DR. JERRY AGBOR EGBETAKOR (NPI# 1629682497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629682497 |
| Entity Type | Individual |
| Full Name | DR. JERRY AGBOR EGBETAKOR |
| Credential | PHARMD |
| Practice Address |
235 W 6th St Reno NV 89503-4548 |
| Mailing Address |
1280 Us Highway 95a N Fernley NV 89408-7705 |
| Practice Telephone | 7757703220 |
| Mailing Telephone | 7758356427 |
| Mailing Fax Number | 7758356158 |
| Enumeration Date | 2020-08-31 |
| Last Update Date | 2020-08-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 61469 | TX | Pharmacy Service Providers |
| Street Address |
235 W 6TH ST |
| City | RENO |
| State | NV |
| Zip Code | 89503-4548 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578551263 | Andrew Douglas Coley | Emergency Medicine | 235 W 6th St, Reno, NV 89503-4548 | 2005-10-07 |
| 1043789373 | Cep America - Anesthesia PC | Anesthesiology | 235 W 6th St, Reno, NV 89503-4548 | 2018-11-15 |
| 1114430311 | Prime Healthcare Services Reno LLC | Psychiatric Unit | 235 W 6th St, Reno, NV 89503-4548 | 2017-11-09 |
| 1487163135 | Kristy Lee Torres | Specialist/Technologist, Other | 235 W 6th St, Reno, NV 89503-4548 | 2017-09-26 |
| 1932620986 | Deepthi Ciddi | Internal Medicine | 235 W 6th St, Reno, NV 89503-4548 | 2017-06-29 |
| 1568991081 | Allison Gauvain | Registered Nurse | 235 W 6th St, Reno, NV 89503-4548 | 2017-06-08 |
| 1801337241 | David Kurtmen | Family Medicine | 235 W 6th St, Reno, NV 89503-4548 | 2017-03-18 |
| 1659819845 | Colleen Weeks | Physician Assistant | 235 W 6th St, Reno, NV 89503-4548 | 2017-02-07 |
| 1972965127 | Tyler Primavera | Internal Medicine | 235 W 6th St, Reno, NV 89503-4548 | 2016-03-27 |
| 1801278163 | Kimberlee Charles, Md, LLC | Clinic/Center | 235 W 6th St, Reno, NV 89503-4548 | 2015-06-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639654932 | Board of Regents, Nevada System of Higher Education | Assistant Behavior Analyst | 401 West 2nd Street, Reno, NV 89503 | 2018-10-02 |
| 1356825392 | Shelby Downs | Behavior Technician | 2730 W 7th St, Reno, NV 89503 | 2018-09-15 |
| 1659805570 | Lee Ann Malone | Counselor | 200 W 1st St, Ste 200, Reno, NV 89503 | 2017-04-18 |
| 1255786828 | Eric Allen Hare | Counselor | 1201 North Stewart Street, Sutie 120, Carson City, NV 89503 | 2016-05-02 |
| 1407226095 | Travis B Adams | Dentist | 855 W Seventh St, Ste 200, Reno, NV 89503 | 2015-09-25 |
| 1477933877 | Shawn Mahan | Counselor | 900 W. First Streeet, Reno, NV 89503 | 2015-06-02 |
| 1801144431 | Yesenia Hernandez | Community Health Worker | 900w 1st Street Ste.200, Reno, NV 89503 | 2012-08-29 |
| 1053667501 | Barbara Frey | Social Worker | 580 W 5th Street, Reno, NV 89503 | 2012-08-01 |
| 1548546146 | The Note-ables | Day Training, Developmentally Disabled Services | 925 Riverside Drive, Suite 6, Reno, NV 89503 | 2011-10-26 |
| 1194011270 | Joanne Krumpe | Psychologist | 507 W. 6th St, Reno, NV 89503 | 2011-06-27 |
| Find all providers in zip 89503 | ||||
| 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 |
|---|---|---|---|---|
| 1992305411 | Deborah C Wuest | Pharmacist | 5422 S Elk River Rd, Reno, NV 89511-5653 | 2020-10-26 |
| 1053952853 | Marcelino Casal | Pharmacist | 275 S Wells Ave Ste B, Reno, NV 89502-1309 | 2019-10-02 |
| 1083266803 | Aurora Bejto | Pharmacist | 715 James Ct, Reno, NV 89503-3332 | 2019-07-11 |
| 1073089751 | Roberta Duskin | Pharmacist | 5610 W Rainbow Ridge Ct, Reno, NV 89523-1535 | 2018-10-19 |
| 1851878342 | Teresa Pham | Pharmacist | 1901 Silverada Blvd, Reno, NV 89512-2134 | 2018-07-26 |
| 1013453422 | Patrick Kim | Pharmacist | 1055 South Wells, Reno, NV 89502 | 2017-01-09 |
| 1902350333 | Mark Victor Pardini | Pharmacist | 9890 Gainsborough Ln, Reno, NV 89521-4381 | 2016-08-15 |
| 1013460302 | Jason Mccomb | Pharmacist | 9738 S Virginia St, Ste F, Reno, NV 89511-5930 | 2016-08-03 |
| 1245616135 | Warrick Jones IIi | Pharmacist | 4230 Bond Creek Ct, Reno, NV 89519-2156 | 2015-08-03 |
| 1316325491 | Cassandra Deperalta | Pharmacist | 4951 Fall Creek Ct, Reno, NV 89519-0975 | 2015-05-11 |
| Find all providers in RENO | ||||
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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.