SALLY BERRESSE (NPI# 1780284315) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780284315 |
| Entity Type | Individual |
| Full Name | SALLY BERRESSE |
| Credential | PHARMD |
| Practice Address |
21921 Long Trot Dr Escondido CA 92029-5936 |
| Practice Telephone | 6194716923 |
| Enumeration Date | 2020-11-01 |
| Last Update Date | 2020-11-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 80273 | CA | Pharmacy Service Providers |
| Street Address |
21921 LONG TROT DR |
| City | ESCONDIDO |
| State | CA |
| Zip Code | 92029-5936 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669839254 | Tina Lynn Sutherland | Behavioral Analyst | 1045 East Pennsylvania Ave, Escondido, CA 92029 | 2016-01-27 |
| 1477923373 | Aurora D'elia-verrocchi | Physician Assistant | 2185 Citracado Parkway, Escandido, CA 92029 | 2015-10-05 |
| 1659647436 | North County Neurology Associates Medical Group | Psychiatry & Neurology | 1955 Citracado Pkwy Ste 102, Escondido, CA 92029 | 2012-03-27 |
| 1609188937 | Marvin Walter Levenson | Case Manager/Care Coordinator | 2227 Enterprise St, Escondido, CA 92029 | 2010-07-01 |
| 1003137258 | James H Nelson | Radiology | 3337 Avenida Hacienda, Escondido, CA 92029 | 2010-06-22 |
| 1265568620 | Junia P Wadia | Dentist | 1340 W Valley Pkwy, #205, Escondido, CA 92029 | 2007-02-27 |
| 1225186232 | Paul Brian Volpp | Radiology | 2125 Citricado Pkwy, #110, Dept of Radiation Oncology, Escondido, CA 92029 | 2007-01-08 |
| 1679620231 | Alan David Will | Optometrist | 1264-a Auto Pkwy, Escondido, CA 92029 | 2007-01-05 |
| 1891842530 | Ngoc Mong Hoang Nguyen | Optometrist | 1264 Auto Pkwy, Ste A, Escondido, CA 92029 | 2007-01-04 |
| 1073608089 | Margaret Mauleon Novicio | Dentist | 3440 Del Lago Blvd, Suite C, Escondido, CA 92029 | 2006-10-04 |
| Find all providers in zip 92029 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1417278581 | Michael Davis | Pharmacist | 1825 S Centre City Pkwy, Escondido, CA 92025-6525 | 2010-06-11 |
| 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.