DR. ERIC EIVIND GJERDRUM (NPI# 1831424647) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831424647 |
| Entity Type | Individual |
| Full Name | DR. ERIC EIVIND GJERDRUM |
| Credential | PHARMD |
| Practice Address |
1540 Froom Ranch Way San Luis Obispo CA 93405-7211 |
| Mailing Address |
2180 Idyllwild Pl Arroyo Grande CA 93420-9632 |
| Practice Telephone | 8055417028 |
| Practice Fax Number | 8055417025 |
| Mailing Telephone | 8053435703 |
| Enumeration Date | 2009-10-12 |
| Last Update Date | 2009-10-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
0051070 | CA | Pharmacy Service Providers |
| Street Address |
1540 FROOM RANCH WAY |
| City | SAN LUIS OBISPO |
| State | CA |
| Zip Code | 93405-7211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841300498 | Costco Wholesale Corporation | Pharmacy | 1540 Froom Ranch Way, San Luis Obispo, CA 93405 | 2006-08-30 |
| 1740673904 | Costco Wholesale Corporation | Hearing Aid Equipment | 1540 Froom Ranch Way, San Luis Obispo, CA 93405-7211 | 2015-03-12 |
| 1346639291 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 1540 Froom Ranch Way, San Luis Obispo, CA 93405-7211 | 2015-01-15 |
| 1245676121 | Ronald John Tomasini | Pharmacist | 1540 Froom Ranch Way, San Luis Obispo, CA 93405-7211 | 2013-05-17 |
| 1801188198 | Cindi Smith-dunham | Pharmacist | 1540 Froom Ranch Way, Pharmacy, San Luis Obispo, CA 93405-7211 | 2011-05-05 |
| 1083730592 | William Joseph Borgman | Pharmacist | 1540 Froom Ranch Way, San Luis Obispo, CA 93405-7211 | 2007-03-22 |
| 1952463648 | Urvi Ramesh Patel | Optometrist | 1540 Froom Ranch Way, San Luis Obispo, CA 93405-7211 | 2006-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164076626 | Hilary Abbott Anderson | Physician Assistant | 127 Casa St., San Luis Obispo, CA 93405 | 2019-08-01 |
| 1811465834 | Fatemeh Ladan Ahmadinia | Dentist | 764 N Santa Rosa St, San Luis Obispo, CA 93405 | 2018-11-07 |
| 1538559794 | Arnold Martin Horwitz | Marriage & Family Therapist | 1605 Garnette Drive, San Luis Obispo, CA 93405 | 2015-01-27 |
| 1750794764 | Solmaz Naghsh | Pharmacist | 765 Foothill Blvd, San Luis Obispo, CA 93405 | 2014-06-06 |
| 1609293471 | Robert S. Flores Dmd, Inc | Dentist | 878 Boysen Avenue, San Luis Obispo, CA 93405 | 2014-03-18 |
| 1457776445 | Laura Anne Wilvert | Marriage & Family Therapist | 793 E. Foothill Blvd, Suite A, #278, San Luis Obispo, CA 93405 | 2014-02-27 |
| 1497181200 | Tracey Ruby Madrigal | Counselor | 1106 Oceanaire Dr. #25, San Luis Obispo, CA 93405 | 2013-09-25 |
| 1437597572 | Sarah Michelle Brenis | Counselor | 524 Princeton Place, San Luis Obispo, CA 93405 | 2013-06-11 |
| 1013350974 | Jenna Rose Ramos | Counselor | 1459 Descanso St., San Luis Obispo, CA 93405 | 2013-04-10 |
| 1700140696 | Christopher Dieterich Marchand | Social Worker | 793a E. Foothill Blvd, 190, San Luis Obispo, CA 93405 | 2012-06-26 |
| Find all providers in zip 93405 | ||||
| Taxonomy Code | 1835P1200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacotherapy |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750794764 | Solmaz Naghsh | Pharmacist | 765 Foothill Blvd, San Luis Obispo, CA 93405 | 2014-06-06 |
| 1225181878 | Richard Thorne | Pharmacist | 3230 Flora St, San Luis Obispo, CA 93401-6052 | 2007-01-18 |
| 1245676121 | Ronald John Tomasini | Pharmacist | 1540 Froom Ranch Way, San Luis Obispo, CA 93405-7211 | 2013-05-17 |
| 1629279583 | James Roland Gates | Pharmacist | 125 Serrano Heights Dr, San Luis Obispo, CA 93405-1748 | 2007-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619594587 | Tsunnum Uzma Malik | Pharmacist | 2527 Royalridge Way, Santa Clara, CA 95051-1243 | 2020-06-26 |
| 1710515580 | Danny Situ | Pharmacist | 261 Capistrano Ave, San Francisco, CA 94112-2501 | 2020-03-29 |
| 1215492277 | En Chiang | Pharmacist | 300 Stein Plaza (wasserman Building) Room 123, Los Angeles, CA 90095-0001 | 2019-02-04 |
| 1366910325 | Queenie Hip Ying Wan | Pharmacist | 13059 Hedda Ln, Cerritos, CA 90703-6145 | 2018-11-07 |
| 1487120861 | Amanda Ju Chuan Chao | Pharmacist | 10964 Wellworth Ave Apt 303, Los Angeles, CA 90024-6230 | 2018-10-23 |
| 1104333772 | Patricia Lee Mcnamee | Pharmacist | 18325 Coastline Dr, Malibu, CA 90265-5729 | 2018-01-04 |
| 1235655457 | Joseph P Gee | Pharmacist | Cosumnes River College Pharmacy Technology Program, 8401 Center Parkway, Sacramento, CA 95823 | 2017-08-18 |
| 1275075087 | Erzsebet Gyorfi-miglecz | Pharmacist | 24236 Bella Ct, Newhall, CA 91321-3923 | 2016-11-10 |
| 1245787035 | Nina Michelle Bemben | Pharmacist | 555 Mission Rock St, #507, San Francisco, CA 94158-2119 | 2016-09-08 |
| 1861845273 | Vahid Bordbar | Pharmacist | 2325 Palos Verdes Dr W Ste 220, Palos Verdes Estates, CA 90274-2777 | 2016-07-20 |
| Find all providers with the same taxonomy | ||||
| City | SAN LUIS OBISPO |
| Zip Code | 93405 |
Please comment or provide details below to improve the information on DR. ERIC EIVIND GJERDRUM.
| 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.