MRS. JENNIFER LEE SANDOVAL (NPI# 1144655879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144655879 |
| Entity Type | Individual |
| Full Name | MRS. JENNIFER LEE SANDOVAL |
| Credential | RPH |
| Practice Address |
508 E Main St Cortez CO 81321-3307 |
| Practice Telephone | 9705656466 |
| Practice Fax Number | 9705652152 |
| Mailing Telephone | 9705656466 |
| Mailing Fax Number | 9705652152 |
| Enumeration Date | 2013-09-12 |
| Last Update Date | 2020-10-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 13576 | CO | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922661941 | Jennifer Louise Sandoval | Early Intervention Provider Agency | 327 6th St Apt A, Lindenhurst, NY 11757-1122 | 2019-04-16 |
| 1396119012 | Jennifer Sandoval | Social Worker | 2063 42nd St, Apt 1, Astoria, NY 11105-1222 | 2015-11-18 |
| 1649265711 | Jennifer Sandoval | Counselor | 01 Sagebrush Street, Isleta, NM 87022 | 2005-09-15 |
| 1992212260 | Jennifer M Sandoval | Specialist/Technologist, Other | 9811 W Charleston Blvd Ste 2-641, Las Vegas, NV 89117-7528 | 2018-01-08 |
| 1952814915 | Jennifer Lacy Sandoval | Counselor | 15602 Se Division St, Portland, OR 97236-2002 | 2017-11-13 |
| 1912377953 | Jennifer M Sandoval | Psychologist | 305 N Harbor Blvd, 317, Fullerton, CA 92832-1990 | 2015-10-02 |
| 1144514118 | Jennifer L Sandoval | Acupuncturist | 2550 E Fort Lowell Rd, Ste B, Tucson, AZ 85716-1514 | 2011-06-07 |
| 1164600383 | Jennifer Sandoval | Licensed Practical Nurse | 1680 Walden Ave, Cheektowaga, NY 14225-4914 | 2008-02-11 |
| 1790971901 | Jennifer Eire Sandoval | Counselor | 414 Front St N, Issaquah, WA 98027-2914 | 2007-09-20 |
| 1467576629 | Jennifer Samantha Sandoval | Psychologist | 1011 Camino Del Mar, Suite 270, Del Mar, CA 92014-2640 | 2007-03-16 |
| Street Address |
508 E MAIN ST |
| City | CORTEZ |
| State | CO |
| Zip Code | 81321-3307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730734021 | James Tanyon Reeves | Pharmacist | 508 E Main St, Cortez, CO 81321-3307 | 2019-08-05 |
| 1427571520 | Sean Kerry Smith | Pharmacist | 508 E Main St, Cortez, CO 81321-3307 | 2017-07-20 |
| 1407299175 | Timothy Edmund Stefanko | Pharmacist | 508 E Main St, Cortez, CO 81321-3307 | 2013-04-12 |
| 1568705796 | Jerry Vandiver | Pharmacist | 508 E Main St, Cortez, CO 81321-3307 | 2013-04-06 |
| 1467795674 | Neal C Hurst | Pharmacist | 508 E Main St, Cortez, CO 81321-3307 | 2013-04-05 |
| 1225064579 | Dillon Companies LLC | Durable Medical Equipment & Medical Supplies | 508 E Main St, Cortez, CO 81321 | 2006-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326667429 | Laurilyn Balfour Sturdevant | Dental Hygienist | 101 N Maple, Cortez, CO 81321 | 2020-04-09 |
| 1306231642 | Mesa View Retirement Home Inc. | Assisted Living Facility | 24760 County Road G, Cortez, CO 81321 | 2015-04-03 |
| 1528464765 | Patricia Nelson | Counselor | 691 E. Empire St., Cortez, CO 81321 | 2014-11-17 |
| 1417366808 | Summit Family Dental of Cortez, Pllc | Dentist | 111 S Sligo, Building A, Cortez, CO 81321 | 2014-08-11 |
| 1528480571 | Kelly Ogle | Registered Nurse | 17575 Road G, Cortez, CO 81321 | 2014-01-10 |
| 1316378821 | Beth A. Carter | Registered Nurse | 106 West North Street, Cortez, CO 81321 | 2013-12-09 |
| 1538596614 | Michael Daniel Grajeda | Physical Therapist | 111 N Park St Ste B, Cortez, CO 81321 | 2013-10-03 |
| 1275879876 | April L. Randle Md Inc | Internal Medicine | 215 Linden St, Suite D, Cortez, CO 81321 | 2012-12-31 |
| 1376827998 | Southwest Colorado Mental Health Center, Inc | Clinic/Center | 691 East Empire, Cortez, CO 81321 | 2011-09-30 |
| 1770879850 | Mark Holton | Marriage & Family Therapist | 1399 Cochita St, Cortez, CO 81321 | 2011-06-27 |
| Find all providers in zip 81321 | ||||
| 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 |
|---|---|---|---|---|
| 1730734021 | James Tanyon Reeves | Pharmacist | 508 E Main St, Cortez, CO 81321-3307 | 2019-08-05 |
| 1013562321 | Daniel Glenn Valverde | Pharmacist | 1835 E Main St, Cortez, CO 81321-3037 | 2019-08-04 |
| 1851863435 | Jennifer Kay Cropp | Pharmacist | 1311 N Mildred Rd, Cortez, CO 81321-2231 | 2018-12-20 |
| 1558830638 | Jade Bryant | Pharmacist | 1311 N Mildred Rd, Cortez, CO 81321-2231 | 2018-11-18 |
| 1568950509 | Kelsey Mccreedy Gilbert | Pharmacist | 1311 N Mildred Rd, Pharmacy, Cortez, CO 81321-2231 | 2018-04-25 |
| 1427571520 | Sean Kerry Smith | Pharmacist | 508 E Main St, Cortez, CO 81321-3307 | 2017-07-20 |
| 1558897645 | Crystal Ward | Pharmacist | 1580 E Main St, Cortez, CO 81321-2934 | 2017-05-10 |
| 1255785234 | Dan Sage | Pharmacist | 1671 E Main St, Cortez, CO 81321-3033 | 2016-04-15 |
| 1144653452 | Svetlana Vyacheslavovna Ferguson | Pharmacist | 1580 E Main St, Cortez, CO 81321-2934 | 2013-08-11 |
| 1407299175 | Timothy Edmund Stefanko | Pharmacist | 508 E Main St, Cortez, CO 81321-3307 | 2013-04-12 |
| Find all providers in CORTEZ | ||||
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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.