DR. JACQUELYN DENISE MIMS (NPI# 1588088363) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1588088363 |
Entity Type | Individual |
Full Name | DR. JACQUELYN DENISE MIMS |
Credential | PHARM.D. |
Practice Address |
10019 Tecum Rd Downey CA 90240-3620 |
Practice Telephone | 5628064557 |
Practice Fax Number | 5628063497 |
Mailing Telephone | 5628064557 |
Mailing Fax Number | 5628063497 |
Enumeration Date | 2014-02-13 |
Last Update Date | 2014-02-13 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
RPH41575 | CA | Pharmacy Service Providers |
Street Address |
10019 TECUM RD |
City | DOWNEY |
State | CA |
Zip Code | 90240-3620 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760944227 | Vida Wholeness Family Therapy | Social Worker | 8050 Florence Ave Ste 32, Downey, CA 90240 | 2019-04-03 |
1962992396 | Jillian Rose Stone | Physician Assistant | 8301 Florence Ave Ste 104, Downey, CA 90240 | 2018-05-10 |
1033643291 | Carmen Teresa Sanchez | Student in an Organized Health Care Education/Training Program | 8525 Paramount Blvd #222, Downey, CA 90240 | 2017-04-14 |
1316360969 | V. Charles Charuvastra, Md, Inc | Psychiatry & Neurology | 8301 Florence Ave Ste 304, Downey, CA 90240 | 2014-01-31 |
1689930596 | Center for Discovery & Adolescent Change | Psychiatric Residential Treatment Facility | 9844 Pangborn Avenue, Downey, CA 90240 | 2012-04-04 |
1003111386 | Maria Del Carmen Bernal | Marriage & Family Therapist | 9901 Paramount Blvd Suite 250, Downey, CA 90240 | 2011-01-18 |
1609060987 | Los Angeles County Department of Mental Health | Case Management | 8553 Raviller Drive, Downey, CA 90240 | 2007-08-30 |
1912190299 | Esther Alonso Rosario | General Practice | 7343 Hannon St, Downey, CA 90240 | 2007-08-21 |
1265550719 | Dawn Delgado | Marriage & Family Therapist | 9844 Pangborn Ave, Downey, CA 90240 | 2007-03-26 |
1659496701 | Green Nova Acupuncture Clinic | Acupuncturist | 9942 Lakewood Blvd, Downey, CA 90240 | 2007-03-20 |
Find all providers in zip 90240 |
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 |
---|---|---|---|---|
1346510385 | Mark Jordan Livingston | Pharmacist | 8130 Florence Ave Ste 100, Downey, CA 90240-3914 | 2012-01-06 |
1427616929 | Marvin Ruben Ortiz | Pharmacist | 9333 Imperial Hwy, Downey, CA 90242-2812 | 2019-05-31 |
1972161438 | Vickie Tu | Pharmacist | 11500 Brookshire Ave, Downey, CA 90241-4917 | 2019-05-30 |
1558831586 | Tom Nhatnam Nguyen | Pharmacist | 7601 Imperial Hwy, Downey, CA 90242-3456 | 2018-12-03 |
1053688184 | Atipul James Srithongrung | Pharmacist | 9333 Imperial Hwy, Downey, CA 90242-2812 | 2011-11-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376142430 | Daria Mohazzab Hosseinian | Pharmacist | 450 E Spring St Ste 11, Long Beach, CA 90806-1625 | 2020-10-20 |
1235745100 | Ngoc Tran | Pharmacist | 10371 Luders Ave, Garden Grove, CA 92843-3213 | 2020-09-16 |
1275143752 | Sherine Ann Legge | Pharmacist | 17 Westchester Ct, Trabuco Canyon, CA 92679-4955 | 2020-08-09 |
1922618412 | Ashley Keane Hayes | Pharmacist | 6551 E El Pulcro St, Long Beach, CA 90815-2302 | 2020-08-09 |
1750991543 | Priyankumar Arvind Patel | Pharmacist | 2339 S G St, Fresno, CA 93721-3425 | 2020-08-05 |
1912521261 | Sharon Jung | Pharmacist | 851 Langholm Way, Riverside, CA 92508-6075 | 2020-06-02 |
1710500376 | Christine Nguyen | Pharmacist | 2248 E Nyon Ave, Anaheim, CA 92806-4634 | 2020-05-18 |
1134740582 | Cj3m Corporation | Pharmacist | 2626 El Camino Real Ste A, Carlsbad, CA 92008-1253 | 2020-04-27 |
1629607775 | Tiffany Chang | Pharmacist | 213 Quarry Rd Rm 2726a, Palo Alto, CA 94304-1416 | 2020-04-01 |
1124655782 | Noor Mikhail | Pharmacist | 220 W Main St Ste 102, El Cajon, CA 92020-3462 | 2020-03-24 |
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.