TERRY LYNN BLASINGAME (NPI# 1609329010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609329010 |
| Entity Type | Individual |
| Full Name | TERRY LYNN BLASINGAME |
| Practice Address |
28200 Highway 189 # N150 Lake Arrowhead CA 92352-9700 |
| Mailing Address |
Po Box 167 Lake Arrowhead CA 92352-0167 |
| Practice Telephone | 9093363999 |
| Practice Fax Number | 9093363997 |
| Mailing Telephone | 9093363999 |
| Mailing Fax Number | 9093363997 |
| Enumeration Date | 2016-08-02 |
| Last Update Date | 2016-08-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 32758 | CA | Pharmacy Service Providers |
| Street Address |
28200 HIGHWAY 189 # N150 |
| City | LAKE ARROWHEAD |
| State | CA |
| Zip Code | 92352-9700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952861239 | Elizabeth Kathleen White | Psychologist | 27307 State Hwy 189, #102, Lake Arrowhead, CA 92352 | 2019-03-22 |
| 1134699291 | Serenity Lodge, Inc | Substance Abuse Rehabilitation Facility | 974 Meadow Brook Road, Lake Arrowhead, CA 92352 | 2018-12-03 |
| 1952871014 | Serenity Lodge, Inc | Substance Abuse Rehabilitation Facility | 995 Meadow Brook Road, Lake Arrowhead, CA 92352 | 2018-12-03 |
| 1598235657 | Serenity Lodge, Inc | Substance Abuse Rehabilitation Facility | 1010 Meadow Brook Road, Lake Arrowhead, CA 92352 | 2018-12-03 |
| 1932674363 | Serenity Lodge, Inc | Substance Abuse Rehabilitation Facility | 27438 Nancy Drive, Lake Arrowhead, CA 92352 | 2018-10-12 |
| 1992294813 | Serenity Lodge, Inc | Substance Abuse Rehabilitation Facility | 1000 Pine Court, Lake Arrowhead, CA 92352 | 2018-05-07 |
| 1629567573 | Serenity Lodge, Inc | Substance Abuse Rehabilitation Facility | 1032 Cedar Lane, Lake Arrowhead, CA 92352 | 2018-05-07 |
| 1730638925 | Lake Arrowhead Recovery Center | Substance Abuse Rehabilitation Facility | 28729 Palisades Drive, Lake Arrowhead, CA 92352 | 2016-09-28 |
| 1366803140 | Carolyn Burnham | Registered Nurse | 157 Brentwood Drive, Lake Arrowhead, CA 92352 | 2016-03-08 |
| 1508226994 | Lisa Lynne Hower | Counselor | 26166 Circle Drive, Lake Arrowhead, CA 92352 | 2016-02-29 |
| Find all providers in zip 92352 | ||||
| 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 |
|---|---|---|---|---|
| 1356942023 | Kevin Thach Le | Pharmacist | 610 San Gabriel Ave Apt B, Albany, CA 94706-1469 | 2020-11-08 |
| 1902407836 | Christina Tochau Nguyen | Pharmacist | 5219 Rainwood St, Simi Valley, CA 93063-5019 | 2020-11-06 |
| 1487255626 | Olakitan Adegbesan | Pharmacist | 1525 254th St, Harbor City, CA 90710-2716 | 2020-11-04 |
| 1043811516 | Anthony Luu | Pharmacist | 22231 Hazel Crst, Mission Viejo, CA 92692-1086 | 2020-11-02 |
| 1780284315 | Sally Berresse | Pharmacist | 21921 Long Trot Dr, Escondido, CA 92029-5936 | 2020-11-01 |
| 1306446935 | Ryan Tran | Pharmacist | 81875 Avenue 48 Apt 171, Indio, CA 92201-6720 | 2020-11-01 |
| 1003416686 | Marleyna Daughters | Pharmacist | 25 Saint Paul Ln, Laguna Niguel, CA 92677-9374 | 2020-10-31 |
| 1740880772 | Lori Ann Vrabel | Pharmacist | 17 Del Rio Ct, Saint Helena, CA 94574-1246 | 2020-10-28 |
| 1508466806 | Denise Yeung | Pharmacist | 2571 Evergreen Dr, San Bruno, CA 94066-1715 | 2020-10-27 |
| 1588264915 | Christina Thanh Nguyen | Pharmacist | 1810 W Moore Ave, Santa Ana, CA 92704-6131 | 2020-10-26 |
| Find all providers with the same taxonomy | ||||
| City | LAKE ARROWHEAD |
| Zip Code | 92352 |
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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.