ANTHONY JACKSON (NPI# 1942614748) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942614748 |
| Entity Type | Individual |
| Full Name | ANTHONY JACKSON |
| Credential | PHARM D |
| Practice Address |
1017 Ellington St Delano CA 93215-2621 |
| Practice Telephone | 4158456917 |
| Practice Fax Number | 6617253645 |
| Mailing Telephone | 4158456917 |
| Mailing Fax Number | 6617253645 |
| Enumeration Date | 2014-06-19 |
| Last Update Date | 2014-06-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
40498 | CA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689287328 | Anthony Benedict Jackson | Nurse Practitioner | 8 Radford St # 202, Christiansburg, VA 24073-3320 | 2020-08-24 |
| 1558741652 | Anthony Jackson | Case Manager/Care Coordinator | 2000 Nw 1st St, Boynton Beach, FL 33435-2286 | 2015-06-03 |
| 1922410448 | Anthony Jerome Jackson | Counselor | 1826 Chelsea Rd, Elkins Park, PA 19027-1056 | 2014-06-02 |
| 1245307073 | Anthony Jackson | Counselor | 2237 River Plaza Dr, Sacramento, CA 95833-3836 | 2006-11-29 |
| 1396838868 | Anthony Haig Jackson | Psychiatry & Neurology | 31 Woodlawn Avenue, Needham, MA 02492 | 2006-10-02 |
| 1346254596 | Anthony D Jackson | Dentist | 512 E Alexander St, Plant City, FL 33563-7165 | 2006-07-27 |
| 1720024847 | Anthony L Jackson IIi | Emergency Medicine | 2575 E Bidwell St Ste 160, Folsom, CA 95630-6446 | 2006-06-20 |
| 1568077535 | Anthony Jackson | Chore Provider | 332 S Decatur Blvd, Las Vegas, NV 89107-2804 | 2020-09-15 |
| 1487210399 | Anthony Jackson | Counselor | 5080 Florence Rd, Murfreesboro, TN 37129-2922 | 2019-05-15 |
| 1063076925 | Anthony Earle Jackson | Student in an Organized Health Care Education/Training Program | 3901 Rainbow Blvd, Kansas City, KS 66160-8500 | 2019-04-26 |
| Street Address |
1017 ELLINGTON ST |
| City | DELANO |
| State | CA |
| Zip Code | 93215-2621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548275324 | Komoto Pharmacy, Inc. | Pharmacist | 1017 Ellington St, Delano, CA 93215-2621 | 2006-07-30 |
| 1366060899 | Avina Health, Inc | Pharmacist | 1017 Ellington St, Delano, CA 93215-2621 | 2020-07-10 |
| 1417584889 | Peter Vigil | Pharmacist | 1017 Ellington St, Delano, CA 93215-2621 | 2020-03-25 |
| 1811546765 | Raylene Therese Altmiller-rubio | Pharmacist | 1017 Ellington St, Delano, CA 93215 | 2019-09-04 |
| 1992262646 | Telehealthdocs Medical Corporation | Contractor | 1017 Ellington St, Delano, CA 93215-2621 | 2019-02-28 |
| 1326452475 | Hee Yeong Kim | Pharmacist | 1017 Ellington St, Delano, CA 93215-2621 | 2014-06-17 |
| 1720338650 | Patrick Nelson Leroy | Pharmacist | 1017 Ellington St, Delano, CA 93215-2621 | 2012-09-18 |
| 1043499544 | Eric Steven Martin | Pharmacist | 1017 Ellington St, Delano, CA 93215-2621 | 2007-10-31 |
| 1275543951 | Kirk Forrest Sakamoto | Pharmacist | 1017 Ellington St, Delano, CA 93215-2621 | 2006-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427699396 | Clinca Sierra Vista | Clinic/Center | 425 Del Sol Parkway, Delano, CA 93215 | 2019-10-02 |
| 1609367762 | Elizabeth Galaviz Alcaraz | Marriage & Family Therapist | 828 High Street, Suite C, Delano, CA 93215 | 2018-05-24 |
| 1972962819 | Joy Nneka Iwuchukwu | Nurse Practitioner | 1201 Jefferson Street, Delano, CA 93215 | 2016-02-21 |
| 1154715217 | Amalia Sanchez | Counselor | 828 High Street, Suite C, Delano, CA 93215 | 2015-03-26 |
| 1821435520 | Wal-mart Stores, Inc | Technician/Technologist | 530 Woollomes Ave, Delano, CA 93215 | 2013-06-04 |
| 1629356522 | Clinica Sierra Vista | Counselor | 1401 Hiett Ave, Delano, CA 93215 | 2011-07-26 |
| 1235435082 | Jonathan James Yip | Psychologist | 2327 W. Cecil Ave., Delano, CA 93215 | 2011-01-26 |
| 1669782108 | Lydia Reyes | Marriage & Family Therapist | 828 High Street, Ste.c, Delano, CA 93215 | 2010-10-18 |
| 1932341385 | Lydia Soriano Zapanta | Obstetrics & Gynecology | 1619 Cecil Ave, Delano, CA 93215 | 2009-04-01 |
| 1669624714 | Gurvinder Kaur | Pharmacist | 1800 Cecil Ave, Delano, CA 93215 | 2008-10-21 |
| Find all providers in zip 93215 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376142430 | Daria Mohazzab Hosseinian | Pharmacist | 450 E Spring St Ste 11, Long Beach, CA 90806-1625 | 2020-10-20 |
| 1235745100 | Ngoc Tran | Pharmacist | 10371 Luders Ave, Garden Grove, CA 92843-3213 | 2020-09-16 |
| 1275143752 | Sherine Ann Legge | Pharmacist | 17 Westchester Ct, Trabuco Canyon, CA 92679-4955 | 2020-08-09 |
| 1922618412 | Ashley Keane Hayes | Pharmacist | 6551 E El Pulcro St, Long Beach, CA 90815-2302 | 2020-08-09 |
| 1750991543 | Priyankumar Arvind Patel | Pharmacist | 2339 S G St, Fresno, CA 93721-3425 | 2020-08-05 |
| 1912521261 | Sharon Jung | Pharmacist | 851 Langholm Way, Riverside, CA 92508-6075 | 2020-06-02 |
| 1710500376 | Christine Nguyen | Pharmacist | 2248 E Nyon Ave, Anaheim, CA 92806-4634 | 2020-05-18 |
| 1134740582 | Cj3m Corporation | Pharmacist | 2626 El Camino Real Ste A, Carlsbad, CA 92008-1253 | 2020-04-27 |
| 1629607775 | Tiffany Chang | Pharmacist | 213 Quarry Rd Rm 2726a, Palo Alto, CA 94304-1416 | 2020-04-01 |
| 1124655782 | Noor Mikhail | Pharmacist | 220 W Main St Ste 102, El Cajon, CA 92020-3462 | 2020-03-24 |
| Find all providers with the same taxonomy | ||||
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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.