MS. PEEWEE DEL CORRO CRUZ (NPI# 1790092625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790092625 |
| Entity Type | Individual |
| Full Name | MS. PEEWEE DEL CORRO CRUZ |
| Practice Address |
1688 N Perris Blvd Perris CA 92571 |
| Mailing Address |
35434 Saddle Hill Rd Lake Elsinore CA 92532-2589 |
| Practice Telephone | 9519436868 |
| Mailing Telephone | 8055121173 |
| Enumeration Date | 2010-09-14 |
| Last Update Date | 2010-09-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 58307 | CA | Pharmacy Service Providers |
| Street Address |
1688 N PERRIS BLVD |
| City | PERRIS |
| State | CA |
| Zip Code | 92571 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689785651 | Charolette A Barnes-leblanc | Optometrist | 1688 N Perris Blvd, Ste L5, Perris, CA 92571-4709 | 2006-08-31 |
| 1043849847 | Phonmany Phengphavong | Licensed Vocational Nurse | 1688 N Perris Blvd, Perris, CA 92571-4709 | 2020-04-03 |
| 1265945323 | Dalbir Kaur | Pharmacist | 1688 N Perris Blvd, Perris, CA 92571-4709 | 2017-11-13 |
| 1700328929 | Riverside County Mental Health Dept. | Counselor | 1688 N Perris Blvd, Suite L6-11, Perris, CA 92571 | 2016-11-07 |
| 1528429735 | Elizabeth Chon | Case Manager/Care Coordinator | 1688 N Perris Blvd, L 6-11, Perris, CA 92571-4709 | 2016-03-15 |
| 1548642150 | Brenda Preston | Counselor | 1688 N Perris Blvd, Suite L1-2, Perris, CA 92571-4709 | 2015-06-19 |
| 1861895088 | Jeremy Jin-ho Choi | Dentist | 1688 N Perris Blvd, Ste. G-1, Perris, CA 92571-4709 | 2014-10-01 |
| 1851791842 | Julie Casillas | Case Manager/Care Coordinator | 1688 N Perris Blvd, Ste L 6-11, Perris, CA 92571-4709 | 2014-08-27 |
| 1942614243 | Shawill Tadres | Pharmacist | 1688 N Perris Blvd, Perris, CA 92571-4709 | 2014-06-13 |
| 1417360611 | Riteaid | Pharmacist | 1688 N Perris Blvd, Perris, CA 92571-4709 | 2014-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376199422 | Pico De Loro, Incorporated | Assisted Living Facility | 620 North Perris Boulevard, Perris, CA 92571 | 2019-08-14 |
| 1053802579 | Kadiatou Dafney | Nurse Practitioner | 126 Avocado Ave Ste 106, Perris, CA 92571 | 2018-05-21 |
| 1730677014 | Ruth Gasselle Rodriguez | Nutritionist | 1020 Huntington Way, Perris, CA 92571 | 2018-04-23 |
| 1649788167 | Leslie Bautista | Counselor | 1276 Autumnwood Ln, Perris, CA 92571 | 2018-01-18 |
| 1588180459 | Eduardo Orozco-zavala | Licensed Vocational Nurse | 85 Ramona Expressway, Suite 1, Perris, CA 92571 | 2017-08-22 |
| 1396267365 | National Vision, Inc. | Technician/Technologist | 1850 N Perris Boulevard, Suite 40, Perris, CA 92571 | 2017-07-12 |
| 1336669506 | Gary Huang | Optometrist | 1850 N Perris Boulevard Ste 40, Perris, CA 92571 | 2017-06-20 |
| 1750814745 | New Beginnings Residential Tf | Residential Treatment Facility, Emotionally Disturbed Children | 106 Worth St, Perris, CA 92571 | 2017-04-06 |
| 1013456235 | Sohal and Pham Dental Corporation | Dentist | 1820 Perris Blvd, Suite 70, Perris, CA 92571 | 2017-02-21 |
| 1093267569 | New Beginnings Residential Tf | Residential Treatment Facility, Emotionally Disturbed Children | 2464 Slew of Gold Ct, Perris, CA 92571 | 2016-10-31 |
| Find all providers in zip 92571 | ||||
| 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 |
|---|---|---|---|---|
| 1386158632 | Maria Jocelyn Tarcelo | Pharmacist | 24 S D St Apt 106, Perris, CA 92570-2111 | 2017-11-24 |
| 1841734571 | Daisy Elidia Rivera | Pharmacist | 925 Whimbrel Way, Perris, CA 92571-7715 | 2016-12-14 |
| 1003226952 | Leilani Tran | Pharmacist | 404 E 4th St, Perris, CA 92570-2201 | 2014-04-30 |
| 1457617953 | Don Mackellar | Pharmacist | 540 W 4th St Ste 1, Perris, CA 92570-2077 | 2012-04-09 |
| 1376813501 | Lois Lee | Pharmacist | 126 Avocado Ave Ste 101, Perris, CA 92571-2605 | 2012-01-04 |
| 1063713287 | David M Chai | Pharmacist | 2250 North Perris Blvd, Suite A1, Perris, CA 92571 | 2010-11-04 |
| 1972692051 | Andres E Dominguez | Pharmacist | 2055 N Perris Blvd, Suite A1, Perris, CA 92571 | 2006-10-12 |
| 1629603733 | Michael Soliman | Pharmacist | 75 W Nuevo Rd Ste H, Perris, CA 92571-0801 | 2020-03-09 |
| 1811520489 | Russle Calvinist Benson | Pharmacist | 1800 N Perris Blvd, Perris, CA 92571-2701 | 2020-02-21 |
| 1265945323 | Dalbir Kaur | Pharmacist | 1688 N Perris Blvd, Perris, CA 92571-4709 | 2017-11-13 |
| Find all providers in PERRIS | ||||
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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.