DR. JEREMY BOYD THEOBALD


Address: 1010 7th Ave Sw, Albany, OR 97321-1922
Phone: 5418125071

DR. JEREMY BOYD THEOBALD (NPI# 1982076022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1982076022
Entity Type Individual
Full Name DR. JEREMY BOYD THEOBALD
Credential PHARMD
Practice Address 1010 7th Ave Sw
Albany
OR 97321-1922
Practice Telephone 5418125071
Practice Fax Number 5418125077
Mailing Telephone 5418125071
Enumeration Date 2015-10-28
Last Update Date 2016-02-16
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1835P0018X Pharmacist
Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
0014231 OR Pharmacy Service Providers

Office Location

Street Address 1010 7TH AVE SW
City ALBANY
State OR
Zip Code 97321-1922

Providers in the same location

NPI Name Taxonomy Address Enumeration
1548313356 Albany General Hospital Durable Medical Equipment & Medical Supplies 1010 7th Ave Sw, Albany, OR 97321-1922 2007-01-18
1972803690 Susan I Maule Pharmacist 1010 7th Ave Sw, Albany, OR 97321-1922 2010-10-27

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1730659228 Waverly Assisted Living, LLC In Home Supportive Care 2853 Salem Ave Se Ste A, Albany, OR 97321 2018-11-28
1558838706 Greater Albany Public Schools 8j Local Education Agency (LEA) 718 Seventh Ave. Sw, Albany, OR 97321 2018-10-25
1396232237 Chiho Sakamoto Gunton Social Worker 227 Sw 3rd Avenue, Albany, OR 97321 2018-04-17
1700333184 Albany General Hospital Clinic/Center 534 Pleasant View Way Nw, Suite 400, Albany, OR 97321 2016-09-02
1811373772 Katrin M Ridge Pharmacist 1010 7th Ave. Sw., Albany, OR 97321 2015-08-03
1720485527 Heartsong Counseling Counselor 425 Sw 2nd Ave. #203, Albany, OR 97321 2014-11-24
1619386604 Courtney Ann Miller Dentist 2815 Willetta St, Suite A-1, Albany, OR 97321 2014-08-05
1346664810 Jeffrey Othniel Nordtvedt Case Manager/Care Coordinator 2730 Sw Pacific Boulevard, Albany, OR 97321 2014-02-05
1174872022 Albany General Hospital Internal Medicine 631 Southwest Elm Street, Suite 200, Albany, OR 97321 2012-09-06
1144594532 Russell Travis Pharmacist 1177 Waverly Dr, Albany, OR 97321 2012-03-02
Find all providers in zip 97321

Taxonomy Information

Taxonomy Code 1835P0018X
Grouping Pharmacy Service Providers
Classification Pharmacist
Specialization Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1811373772 Katrin M Ridge Pharmacist 1010 7th Ave. Sw., Albany, OR 97321 2015-08-03
1982245452 Cheryl Ann Hanslovan Pharmacist 1046 6th Ave Sw, Albany, OR 97321-1916 2019-10-04
1760960801 Sara Evanko Pharmacist 2272 Santiam Hwy Se, Albany, OR 97322-5205 2018-07-31
1346748712 Jan Matherne Lantrip Pharmacist 29148 South Montpelier Ave, Albany, LA 70711-0328 2018-01-31
1154867810 Chelsea Bond Pharmacist 400 Hickory St Nw, Albany, OR 97321-1700 2017-01-18
1902296544 Esther Chon Pharmacist 12 Jupiter Ln, Albany, NY 12205-6918 2015-02-04
1184067167 Vanessa J Tedisch Pharmacist 1046 6th Ave Sw, Albany, OR 97321-1916 2013-04-09
1679832927 Tiffany Gitt Pharmacist 1700 Geary St Se, Albany, OR 97322-6842 2012-05-07
1487977955 Colby Mitchell Pharmacist 43 New Scotland Ave, Mc85, Albany, NY 12208-3412 2010-03-11
1477885119 Cheryl Mann Krenn Pharmacist 12 Jupiter Ln, Albany, NY 12205-6918 2010-02-05
Find all providers in ALBANY

Competitor

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City ALBANY
Zip Code 97321

Improve Information

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Dataset Information

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.

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