GRIFFON BOURGEOIS (NPI# 1639627722) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639627722 |
| Entity Type | Individual |
| Full Name | GRIFFON BOURGEOIS |
| Practice Address |
1266 E Valley Pkwy Escondido CA 92027-2310 |
| Practice Telephone | 7608716762 |
| Enumeration Date | 2016-09-17 |
| Last Update Date | 2016-09-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 35110 | TX | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | 70207 | CA | Pharmacy Service Providers |
| Street Address |
1266 E VALLEY PKWY |
| City | ESCONDIDO |
| State | CA |
| Zip Code | 92027-2310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265864078 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 1266 E Valley Pkwy, Escondido, CA 92027-2310 | 2013-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912404179 | Shaunntanel Lund | Midwife | 16625 New Moon Lane, Escondido, CA 92027 | 2018-04-12 |
| 1457871766 | Stephen Martinez | Physical Therapy Assistant | 466 Devonshire Glen, Escondido, CA 92027 | 2017-06-27 |
| 1407227184 | Fletcher Carson | Military Health Care Provider | 719 Erica Street, Escondido, CA 92027 | 2015-10-07 |
| 1336413426 | Nadir T. Khuri | General Practice | 3284 White Hawk Rd., Escondido, CA 92027 | 2012-03-07 |
| 1598914624 | Maria Graciela Herrera | Case Manager/Care Coordinator | 463 N Midway, Ste 200, Escondido, CA 92027 | 2008-09-12 |
| 1891850913 | Anna Kansky | Dentist | 1711 E Valley Pkwy, Millennium Dental, Escondido, CA 92027 | 2006-12-27 |
| 1629164322 | County of San Diego | Exclusive Provider Organization | 420 North Falconer Road, Escondido, CA 92027 | 2006-10-04 |
| 1619968005 | Kaufman Physical Therapy Inc | Physical Therapist | 1318 Mountain Park Place, Escondido, CA 92027 | 2005-11-03 |
| 1336670645 | Ashley Ingram | Dentist | 430 N Rose St, Escondido, CA 92027 | 2017-03-27 |
| 1487899233 | Lindsley Marie Shaw | Case Manager/Care Coordinator | 463 N Midway, Escondido, CA 92027 | 2008-12-09 |
| Find all providers in zip 92027 | ||||
| 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 |
|---|---|---|---|---|
| 1780284315 | Sally Berresse | Pharmacist | 21921 Long Trot Dr, Escondido, CA 92029-5936 | 2020-11-01 |
| 1568936961 | Angel Rose Ltc Pharmacy Inc | Pharmacist | 365 W 2nd Ave Ste 103, Escondido, CA 92025-4136 | 2019-01-18 |
| 1962938027 | Supraja Abbu | Pharmacist | 1665 E Valley Pkwy, Escondido, CA 92027-2408 | 2017-05-11 |
| 1912457771 | Neda-aileen Lin | Pharmacist | 1291 Dexter Pl, Escondido, CA 92029-5629 | 2016-10-05 |
| 1912353012 | Lauren Youngberg | Pharmacist | 200 W El Norte Pkwy, Suite #11, Escondido, CA 92026-2529 | 2016-05-06 |
| 1508223926 | Colleen Tholen | Pharmacist | 896 Corte Merano, Escondido, CA 92026-2260 | 2016-01-16 |
| 1720452949 | Vrajni Patel | Pharmacist | 2937 Burnet Dr, Escondido, CA 92027-5264 | 2015-11-26 |
| 1629441399 | Rana Dagher | Pharmacist | 3038 Wohlford Dr, Escondido, CA 92027-5273 | 2015-11-03 |
| 1396145728 | Jennifer Minh Trang Cao | Pharmacist | 757 Ball Ave, Escondido, CA 92026-3180 | 2014-09-04 |
| 1548685142 | Diana Mirzoian | Pharmacist | 1575 Tanglewood Ln Apt F221, Escondido, CA 92029-3220 | 2014-02-19 |
| Find all providers in ESCONDIDO | ||||
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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.