JAYSON ROBERTSON (NPI# 1104221423) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104221423 |
Entity Type | Individual |
Full Name | JAYSON ROBERTSON |
Credential | PHARM D |
Practice Address |
1151 W Iron Springs Rd Ste D Prescott AZ 86305-1614 |
Practice Telephone | 9287080025 |
Practice Fax Number | 9287080288 |
Mailing Telephone | 9287080025 |
Mailing Fax Number | 9287080288 |
Enumeration Date | 2014-10-29 |
Last Update Date | 2014-10-29 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 183500000X | Pharmacist | S018579 | AZ | Pharmacy Service Providers |
Street Address |
1151 W IRON SPRINGS RD STE D |
City | PRESCOTT |
State | AZ |
Zip Code | 86305-1614 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972005395 | Granite View Adult Care Home LLC | Assisted Living Facility | 7105 Williamson Valley Road, Prescott, AZ 86305 | 2018-03-01 |
1215468095 | Valerie Williams | Occupational Therapist | 926 S. Hinman Dr., Prescott, AZ 86305 | 2017-03-23 |
1174073837 | Caspian Gleam Medical Center LLC | Clinic/Center | 3130 Stillwater Drive, Suite B, Prescott, AZ 86305 | 2016-10-06 |
1114388634 | Marla Beth Perkins | Speech-Language Pathologist | 3160 Stillwater Dr., Prescott, AZ 86305 | 2016-03-10 |
1790159853 | Michele A. Bibeau, D.d.s. | Dentist | 1058 Fair Street, Suite A, Prescott, AZ 86305 | 2015-11-30 |
1609264837 | Integrative Pain Centres of Prescott | Pain Medicine | 3769 Crossings Drive, Suite B, Integrative Pain Centres of Prescott, Prescott, AZ 86305 | 2014-12-22 |
1649697251 | Sharon Marilyn Jackson | Counselor | 3636 Crossings Drive, Prescott, AZ 86305 | 2014-03-20 |
1215351259 | Stefanie Maneval | Registered Nurse | 900 Iron Springs Rd, Prescott, AZ 86305 | 2014-02-11 |
1508207523 | Recovery In The Pines, LLC | Community/Behavioral Health | 919 12th Place #13, Prescott, AZ 86305 | 2013-07-08 |
1871857359 | Neal Herbert Segovia Cabaluna | Internal Medicine | 3773 Crossings Dr Ste C, Prescott, AZ 86305 | 2012-06-28 |
Find all providers in zip 86305 |
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 |
---|---|---|---|---|
1760937759 | Courtney Edel | Pharmacist | 901 Willow Lake Rd, Prescott, AZ 86301-4617 | 2016-08-18 |
1215303862 | Sonja Dutch | Pharmacist | 1211 Squirrel Run, Prescott, AZ 86303-6444 | 2015-08-18 |
1699174490 | Diane Rindone | Pharmacist | 1547 Marvin Gardens Ln, Prescott, AZ 86301-5530 | 2014-08-18 |
1548679988 | Lance Sandleben | Pharmacist | 222 Grace Ave, Prescott, AZ 86303-3439 | 2014-08-11 |
1336558683 | Emily Gunnerson | Pharmacist | 3050 E State Route 69, Prescott, AZ 86301-6743 | 2014-08-11 |
1184048381 | Nathan C Crow | Pharmacist | 3050 N Highway 69, Prescott, AZ 86301-9708 | 2014-02-07 |
1083054340 | Zachariah J Davis | Pharmacist | 1573 Sierry Peaks Dr Unit A, Prescott, AZ 86305-2153 | 2013-07-01 |
1275812786 | Allison Kreutzberg | Pharmacist | 178 E Sheldon, Prescott, AZ 86301 | 2011-08-15 |
1588965859 | Antonella Sola | Pharmacist | 518 Westwood Dr, Prescott, AZ 86303-3436 | 2010-11-03 |
1700111549 | Stephen David Nathenson | Pharmacist | 3198 Willow Creek Road, Prescott, AZ 86305 | 2009-10-13 |
Find all providers in PRESCOTT |
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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.