JESSICA MAH (NPI# 1326607268) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326607268 |
| Entity Type | Individual |
| Full Name | JESSICA MAH |
| Practice Address |
5060 Foothills Blvd Roseville CA 95747-6500 |
| Practice Telephone | 9167822720 |
| Enumeration Date | 2019-06-12 |
| Last Update Date | 2019-06-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 75049 | CA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144835307 | Jessica Danielle Mah | Physical Therapist | 3000 Erwin Rd, Durham, NC 27705-4504 | 2020-09-14 |
| Street Address |
5060 FOOTHILLS BLVD |
| City | ROSEVILLE |
| State | CA |
| Zip Code | 95747-6500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215974647 | Lucky Stores II LLC | Pharmacy | 5060 Foothills Blvd, Roseville, CA 95747-6500 | 2006-06-02 |
| 1366696841 | Erin Kathleen Tessendorff | Pharmacist | 5060 Foothills Blvd, Roseville, CA 95747-6500 | 2008-11-10 |
| 1144364225 | Save Mart Supermarkets | Pharmacy | 5060 Foothills Blvd, Roseville, CA 95747-6500 | 2007-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215407051 | Clifford Leo Faubert | Nurse Practitioner | 1937 Ellesmere Loop, Roseville, CA 95747 | 2018-12-04 |
| 1821577172 | Adam Botwinik | Psychologist | 8849 Cook Riolo Road, Roseville, CA 95747 | 2018-08-08 |
| 1093231201 | Heather Mairi Ybarra | Behavior Technician | 4216 Wyman Way, Roseville, CA 95747 | 2017-08-18 |
| 1881114650 | Bridget Bell | Behavior Technician | 8202 Tail Race Dr, Roseville, CA 95747 | 2017-06-22 |
| 1760911192 | Laura Marie Hummel | Massage Therapist | 9077 Foothills Blvd. Suite 200, Roseville, CA 95747 | 2017-06-08 |
| 1184975625 | Whitney Anne Wright | Marriage & Family Therapist | 7517 Locomotive Ln, Roseville, CA 95747 | 2012-09-24 |
| 1962764290 | Panumas Soukaroon | Physical Medicine & Rehabilitation | Glenwood Springs Way, Roseville, CA 95747 | 2012-06-12 |
| 1134487366 | Tatyana Serikov | Dental Hygienist | 616 Treviso Ct, Roseville, CA 95747 | 2012-04-25 |
| 1720352099 | Peggy Holcomb | Clinical Neuropsychologist | 4010 Foothills Bvld., Ste. 103-3, Roseville, CA 95747 | 2012-03-02 |
| 1740577220 | Laina Marie Haider | Occupational Therapist | 7950 Footthills Blvd, The Bridges At Woodcreek Oaks, Roseville, CA 95747 | 2011-07-05 |
| Find all providers in zip 95747 | ||||
| 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 |
|---|---|---|---|---|
| 1053928143 | Daina Saati | Pharmacist | 1617 Grey Owl Cir, Roseville, CA 95661-4006 | 2020-09-23 |
| 1134766330 | Wazhma Mahshour | Pharmacist | 4165 Shorthorn Way, Roseville, CA 95747-4204 | 2019-12-06 |
| 1639734460 | John Dennis Snider Iv | Pharmacist | Sutter Roseville Medical Center Emergency Department, 1 Medical Plaza Dr, Roseville, CA 95661-3037 | 2019-05-07 |
| 1558830067 | Christine Marie Dakkak | Pharmacist | Raley's Pharmacy #227, 1915 Douglas Blvd, Roseville, CA 95661-0000 | 2018-11-14 |
| 1265932503 | Zeeshan H Toor | Pharmacist | 16970 E 13 Mile Rd, Roseville, MI 48066-7719 | 2018-02-13 |
| 1164958781 | Cesar A Olmedo | Pharmacist | 8800 Sierra College Blvd, Apt 633, Roseville, CA 95661-6414 | 2017-05-02 |
| 1568997641 | Joline Trinh | Pharmacist | 1030 Pleasant Grove Boulevard, Roseville, CA 95678 | 2017-04-26 |
| 1629509203 | Banafsheh Asadi Lee | Pharmacist | 1608 Avondale Dr, Roseville, CA 95747-8389 | 2017-03-24 |
| 1639543614 | Vy Nguyen | Pharmacist | 516 Amberly Ct, Roseville, CA 95747-9530 | 2015-11-13 |
| 1922478874 | Thuan Do | Pharmacist | 3030 Centre Pointe Dr Ste 800, Roseville, MN 55113-1142 | 2015-10-05 |
| Find all providers in ROSEVILLE | ||||
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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.