LARRY WAYNE ROLSTON (NPI# 1003199167) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003199167 |
Entity Type | Individual |
Full Name | LARRY WAYNE ROLSTON |
Credential | PHARM.D. |
Practice Address |
24203 County Road 22 Esparto CA 95627-2119 |
Practice Telephone | 5307874444 |
Practice Fax Number | 5307874455 |
Mailing Telephone | 5307874444 |
Mailing Fax Number | 5307874455 |
Enumeration Date | 2011-09-26 |
Last Update Date | 2011-09-26 |
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 |
RPH28265 | CA | Pharmacy Service Providers |
Street Address |
24203 COUNTY ROAD 22 |
City | ESPARTO |
State | CA |
Zip Code | 95627-2119 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902420003 | Becker Pharmacy Inc | Pharmacy | 16858 Yolo Ave, Esparto, CA 95627 | 2020-06-04 |
1639384159 | Yolo County Health and Human Services Agency | Community/Behavioral Health | 16858 Yolo Avenue, Esparto, CA 95627 | 2007-05-10 |
1568680940 | Communicare Health Centers | Clinic/Center | 16827 Freemont St., Esparto, CA 95627 | 2007-04-23 |
1588729180 | Community Medical Centers, Inc. | Clinic/Center | 17050 S. Grafton Street, Esparto, CA 95627 | 2006-12-26 |
1578980207 | Rocio P Jaime | Counselor | 17317 Fremont St, Esparto, CA 95627 | 2014-03-19 |
1942558028 | Raquel Karina Luna | Counselor | 17317 Fremont St, Esparto, CA 95627-2137 | 2012-08-21 |
1831720259 | Kathleen O'malley | Counselor | 17317 Fremont St, Esparto, CA 95627-2137 | 2020-02-04 |
1548816358 | Christine Marie Carlisle | Counselor | 17317 Fremont St, Esparto, CA 95627-2137 | 2019-08-16 |
1255811006 | Melissa Chavez | Social Worker | 17317 Fremont St, Esparto, CA 95627-2137 | 2018-08-20 |
1558855338 | Rural Innovations In Social Economics, Incorporated | Community/Behavioral Health | 17317 Fremont St, Esparto, CA 95627-2137 | 2018-06-15 |
Find all providers in zip 95627 |
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 |
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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.