DR. JESSICA DAWN FONSECA (NPI# 1598053100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598053100 |
| Entity Type | Individual |
| Full Name | DR. JESSICA DAWN FONSECA |
| Credential | PHARM.D. |
| Practice Address |
700 S Greeley Hwy Cheyenne WY 82007-2848 |
| Mailing Address |
200 Ferguson Ave Cheyenne WY 82009-4028 |
| Practice Telephone | 3076354087 |
| Practice Fax Number | 3076373197 |
| Mailing Telephone | 3076305973 |
| Enumeration Date | 2011-07-16 |
| Last Update Date | 2015-04-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 3488 | WY | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | S018576 | AZ | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164973681 | Jessica Fonseca | Behavior Technician | 4910 Airport Ave Ste F, Rosenberg, TX 77471-5759 | 2016-10-19 |
| 1659775971 | Jessica Fonseca | Behavioral Analyst | 2670 Crimson Canyon Dr, St 110, Las Vegas, NV 89128-0847 | 2014-10-15 |
| Street Address |
700 S GREELEY HWY |
| City | CHEYENNE |
| State | WY |
| Zip Code | 82007-2848 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710916754 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 700 S Greeley Hwy, Cheyenne, WY 82007-2848 | 2006-07-02 |
| 1124543822 | Gwen Nielsen | Pharmacist | 700 S Greeley Hwy, Cheyenne, WY 82007-2848 | 2017-08-03 |
| 1972972206 | Gregory Kniffen | Pharmacist | 700 S Greeley Hwy, Cheyenne, WY 82007-2848 | 2015-09-16 |
| 1861729584 | John Raymond Woodbury | Pharmacist | 700 S Greeley Hwy, Cheyenne, WY 82007-2848 | 2009-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548788102 | Melanie Ann Traas | Speech-Language Pathologist | 236 Parsley Blvd, Cheyenne, WY 82007 | 2017-09-05 |
| 1083135701 | Courtney Jo Tatum | Case Manager/Care Coordinator | 209 Stanfield Ave, Cheyenne, WY 82007 | 2017-07-03 |
| 1679838056 | Ryan Wayne Ackerman | Counselor | 117 West 9th Street, Cheyenne, WY 82007 | 2012-07-11 |
| 1992932420 | Libby Jane Phillips | Pharmacist | 700 S. Greeley Hwy, Cheyenne, WY 82007 | 2009-06-11 |
| 1043382336 | Dale C Brentlinger | Internal Medicine | 2508 E Fox Farm Road, #1a, Cheyenne, WY 82007 | 2006-11-14 |
| 1841273901 | Ryan C Benne | Chiropractor | 2809 Evans Ave, Cheyenne, WY 82007 | 2005-11-22 |
| 1386632594 | Cheyenne Health & Wellness Center | Clinic/Center | 2508 East Fox Farm Road, Suite 1a, Cheyenne, WY 82007 | 2005-10-11 |
| 1255718953 | Wal-mart Srores Inc | Technician/Technologist | 580 Livingston Ave, Cheyenne, WY 82007 | 2015-05-01 |
| 1811030554 | Stride Learning Center | Clinic/Center | 326 Parsley Blvd, Cheyenne, WY 82007-1014 | 2007-02-14 |
| 1568006443 | Audrey Marie Saling | Occupational Therapist | 326 Parsley Blvd, Cheyenne, WY 82007-1014 | 2019-11-04 |
| Find all providers in zip 82007 | ||||
| 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 |
|---|---|---|---|---|
| 1316598360 | Tana Arbury | Pharmacist | 2301 E Lincolnway, Cheyenne, WY 82001-5487 | 2019-09-20 |
| 1003306374 | Wenyang Mao Donehue | Pharmacist | 6919 Prairie Hills Dr, Cheyenne, WY 82009-2696 | 2018-05-13 |
| 1689183659 | Sarah Ann Gilliard | Pharmacist | 2300 Capital Avenue, Suite B27, Cheyenne, WY 82002 | 2017-09-21 |
| 1588183750 | Keith Robert Bennett | Pharmacist | 5353 Yellowstone Rd Rm 211, Cheyenne, WY 82009-4178 | 2017-09-19 |
| 1558719302 | Beryen Lai | Pharmacist | 5353 Yellowstone Rd Ste 211, Cheyenne, WY 82009-4178 | 2016-06-01 |
| 1730588641 | Cody Phillips | Pharmacist | 489 Road 138, Cheyenne, WY 82007-9658 | 2014-08-15 |
| 1194149849 | Gilbert & Reher LLC | Pharmacist | 1506 Thomes Ave, Suite E, Cheyenne, WY 82001-4365 | 2014-02-14 |
| 1093140824 | Cynthia Cooper | Pharmacist | 2317 Alexander Ave, Cheyenne, WY 82001-3205 | 2013-09-11 |
| 1851724090 | Matthew Ray Martineau | Pharmacist | 2302 E. Lincolnway, Cheyenne, WY 82001 | 2013-08-12 |
| 1639513351 | Gene E Darnell | Pharmacist | 3702 Del Range Blvd, Cheyenne, WY 82009 | 2013-04-24 |
| Find all providers in CHEYENNE | ||||
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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.