PRESTON YOUTH CORRECTIONAL FACILITY (NPI# 1033263488) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033263488 |
| Entity Type | Organization |
| Organization Name | PRESTON YOUTH CORRECTIONAL FACILITY |
| Practice Address |
201 Waterman Rd Ione CA 95640-9701 |
| Practice Telephone | 2092748275 |
| Practice Fax Number | 2092740865 |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2007-09-12 |
| Authorized Official Name | KENNETH ERLEBUSCH (PHRM) |
| Authorized Official Telephone | 2092748275 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336I0012X |
Pharmacy Specialization: Institutional Pharmacy |
LCF44606 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 5625174 | 01 | |
| OTHER ID NUMBER | 5625174 | 01 |
| Street Address |
201 WATERMAN RD |
| City | IONE |
| State | CA |
| Zip Code | 95640-9701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114228434 | Naseer Muhajir | Social Worker | 201 Waterman Rd, Ione, CA 95640-9701 | 2010-11-04 |
| 1326278391 | Hillary H Hart | Registered Nurse | 201 Waterman Rd, Ione, CA 95640-9701 | 2009-07-23 |
| 1598999245 | Sam Huen Sheung Wong | Family Medicine | 201 Waterman Rd, Ione, CA 95640-9701 | 2009-05-11 |
| 1609053933 | Mark Lyle Muckey | Dentist | 201 Waterman Rd, Ione, CA 95640-9701 | 2008-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316423692 | Millie Georganna Herrera | Psychologist | 4001 State Higheay 104, Ione, CA 95640 | 2018-07-19 |
| 1164810370 | Sarah D Smith | Psychologist | 4001 Highway-104, Ione, CA 95640 | 2014-12-23 |
| 1992130108 | Robert W Landry | Psychologist | 4001 Hwy. 104, Ione, CA 95640 | 2013-09-06 |
| 1629414735 | Teresa Stevenson | Psychologist | 4001 California Highway 104, Ione, CA 95640 | 2013-05-15 |
| 1629319215 | Kristina Towner | Social Worker | Mcsp, 4001 Hwy 104, Attn: Mental Health Services Department, Ione, CA 95640 | 2013-03-07 |
| 1437495256 | Robert Charles Arnold | Psychologist | 4001 Ca-104, Ione, CA 95640 | 2012-12-26 |
| 1518214741 | Brandy Malloy | Student in an Organized Health Care Education/Training Program | 4001 Highway 101, Ione, CA 95640 | 2012-08-07 |
| 1215296918 | Wayne J Batalo | Pharmacist | 4001 Highway 102, Ione, CA 95640 | 2012-05-15 |
| 1447402920 | Allison L.v. Andres | Psychologist | 4001 Highway 104 Mental Health Department, Mule Creek State Prison (csp-mcsp), Ione, CA 95640 | 2008-10-16 |
| 1295930188 | Evalyn Horowitz | Internal Medicine | 4001 California 104, Ione, CA 95640 | 2007-06-19 |
| Find all providers in zip 95640 | ||||
| Taxonomy Code | 3336I0012X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Institutional Pharmacy |
| A pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also counsel patients and caregivers; administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457906745 | Corrections and Rehabilitation | Pharmacy | 5th and Western Ave, Module M, Room #104, Norco, CA 92860 | 2019-08-05 |
| 1982169694 | Vikki Lam | Pharmacy | 757 Westwood Plz # B-504j, Los Angeles, CA 90095-8358 | 2019-02-06 |
| 1760827414 | Cedars-sinai Medical Center | Pharmacy | 127 S San Vicente Blvd Ste 2403, Los Angeles, CA 90048-3311 | 2013-05-08 |
| 1508105354 | Sutter Central Valley Hospitals | Pharmacy | 1420 N. Tracy Blvd., Tracy, CA 95376 | 2013-02-13 |
| 1649576364 | Wade J Dahlberg Sr | Pharmacy | 2697 Lavery Ct Ste 7, Newbury Park, CA 91320-1587 | 2011-01-27 |
| 1871898304 | Corrections and Rehabilitation | Pharmacy | 5100 O'byrnes Ferry Road, Attn: Pharmacy, Jamestown, CA 95327 | 2011-01-13 |
| 1437469202 | Institutional Pharmacy Solutions LLC | Pharmacy | 6520 N Irwindale Ave Ste 228, Irwindale, CA 91702-2867 | 2010-10-14 |
| 1851593560 | Belville Enterprises Inc | Pharmacy | 10140 Barnes Canyon Rd, San Diego, CA 92121-2724 | 2007-06-04 |
| 1306057229 | Detention's Facility Pharmacy | Pharmacy | 8525 Gibbs Dr Ste 101, San Diego, CA 92123-1758 | 2007-05-24 |
| 1407992019 | San Joaquin County | Pharmacy | 7000 Michael Canlis Way, French Camp, CA 95231-9781 | 2007-01-30 |
| 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.