DR. SHANE LEE JEROMINSKI (NPI# 1326324997) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326324997 |
| Entity Type | Individual |
| Full Name | DR. SHANE LEE JEROMINSKI |
| Credential | PHARM D. |
| Practice Address |
78218 Varner Rd Palm Desert CA 92211-4134 |
| Practice Telephone | 7602004382 |
| Practice Fax Number | 7607720825 |
| Mailing Telephone | 7602004382 |
| Mailing Fax Number | 7607720825 |
| Enumeration Date | 2011-10-27 |
| Last Update Date | 2011-10-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 60543 | CA | Pharmacy Service Providers |
| Street Address |
78218 VARNER RD |
| City | PALM DESERT |
| State | CA |
| Zip Code | 92211-4134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528252178 | Walgreen Co | Pharmacy | 78218 Varner Rd, Palm Desert, CA 92211-4134 | 2007-08-28 |
| 1427531243 | Ray Hongrui Zang | Pharmacist | 78218 Varner Rd, Palm Desert, CA 92211-4134 | 2018-09-07 |
| 1992286397 | Christine Vivi Tran | Pharmacist | 78218 Varner Rd, Palm Desert, CA 92211-4134 | 2018-08-23 |
| 1558648659 | Fredi Shalita | Pharmacist | 78218 Varner Rd, Palm Desert, CA 92211-4134 | 2011-11-03 |
| 1629353073 | Michael Morcos | Pharmacist | 78218 Varner Rd, Palm Desert, CA 92211-4134 | 2011-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780293936 | Childnet Youth and Family Services, Inc. | Community/Behavioral Health | 42-600 Cook Street, Suite 100, Palm Desert, CA 92211 | 2020-07-23 |
| 1003457607 | Catherine Krumplitsch | Technician | 41430 Kansas Street, Palm Desert, CA 92211 | 2019-10-04 |
| 1942702055 | Executive Recovery Group, Inc | Clinic/Center | 77725 Enfield Ln # 100-200, Palm Desert, CA 92211 | 2018-03-05 |
| 1992248918 | West Coast Surgery Inc | Orthopaedic Surgery | 36915 Cook Street, Suite 103 B, Palm Desert, CA 92211 | 2016-11-22 |
| 1063963098 | Therese Tudor | Physical Therapist | 77-682 Country Club Drive, Suite G, Palm Desert, CA 92211 | 2016-10-14 |
| 1609249663 | John D Rasmussen | Anesthesiology | 160 Running Spring Drive, Palm Desert, CA 92211 | 2015-11-12 |
| 1033580113 | Executive Recovery Group, Inc | Substance Abuse Rehabilitation Facility | 35450 Pegasus Ct, Palm Desert, CA 92211 | 2015-10-14 |
| 1861862146 | Artur Sarkisyan | Dentist | 34-460 Monterey Ave Ste 100, Palm Desert, CA 92211 | 2015-09-30 |
| 1649686833 | Annamaria Valenzuela | Licensed Vocational Nurse | 77-777 Country Club Drive, Apt 235, Palm Desert, CA 92211 | 2014-07-08 |
| 1265876759 | Guardian Angel Home Care, Inc. | Home Health | 41865 Boardwalk, Suite 215, Palm Desert, CA 92211 | 2013-04-26 |
| Find all providers in zip 92211 | ||||
| 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 |
|---|---|---|---|---|
| 1578029195 | Madonna Emad Anwer | Pharmacist | 41865 Boardwalk # 1b, Palm Desert, CA 92211-9026 | 2019-02-19 |
| 1992272421 | Sarah Baik | Pharmacist | 72314 Ca-111, Palm Desert, CA 92260 | 2018-11-02 |
| 1447766506 | Sherry Chak | Pharmacist | 125 Arezzo Ct, Palm Desert, CA 92211-0715 | 2017-12-27 |
| 1992232748 | Gregory Collins | Pharmacist | 39575 Washington St Ste 103, Palm Desert, CA 92211-4152 | 2017-05-11 |
| 1649726803 | Ngoc Dung Kline | Pharmacist | 38610 Desert Mirage Dr, Palm Desert, CA 92260-0606 | 2016-08-28 |
| 1174909972 | Weilin Kuo | Pharmacist | 72314 Highway111, Palm Desert, CA 92260 | 2015-08-04 |
| 1255717203 | Hedyehsadat Akhavan | Pharmacist | 18 Belmonte Dr, Palm Desert, CA 92211-9073 | 2015-07-31 |
| 1962807834 | Hoadon Nguyen | Pharmacist | 75060 Gerald Ford Dr, Suite #2, Palm Desert, CA 92211-2080 | 2014-11-04 |
| 1164839916 | Lori Lynn Arnold | Pharmacist | 40096 Sagewood Dr, Palm Desert, CA 92260-2321 | 2014-07-14 |
| 1619383452 | Christiane Claude-richards | Pharmacist | 72-624 El Paseo, Ste A1, Palm Desert, CA 92260 | 2014-07-01 |
| Find all providers in PALM DESERT | ||||
| City | PALM DESERT |
| Zip Code | 92211 |
Please comment or provide details below to improve the information on DR. SHANE LEE JEROMINSKI.
| 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.