Kimberly Varney | Pharmacist | 401 N 12th St Dept Of, Richmond, VA 23298-5035 | 2020-03-25 |
| 1124651641 | Wintana T Tekleab | Pharmacist | 1201 S Eads St Apt 314, Arlington, VA 22202-2837 | 2020-02-13 |
| 1114557519 | Phillip Ryan Gray | Pharmacist | 2821 Hicks Road, North Chesterfield, VA 23235-0000 | 2020-01-24 |
| 1447880109 | Sara Hudson | Pharmacist | 2821 Hicks Rd, North Chesterfield, VA 23235 | 2020-01-22 |
| 1053951301 | Christina Debra O'neal | Pharmacist | 6460 Grand Retreat Drive Apt 3037, Roanoke, VA 24019 | 2020-01-14 |
| 1609413376 | Laurie Ferguson Mauthe | Pharmacist | 5801 Pollard Dr, Richmond, VA 23226-1830 | 2019-12-02 |
| 1386124303 | Thomas W Taylor | Pharmacist | 240 Mclaws Circle, Suite 147, Williamsburg, VA 23185-2318 | 2018-08-20 |
| 1659886539 | Oscar Macapobre | Pharmacist | 1620 Cedar Rd Ste 100, Chesapeake, VA 23322-7197 | 2017-12-13 |
| 1598139040 | Tina Kathryn Brockman | Pharmacist | 3420 Chaparral Dr, Apt 232, Roanoke, VA 24018-4903 | 2015-11-20 |
| Find all providers with the same taxonomy | ||||
| City | FORT EUSTIS |
| Zip Code | 23604 |
Please comment or provide details below to improve the information on DR. JESSICA S PRUITT.
| 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.