JESSE COOK (NPI# 1821636853) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821636853 |
| Entity Type | Individual |
| Full Name | JESSE COOK |
| Practice Address |
1000 State St Mccall ID 83638-3704 |
| Practice Telephone | 2086302283 |
| Enumeration Date | 2019-12-20 |
| Last Update Date | 2019-12-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | P6448 | ID | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487123634 | Jesse Dale Cook | Peer Specialist | 109 N Fairland St, Pryor, OK 74361-4203 | 2018-11-16 |
| 1700330917 | Jesse Tyler Cook | Physical Therapist | 134 E Idaho Ave, Homedale, ID 83628-5003 | 2016-08-05 |
| Street Address |
1000 STATE ST |
| City | MCCALL |
| State | ID |
| Zip Code | 83638-3704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538107362 | Paul D Traughber | Radiology | 1000 State St, Mccall, ID 83638-3704 | 2006-06-03 |
| 1376163618 | Andrea Lingle | Pharmacist | 1000 State St, Mccall, ID 83638-3704 | 2020-04-16 |
| 1780224618 | Heidi Lee Galyardt | Pharmacist | 1000 State St, Mccall, ID 83638-3704 | 2020-01-08 |
| 1942849781 | Megan Hatt | Pharmacist | 1000 State St, Mccall, ID 83638-3704 | 2019-12-26 |
| 1770927964 | Susan Mccandless | Dietitian, Registered | 1000 State St, Mccall, ID 83638-3704 | 2013-04-18 |
| 1881982510 | St Lukes Clinic - Mccall LLC | Emergency Medicine | 1000 State St, Mccall, ID 83638-3704 | 2011-07-15 |
| 1043528011 | St Lukes Mccall, Ltd | Medicare Defined Swing Bed Unit | 1000 State St, Mccall, ID 83638-3704 | 2010-09-23 |
| 1417265810 | St Lukes Mccall, Ltd | Anesthesiology | 1000 State St, Mccall, ID 83638-3704 | 2010-09-20 |
| 1235447970 | St Lukes Mccall Ltd | General Acute Care Hospital | 1000 State St, Mccall, ID 83638-3704 | 2010-09-15 |
| 1912224890 | Jonathan M Currey | Family Medicine | 1000 State St, Mccall, ID 83638-3704 | 2010-04-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255897708 | Seanne Jo Safaii | Dietitian, Registered | 1100 Heaven's Gate Ct. #1910, Mccall, ID 83638 | 2019-02-20 |
| 1053881284 | Debra Ann Jones Yensen | Counselor | 1242 Herrick Street N, Mccall, ID 83638 | 2018-11-30 |
| 1306369681 | Cheyene Joseph Nickerson | Pharmacist | 132 East Lake Street, Mccall, ID 83638 | 2017-07-19 |
| 1669923892 | Amy Leigh Forkan | Massage Therapist | 301 E Park St., Mccall, ID 83638 | 2016-10-24 |
| 1770982597 | Rachel L Smith | Acupuncturist | 106 E. Park St, Suite 102, Mc Call, ID 83638 | 2014-08-18 |
| 1275944498 | Central Idaho Counseling, Pllc | Social Worker | 125 Commerce St., Suite B, Mccall, ID 83638 | 2014-05-09 |
| 1548690829 | Sze Wan Chan | Pharmacist | 1001 North 2nd Street, Mccall, ID 83638 | 2013-11-22 |
| 1467882274 | Tamara Nagoda | Speech-Language Pathologist | 304 Edgewater Circle, Mccall, ID 83638 | 2013-11-14 |
| 1457537896 | Thomas L Moore | Counselor | 310 E. Lake St., Tom Moore, Mccall, ID 83638 | 2008-01-16 |
| 1659581585 | Barbara Gail Norton | Social Worker | 125 Commerce St, Suite B, Mccall, ID 83638 | 2007-05-22 |
| Find all providers in zip 83638 | ||||
| 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 |
|---|---|---|---|---|
| 1306369681 | Cheyene Joseph Nickerson | Pharmacist | 132 East Lake Street, Mccall, ID 83638 | 2017-07-19 |
| 1548690829 | Sze Wan Chan | Pharmacist | 1001 North 2nd Street, Mccall, ID 83638 | 2013-11-22 |
| 1528280237 | Kevin Michael Ellis | Pharmacist | 132 E Lake St, Mccall, ID 83638-3811 | 2007-05-03 |
| 1407078157 | Lonnie K Huntsinger | Pharmacist | 451 Deinhard Ln, Mccall, ID 83638-4800 | 2007-05-03 |
| 1376163618 | Andrea Lingle | Pharmacist | 1000 State St, Mccall, ID 83638-3704 | 2020-04-16 |
| 1780224618 | Heidi Lee Galyardt | Pharmacist | 1000 State St, Mccall, ID 83638-3704 | 2020-01-08 |
| 1942849781 | Megan Hatt | Pharmacist | 1000 State St, Mccall, ID 83638-3704 | 2019-12-26 |
| 1326691197 | Amanda Isabel Reguero Valentin | Pharmacist | 451 Deinhard Ln, Mccall, ID 83638-4800 | 2019-07-22 |
| 1215414263 | Jason Mitchell Hansen | Pharmacist | 451 Deinhard Ln, Mccall, ID 83638-4800 | 2018-07-23 |
| 1508153784 | Karl F Johnson | Pharmacist | 211 Forest St, Mccall, ID 83638-5256 | 2011-07-07 |
| Find all providers in MCCALL | ||||
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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.