JOLENE COLBURN (NPI# 1639586852) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639586852 |
| Entity Type | Individual |
| Full Name | JOLENE COLBURN |
| Practice Address |
1000 Robert Rd Grants NM 97021 |
| Mailing Address |
Po Box 3209 Milan NM 87021-3209 |
| Practice Telephone | 5052853378 |
| Enumeration Date | 2014-07-21 |
| Last Update Date | 2014-07-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RP00006913 | NM | Pharmacy Service Providers |
| Street Address |
1000 ROBERT RD |
| City | GRANTS |
| State | NM |
| Zip Code | 97021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518984665 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 1000 Robert Rd, Grants, NM 87020-4012 | 2006-07-16 |
| 1669072799 | Maria Dolores Hernandez | Pharmacist | 1000 Robert Rd, Grants, NM 87020-4012 | 2020-10-28 |
| 1134600976 | Joaquin Acosta | Pharmacist | 1000 Robert Rd, Grants, NM 87020-4012 | 2018-08-28 |
| 1114320132 | Alicia M Gardner | Pharmacist | 1000 Robert Rd, Grants, NM 87020-4012 | 2014-10-04 |
| 1124435417 | Roger Nicolaus | Pharmacist | 1000 Robert Rd, Grants, NM 87020-4012 | 2014-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619453560 | Wasco County School District 29 | Local Education Agency (LEA) | 802 Ne 5th Street, Dufur, OR 97021 | 2018-07-13 |
| 1447332481 | City of Dufur | Ambulance | 175 Ne 3rd, Dufur, OR 97021 | 2006-10-19 |
| 1942762893 | Esther Ferguson | Specialist/Technologist | 802 Ne 5th St, Dufur, OR 97021-3034 | 2019-04-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669093977 | Brenda L Carabajal | Registered Nurse | 200 W Santa Fe Ave, Grants, NM 87020-2530 | 2020-04-28 |
| 1104453836 | Tiffany Shell Flippen | Counselor | 1016 E. Roosevelt Ave., Grants, NM 87020 | 2020-03-24 |
| 1295382265 | Janell Marie Villalobos | Registered Nurse | 813 Mesa Blvd., Grants, NM 87020 | 2019-08-23 |
| 1396243390 | Las Brisas Enterprises, LLC | Clinic/Center | 1209 Bonita Ave Suite A, Grants, NM 87020 | 2018-01-25 |
| 1407386014 | Wilma Beverly White | Occupational Therapy Assistant | 200 Adams, Grants, NM 87020 | 2017-06-15 |
| 1861949851 | Bestcare Pharmacy Grants LLC | Pharmacy | 1208 Bonita St Ste A, Grants, NM 87020-2234 | 2016-09-07 |
| 1073986758 | 4 Corners Hhc | Home Health | 421 E Santa Fe Ave, Grants, NM 87020-2499 | 2015-11-03 |
| 1316331176 | Kara Michelle Robinson | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1217 Jelso Ave, Grants, NM 87020-3818 | 2015-03-19 |
| 1376932194 | Jane Rittenhouse | Behavioral Analyst | 423 W Santa Fe Ave Ste B, Grants, NM 87020-2525 | 2015-01-16 |
| 1427462266 | Nadine Jiron | Behavioral Analyst | 1041 Mesa Blvd Ste D, Grants, NM 87020-3039 | 2014-06-19 |
| Find all providers in GRANTS | ||||
| 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 |
|---|---|---|---|---|
| 1235152711 | Cydni Reynolds | Pharmacist | 1000 E Roosevelt Ave, Trust Pharmacy, Grants, NM 87020-2118 | 2006-07-25 |
| 1669072799 | Maria Dolores Hernandez | Pharmacist | 1000 Robert Rd, Grants, NM 87020-4012 | 2020-10-28 |
| 1134600976 | Joaquin Acosta | Pharmacist | 1000 Robert Rd, Grants, NM 87020-4012 | 2018-08-28 |
| 1114320132 | Alicia M Gardner | Pharmacist | 1000 Robert Rd, Grants, NM 87020-4012 | 2014-10-04 |
| 1740680099 | Randolph Mattila | Pharmacist | 1208 Bonita St, Grants, NM 87020-2234 | 2014-08-23 |
| 1124435417 | Roger Nicolaus | Pharmacist | 1000 Robert Rd, Grants, NM 87020-4012 | 2014-07-17 |
| 1841607728 | Thanh-nga Nguyen | Pharmacist | 1509 E Santa Fe Ave, Grants, NM 87020-4005 | 2014-07-12 |
| 1023425998 | Matthew Munson | Pharmacist | 1509 E Santa Fe Ave, Grants, NM 87020-4005 | 2014-07-12 |
| 1154487635 | Phil Parkhurst | Pharmacist | 1208 Bonita St, Grants, NM 87020-2234 | 2006-12-28 |
| 1154345395 | Bruce Robert Smith | Pharmacist | 1000 E Roosevelt Ave, Grants, NM 87020-2118 | 2006-07-27 |
| Find all providers in GRANTS | ||||
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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.