TERESITA FUGOSO (NPI# 1104241645) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104241645 |
| Entity Type | Individual |
| Full Name | TERESITA FUGOSO |
| Practice Address |
2302 Brown Rd Centinela State Prison Pharmacy Imperial CA 92251 |
| Practice Telephone | 7603377624 |
| Practice Fax Number | 7604823006 |
| Mailing Telephone | 7603377624 |
| Mailing Fax Number | 7604823006 |
| Enumeration Date | 2014-02-20 |
| Last Update Date | 2014-02-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RPH | CA | Pharmacy Service Providers |
| Street Address |
2302 BROWN RD CENTINELA STATE PRISON PHARMACY |
| City | IMPERIAL |
| State | CA |
| Zip Code | 92251 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144420928 | Freddy Carreno | Nurse Practitioner | 2302 Brown Rd, Imperial, CA 92251 | 2007-07-20 |
| 1811312895 | Jackie M Bacuzzi-cowdrick | Pharmacist | 2302 Brown Rd, Imperial, CA 92251 | 2014-02-27 |
| 1245414580 | Donald Ray Garsh | Dentist | 2302 Brown Rd, Imperial, CA 92251 | 2007-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134656317 | Fronteras Interpreting | Interpreter | 284 W La Paz Drive, Imperial, CA 92251 | 2017-05-18 |
| 1639613128 | Surgery Centers of Imperial Valley Inc | Clinic/Center | 2402 Business Parkway, Suite 101, Imperial, CA 92251 | 2016-12-19 |
| 1508010315 | Bethzyra Guevara | Rehabilitation Counselor | 624 Ruby Street, Imperial, CA 92251 | 2008-11-06 |
| 1396929345 | Byron Justus | Dentist | 2387 Us Highwy 86, Imperial, CA 92251 | 2007-12-27 |
| 1154503894 | Gary G Cummings | Dentist | 2302 Brown Rd., Centinela State Prison, Imperial, CA 92251 | 2007-12-05 |
| 1396925160 | Dave Sat Khatri | Internal Medicine | 2302 Brown Road, Centinela State Prison, Imperial, CA 92251 | 2007-11-09 |
| 1336289818 | Herbert Ray Bumgart Jr. | Rehabilitation Counselor | 1295 State St Suite 106, El Centro, CA 92251 | 2007-02-07 |
| 1578668976 | Volunteers of America Southwest California | Skilled Nursing Facility | 100 E. Second Street, Imperial, CA 92251 | 2006-09-13 |
| 1598780736 | Bernardo Ng | Psychiatry & Neurology | 2417 Marshall Ave, Ste 1, Imperial, CA 92251 | 2006-07-12 |
| 1750348033 | Imperial Valley Family Care Medical Group | Clinical Medical Laboratory | 516 West Aten Road, Suite 3, Imperial, CA 92251 | 2006-04-28 |
| Find all providers in zip 92251 | ||||
| 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 |
|---|---|---|---|---|
| 1336372713 | Shannon Marie Antypas | Pharmacist | 103 W Allegheny Rd, Imperial, PA 15126-9779 | 2009-09-01 |
| 1205948916 | Community Pharmacy | Pharmacist | 117 N Imperial Ave, Imperial, CA 92251-1262 | 2006-08-31 |
| 1508887886 | Dianne Harms | Pharmacist | 1324 Broadway, Imperial, NE 69033-0597 | 2006-07-21 |
| 1679128789 | Adam Hernley | Pharmacist | 103 W Allegheny Rd, Imperial, PA 15126-9779 | 2019-08-06 |
| 1699337659 | Matthew R Miller | Pharmacist | 103 W Allegheny Rd, Imperial, PA 15126-9779 | 2019-06-30 |
| 1902371370 | Stephanie Rae Stuparitz | Pharmacist | 103 W Allegheny Rd, Imperial, PA 15126-9779 | 2018-10-11 |
| 1144732256 | Stephanie Leeann Mitchell | Pharmacist | 103 W Allegheny Rd, Imperial, PA 15126-9779 | 2017-10-30 |
| 1770038762 | Cassandra Bloor | Pharmacist | 103 W Allegheny Rd, Imperial, PA 15126-9779 | 2016-08-18 |
| 1134533490 | Rite Aid | Pharmacist | 103 W Allegheny Rd, Imperial, PA 15126-9779 | 2014-06-16 |
| 1811312895 | Jackie M Bacuzzi-cowdrick | Pharmacist | 2302 Brown Rd, Imperial, CA 92251 | 2014-02-27 |
| Find all providers in IMPERIAL | ||||
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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.