DR. JESSICA MARIE PEREZ (NPI# 1265030480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265030480 |
| Entity Type | Individual |
| Full Name | DR. JESSICA MARIE PEREZ |
| Credential | PHARMD |
| Practice Address |
1276 N Main St Crown Point IN 46307-2757 |
| Practice Telephone | 2196620200 |
| Practice Fax Number | 2196637603 |
| Mailing Telephone | 2196620200 |
| Mailing Fax Number | 2196637603 |
| Enumeration Date | 2020-10-09 |
| Last Update Date | 2020-10-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 26027302A | IN | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366936221 | Jessica Perez | Nurse Practitioner | 4695 Nw 112th Ct, Doral, FL 33178-4347 | 2018-06-14 |
| 1902302904 | Jessica Perez | Behavior Technician | 3750 Dunes Rd, Palm Beach Gardens, FL 33410-2346 | 2018-03-30 |
| 1770082679 | Jessica Perez | Behavior Technician | 2030 Grant Ave, Opa Locka, FL 33054-2849 | 2018-02-06 |
| 1376041186 | Jessica Perez | Behavior Technician | 1947 Galileo Ct Ste St101, Davis, CA 95618-4882 | 2018-01-26 |
| 1275058711 | Jessica Perez | Social Worker | 10929 Crabapple Rd Ste 203c, Roswell, GA 30075-7657 | 2017-08-05 |
| 1629523873 | Jessica Perez | Licensed Practical Nurse | 250 W Juniper Ave Unit 91, Gilbert, AZ 85233-3953 | 2016-08-17 |
| 1265823553 | Jessica Marie Perez | Speech-Language Pathologist | 1623 Goodyear Ave Ste A, Ventura, CA 93003-5805 | 2015-02-09 |
| 1962839290 | Jessica Perez | Counselor | 480 East 13th Street, Building, Merced, CA 95341 | 2013-10-01 |
| 1811334055 | Jessica Enid Perez | Occupational Therapist | 198-01c 67th Ave, Apt 1a, Fresh Meadows, NY 11365 | 2013-05-29 |
| 1689018640 | Jessica Perez | Behavioral Analyst | 540 Tivoli Ave, Coral Gables, FL 33143-6347 | 2013-04-22 |
| Street Address |
1276 N MAIN ST |
| City | CROWN POINT |
| State | IN |
| Zip Code | 46307-2757 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245286632 | American Partners Lp | Durable Medical Equipment & Medical Supplies | 1276 N Main St, Crown Point, IN 46307 | 2006-05-26 |
| 1750997649 | Elizabeth Davidson | Pharmacist | 1276 N Main St, Crown Point, IN 46307-2757 | 2020-09-16 |
| 1528611670 | Michael Stephen Gray | Pharmacist | 1276 N Main St, Crown Point, IN 46307-2757 | 2019-07-18 |
| 1740636208 | Samantha Grigus | Pharmacist | 1276 N Main St, Crown Point, IN 46307-2757 | 2016-05-13 |
| 1457739799 | Angela Fratto | Pharmacist | 1276 N Main St, Crown Point, IN 46307-2757 | 2015-05-06 |
| 1265855365 | Heather Arnold | Pharmacist | 1276 N Main St, Crown Point, IN 46307-2757 | 2014-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972117935 | Alimat O Biokoro | Home Health Aide | 1446 W 94th Ct., Crown Point, IN 46307 | 2020-09-06 |
| 1508489931 | Gentle Hearts Cardiovascular Institution LLC | Internal Medicine | 5221 W Lincoln Hwy, Suite 1a, Crown Point, IN 46307 | 2020-05-20 |
| 1659933646 | Darshak Joshi | Physical Therapist | 860 Stillwater Parkway, Crown Point, IN 46307 | 2019-07-01 |
| 1215592001 | Jamie Monday | Counselor | 1416 East Joliet St., Crown Point, IN 46307 | 2019-05-07 |
| 1790281152 | Tempus Labs Inc. | Clinical Medical Laboratory | 9800 Connecticut Drive, Suite A2-100, Crown Point, IN 46307 | 2018-04-04 |
| 1669991170 | Katie Lynn Eich | Counselor | 1308 N. Main St, Crown Point, IN 46307 | 2017-09-15 |
| 1053847251 | Nicole Bashan Lewis | Counselor | 1325 W 98th Ave, Crown Point, IN 46307 | 2017-05-08 |
| 1710433008 | Paul Alvin Clavecilla | Physical Therapist | 1099 South Main St., Apt. 314, Crown Point, IN 46307 | 2016-08-28 |
| 1851761365 | Cynthia Catherine Grass Black | Social Worker | 8592 Bell Lane, Crown Point, IN 46307 | 2015-09-28 |
| 1326437799 | Ameya Dorsatwar | Physical Therapist | 1516 North Main St, Crown Point, IN 46307 | 2015-01-22 |
| Find all providers in zip 46307 | ||||
| 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 |
|---|---|---|---|---|
| 1386027597 | Christine Hall | Pharmacist | 2052 Hidden Valley Dr, Crown Point, IN 46307-9331 | 2015-07-07 |
| 1083983076 | James Denton | Pharmacist | 1520 S. Court Street, Crown Point, IN 46307 | 2011-12-20 |
| 1518236801 | James M Blanco | Pharmacist | 10732 Martinique Ln, Crown Point, IN 46307-9448 | 2011-12-15 |
| 1548546633 | Thomas N Barnett | Pharmacist | 9915 Monroe St, Crown Point, IN 46307-5445 | 2011-11-02 |
| 1194009381 | Andrew J Kasianchuk | Pharmacist | 651 Harvest Ct, Crown Point, IN 46307-2954 | 2011-10-05 |
| 1972885887 | Teresa M Andrade | Pharmacist | 5096 E 105th Ln, Crown Point, IN 46307-7610 | 2011-09-16 |
| 1023116902 | James Sluis | Pharmacist | Adam Benjamin Jr. Outpatient Clinic, 9300 South Broadway, Crown Point, IN 46307 | 2006-09-21 |
| 1790392744 | Gregory Scott Bowers | Pharmacist | 9301 Madison St, Crown Point, IN 46307-7745 | 2020-09-24 |
| 1750997649 | Elizabeth Davidson | Pharmacist | 1276 N Main St, Crown Point, IN 46307-2757 | 2020-09-16 |
| 1508495177 | Anthony P Labriola | Pharmacist | 2272 N Main St, Crown Point, IN 46307-1802 | 2020-04-06 |
| Find all providers in CROWN POINT | ||||
| City | CROWN POINT |
| Zip Code | 46307 |
Please comment or provide details below to improve the information on DR. JESSICA MARIE PEREZ.
| 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.