JOLENE LETTUNICH (NPI# 1073021655) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073021655 |
| Entity Type | Individual |
| Full Name | JOLENE LETTUNICH |
| Credential | PHARM. D |
| Practice Address |
9428 Dyer St El Paso TX 79924-6408 |
| Practice Telephone | 9157514415 |
| Practice Fax Number | 9157515156 |
| Mailing Telephone | 9157514415 |
| Mailing Fax Number | 9157515156 |
| Enumeration Date | 2018-01-17 |
| Last Update Date | 2018-01-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 59107 | TX | Pharmacy Service Providers |
| Street Address |
9428 DYER ST |
| City | EL PASO |
| State | TX |
| Zip Code | 79924-6408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740297654 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 9428 Dyer St, El Paso, TX 79924-6408 | 2006-08-02 |
| 1487252110 | Jacob Gomez | Pharmacist | 9428 Dyer St, El Paso, TX 79924-6408 | 2020-10-14 |
| 1962808691 | Robert Herberger | Pharmacist | 9428 Dyer St, El Paso, TX 79924-6408 | 2014-11-06 |
| 1487056529 | William Holley | Pharmacist | 9428 Dyer St, El Paso, TX 79924-6408 | 2014-09-19 |
| 1699015875 | Alexandra Abbas | Pharmacist | 9428 Dyer St, El Paso, TX 79924-6408 | 2013-02-25 |
| 1770823163 | Ernest T Asaba | Pharmacist | 9428 Dyer St, El Paso, TX 79924-6408 | 2013-02-21 |
| 1174896906 | Hoanghai Pham | Pharmacist | 9428 Dyer St, El Paso, TX 79924-6408 | 2012-02-09 |
| 1619246402 | Sandra Varela | Pharmacist | 9428 Dyer St, El Paso, TX 79924-6408 | 2011-12-22 |
| 1639447907 | Jennifer Manion | Pharmacist | 9428 Dyer St, El Paso, TX 79924-6408 | 2011-12-01 |
| 1053624890 | Steve Pedro Lopez | Pharmacist | 9428 Dyer St, El Paso, TX 79924-6408 | 2010-07-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134761331 | Cep America LLC | Emergency Medicine | 4669 Cohen Ave, El Paso, TX 79924 | 2019-10-09 |
| 1962906735 | Clara Nohely Velasquez-morales | Pharmacist | 9839 Kenworthy St., Pharmacy, El Paso, TX 79924 | 2018-03-19 |
| 1861846305 | Attea Catherine Costanzo | Speech-Language Pathologist | 5132 Prince Edward, El Paso, TX 79924 | 2016-04-21 |
| 1962807669 | Sam's East, Inc. | Technician/Technologist | 9498 Gateway North, El Paso, TX 79924 | 2014-10-24 |
| 1700287034 | San Lorenzo Adult Provider Services and Pediatrics LLC | In Home Supportive Care | 5625 Hemmingway, El Paso, TX 79924 | 2014-09-05 |
| 1790194561 | Amir A Yavari | Dentist | 10039 Dyer Street, El Paso, TX 79924 | 2014-08-06 |
| 1366781676 | Mary L Halliburton | Dietitian, Registered | 4741 Joel Drive, Apt 33, El Paso, TX 79924 | 2013-02-06 |
| 1902144330 | El Paso Viva Dental | Dentist | 9584 Dyer St., Suite B, El Paso, TX 79924 | 2013-01-18 |
| 1053682823 | Florentino Ray Penilla | Pharmacist | 10090 Rushing Road, El Paso, TX 79924 | 2012-01-25 |
| 1518296284 | Jeffrey Charles Gorbett | Pharmacist | 10780 Kenworthy, El Paso, TX 79924 | 2009-12-09 |
| Find all providers in zip 79924 | ||||
| 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 |
|---|---|---|---|---|
| 1043822992 | Roxanne Villegas | Pharmacist | 800 Oxfordshire St, El Paso, TX 79928-2227 | 2020-08-21 |
| 1295384394 | Elizabeth Michel | Pharmacist | 5500 Doniphan Dr Ste 201&202, El Paso, TX 79932-1454 | 2019-09-11 |
| 1225680366 | Oscar Rivas | Pharmacist | 12717 Tierra Aurora Dr, El Paso, TX 79938-4784 | 2019-07-09 |
| 1508323486 | Aaron John Palos | Pharmacist | 11320 Montwood, Pharmacy, El Paso, TX 79936 | 2019-02-27 |
| 1689149213 | Jose Alejandro Hernandez | Pharmacist | 1110 Sunland Park Dr, El Paso, TX 79922-1379 | 2018-10-10 |
| 1962906735 | Clara Nohely Velasquez-morales | Pharmacist | 9839 Kenworthy St., Pharmacy, El Paso, TX 79924 | 2018-03-19 |
| 1407369077 | Winifred Agyei Ampomaah | Pharmacist | 101 E Redd Road, El Paso, TX 79931 | 2017-11-06 |
| 1972032894 | Belinda Gomez | Pharmacist | 7338 Remcon Cir Ste 300, El Paso, TX 79912-1637 | 2017-06-05 |
| 1265963672 | Albertsons LLC | Pharmacist | 9111 Dyer St, El Paso, TX 79924-6401 | 2017-03-27 |
| 1053769422 | Winston Lu | Pharmacist | 3001 N Mesa St, El Paso, TX 79902 | 2016-05-26 |
| Find all providers in EL PASO | ||||
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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.