DR. FREDERICK BOYD AUTENRIEB (NPI# 1245773803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245773803 |
| Entity Type | Individual |
| Full Name | DR. FREDERICK BOYD AUTENRIEB |
| Credential | PHARM.D. |
| Practice Address |
795 Joaquin St Susanville CA 96130-3628 |
| Practice Telephone | 5302578581 |
| Mailing Telephone | 5302578581 |
| Enumeration Date | 2016-11-29 |
| Last Update Date | 2016-11-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 0202206987 | VA | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | 57145 | CA | Pharmacy Service Providers |
| Street Address |
795 JOAQUIN ST |
| City | SUSANVILLE |
| State | CA |
| Zip Code | 96130-3628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275539793 | Lassen Indian Health Center | Clinic/Center | 795 Joaquin St, Susanville, CA 96130-3628 | 2005-06-21 |
| 1538669502 | Mary Jane Webb | Licensed Vocational Nurse | 795 Joaquin St, Susanville, CA 96130-3628 | 2018-02-16 |
| 1881123412 | Debra Marsino | Dental Hygienist | 795 Joaquin St, Susanville, CA 96130-3628 | 2017-06-07 |
| 1710424163 | Debra K. Sokol | Registered Nurse | 795 Joaquin St, Susanville, CA 96130-3628 | 2017-01-24 |
| 1447612627 | Nicolas Milligan | Family Medicine | 795 Joaquin St, Susanville, CA 96130-3628 | 2016-03-25 |
| 1114384229 | Melissa Leilani Garnett | Nurse Practitioner | 795 Joaquin St, Susanville, CA 96130 | 2016-01-20 |
| 1407193170 | Terri Kathleen O'bryan | Social Worker | 795 Joaquin St, Susanville, CA 96130-3628 | 2013-01-14 |
| 1851675367 | Frank R Brower | Pharmacist | 795 Joaquin St, Attn. Pharmacy, Susanville, CA 96130-3628 | 2011-10-03 |
| 1265601207 | Marc Nielsen | Family Medicine | 795 Joaquin St, Susanville, CA 96130-3628 | 2008-02-25 |
| 1124233408 | June Lounette Glenn-lawson | Family Medicine | 795 Joaquin St, Susanville, CA 96130-3628 | 2007-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932753456 | Shaughn Randall Whittaker | Nurse Practitioner | 1860 Paul Bunyan Rd, Susanville, CA 96130 | 2019-08-01 |
| 1871980847 | Katie Gaffney | Acupuncturist | 1850 Spring Ridge Dr., Susanville, CA 96130 | 2015-04-17 |
| 1952678435 | Linda Vixie | Dentist | 3020 Johnstonville Rd., Susanville, CA 96130 | 2011-11-28 |
| 1942503057 | Pamela Sue Vallalvazo | Counselor | 1445 Paul Bunyon Rd., Susanville, CA 96130 | 2010-12-10 |
| 1255631883 | Jessica Smyth | Counselor | 1400 Chestnut Street # A, Susanville, CA 96130 | 2010-10-29 |
| 1295045276 | Danielle Hardy | Counselor | 1400 Chestnut Street Suite A, Susanville, CA 96130 | 2010-10-08 |
| 1982921417 | Ronald Spencer Tucker Jr. | Counselor | 4119 Johnstonville Road, #270503, Susanville, CA 96130 | 2010-04-23 |
| 1609107945 | Timothy J Nolan | Psychologist | 803 1/2 Main St., Suite 104, Susanville, CA 96130 | 2010-01-27 |
| 1528243649 | Daniel Martin Bruce | Case Manager/Care Coordinator | 720-a Richmond Road, Susanville, CA 96130 | 2008-01-08 |
| 1679757785 | Michael Charles Giddings | Dentist | 475 Rice Canyon Rd, Susanville, CA 96130 | 2007-12-26 |
| Find all providers in zip 96130 | ||||
| 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 |
|---|---|---|---|---|
| 1023526977 | David Tabari | Pharmacist | 815 Hall St, Susanville, CA 96130-3732 | 2018-01-12 |
| 1750706289 | Kenneth Templeton | Pharmacist | 475 Rice Canyon Road, Susanville, CA 96127 | 2014-02-20 |
| 1316361769 | James Day | Pharmacist | 711-045 Center Rd, Susanville, CA 96127 | 2014-02-05 |
| 1376833483 | Jason Kerby | Pharmacist | 2960 Main St, Susanville, CA 96130-4730 | 2011-04-10 |
| 1649881616 | Sharon Huang | Pharmacist | 2875 Main St, Susanville, CA 96130-4739 | 2020-08-13 |
| 1376162818 | Rebecca Joan Mcconnell | Pharmacist | 2875 Main St, Susanville, CA 96130-4739 | 2020-04-14 |
| 1780243550 | Jonathan Lee | Pharmacist | 2875 Main St, Susanville, CA 96130-4739 | 2019-06-06 |
| 1356803761 | Matthew Joseph Sokolowski | Pharmacist | 1615 Main St, Susanville, CA 96130-4558 | 2019-04-03 |
| 1053886382 | Jun Zhang | Pharmacist | 2875 Main St, Susanville, CA 96130-4739 | 2018-10-13 |
| 1972011823 | Dean Huynh | Pharmacist | 2900 Main St, Susanville, CA 96130-4730 | 2018-01-12 |
| Find all providers in SUSANVILLE | ||||
| City | SUSANVILLE |
| Zip Code | 96130 |
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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.