DR. THERESA CHERISSE TAYLOR (NPI# 1861937138) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861937138 |
| Entity Type | Individual |
| Full Name | DR. THERESA CHERISSE TAYLOR |
| Credential | PHARMD |
| Practice Address |
618 S Mount Vernon Ave Suite 136 San Bernardino CA 92410-2762 |
| Mailing Address |
1098 Medical Center Dr San Bernardino CA 92411-2024 |
| Practice Telephone | 9098889411 |
| Practice Fax Number | 9098889088 |
| Mailing Telephone | 9098889411 |
| Mailing Fax Number | 9098889088 |
| Enumeration Date | 2016-12-22 |
| Last Update Date | 2016-12-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 68363 | CA | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CALIFORNIA STATE BOARD OF PHARMACY | RPH68363 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801368204 | Theresa Garvetta Taylor | Licensed Practical Nurse | 1758 Catalpa Rd, Cleveland, OH 44112-1009 | 2018-12-23 |
| 1558870436 | Theresa Taylor | Behavioral Analyst | 12210 172nd St E Apt G206, Puyallup, WA 98374-9194 | 2017-09-23 |
| 1326272667 | Theresa Ann Taylor | Registered Nurse | 3716 Whitegate Dr, Toledo, OH 43607-2568 | 2009-05-14 |
| 1013083641 | Theresa E Taylor | Counselor | 191 Barre Paxton Rd, Rutland, MA 01543-1239 | 2006-11-27 |
| 1730744616 | Theresa Taylor | Social Worker | 301 Meade St, Pittsburgh, PA 15221-2131 | 2019-05-06 |
| 1225508930 | Theresa Taylor | Chore Provider | 5135 Camino Al Norte Ste 150, North Las Vegas, NV 89031-2388 | 2018-11-26 |
| 1427506609 | Theresa Taylor | Registered Nurse | 1776 Moon Lake Blvd, Hoffman Estates, IL 60169-1010 | 2016-09-15 |
| 1053782359 | Theresa Ann Bridget Taylor | Counselor | 7545 Metropolitan Dr, San Diego, CA 92108-4402 | 2015-10-13 |
| 1518362029 | Theresa Taylor | Social Worker | 22170 W 9 Mile Rd, Southfield, MI 48033-6007 | 2014-10-27 |
| 1699012062 | Theresa Taylor | Specialist/Technologist | 3620 Long Beach Blvd Ste A2, Long Beach, CA 90807-6015 | 2013-01-05 |
| Street Address |
618 S MOUNT VERNON AVE SUITE 136 |
| City | SAN BERNARDINO |
| State | CA |
| Zip Code | 92410-2762 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902303472 | Reina Elora Garcia | Student in an Organized Health Care Education/Training Program | 775 E Base Line St Spc 4, San Bernardino, CA 92410 | 2018-04-10 |
| 1558889881 | Salaunge Lopez | Non-emergency Medical Transport (VAN) | 25942 Baseline St Apt D203, San Bernardino, CA 92410 | 2017-09-07 |
| 1902328578 | Kelly Canady | Counselor | 1100 N. D St., San Bernardino, CA 92410 | 2017-07-14 |
| 1881058592 | Terron Thomas | Contractor | 445 South G, Unit B, San Bernardino, IN 92410 | 2016-04-08 |
| 1982064572 | Zachary Norton-martinez | Specialist/Technologist | 650 Del Rosa Dr, San Bernardino, CA 92410 | 2016-02-25 |
| 1003280934 | Brenda Boyle | Nurse Practitioner | 1455 East 3rd Street, San Bernardino, CA 92410 | 2015-11-16 |
| 1689045197 | Bryan Carter | Physician Assistant | 1455 E 3rd Street, San Bernardino, CA 92410 | 2015-10-09 |
| 1801270137 | Sac Health System | Clinic/Center | 250 South G Street, San Bernardino, CA 92410 | 2015-07-16 |
| 1467852269 | Wilson Dentistry, Inc. | Dentist | 1063 N. D St, San Bernardino, CA 92410 | 2014-08-28 |
| 1629405345 | Terrence John Forrester | Social Worker | 1455 E. 3rd St, San Bernardino, CA 92410 | 2013-09-27 |
| Find all providers in zip 92410 | ||||
| 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 |
|---|---|---|---|---|
| 1710592670 | Amanda Messrah | Pharmacist | 3010 W Meyers Rd, San Bernardino, CA 92407-2082 | 2020-09-08 |
| 1689172447 | Robert Edward Beeman | Pharmacist | 355 E 21st St Ste A, San Bernardino, CA 92404-4851 | 2018-01-26 |
| 1417460247 | Nguyen D Dao | Pharmacist | 1033 N Waterman Ave Ste C, San Bernardino, CA 92410-3808 | 2017-11-15 |
| 1851766505 | Afrouz Nikmanesh | Pharmacist | 1099 E. Hospitality Dr., San Bernardino, CA 92408 | 2015-12-07 |
| 1316319320 | Helen Phuoc Dien Tran | Pharmacist | 735 Carnegie Dr Ste 250, San Bernardino, CA 92408-3592 | 2015-10-29 |
| 1841676657 | Danielle Lenee Davis | Pharmacist | 1455 East 3rd St, San Bernardino, CA 92408-1719 | 2015-08-04 |
| 1811397086 | Xiaoyun Yang Peng | Pharmacist | 1535 S D St Ste 230, San Bernardino, CA 92408-3253 | 2014-08-25 |
| 1558606517 | Pradeep Amin | Pharmacist | 4150 N Sierra Way, San Bernardino, CA 92407 | 2012-12-03 |
| 1649537762 | Edward V Guerrero | Pharmacist | 10990 East Hospitality Lane, San Bernardino, CA 92408 | 2012-04-13 |
| 1093000770 | Quratul A Hasan | Pharmacist | 328 E Commercial Dr, Ste 102-103, San Bernardino, CA 92408 | 2011-06-10 |
| Find all providers in SAN BERNARDINO | ||||
| City | SAN BERNARDINO |
| Zip Code | 92410 |
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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.