JAYSON ROBERTSON


Address: 1151 W Iron Springs Rd Ste D, Prescott, AZ 86305-1614
Phone: 9287080025

JAYSON ROBERTSON (NPI# 1104221423) 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) 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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 183500000X Pharmacist S018579 AZ Pharmacy Service Providers

Office Location

Street Address 1151 W IRON SPRINGS RD STE D
City PRESCOTT
State AZ
Zip Code 86305-1614

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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
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Taxonomy Information

Taxonomy Code 183500000X
Grouping Pharmacy Service Providers
Classification Pharmacist

Taxonomy Definition

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]

Providers in the same taxonomy and city

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
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Competitor

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City PRESCOTT
Zip Code 86305

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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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