JESSE JAMES MALDONADO (NPI# 1417313750) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417313750 |
| Entity Type | Individual |
| Full Name | JESSE JAMES MALDONADO |
| Practice Address |
100 Carlos G Parker Blvd Taylor TX 76574 |
| Practice Telephone | 5123522024 |
| Mailing Telephone | 5123522024 |
| Enumeration Date | 2015-12-31 |
| Last Update Date | 2015-12-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 51691 | TX | Pharmacy Service Providers |
| Street Address |
100 CARLOS G PARKER BLVD |
| City | TAYLOR |
| State | TX |
| Zip Code | 76574 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902388242 | Marisa Rickerson | Speech-Language Pathologist | Spjst, 1810 Old Granger Rd, Tayloe, TX 76574 | 2018-09-04 |
| 1841786134 | Deanna Cole | Registered Nurse | 2503 Donna Drive, Taylor, TX 76574 | 2018-07-10 |
| 1720443161 | Ace Dental03 PC | Dentist | 100 Carlos G. Parker Blvd, 110, Taylor, TX 76574 | 2015-12-30 |
| 1770812653 | Jina Morris | Pharmacist | 1610 N. Main St., Taylor, TX 76574 | 2009-12-23 |
| 1306066618 | Dental Professionals of Taylor, P.l.l.c. | Clinic/Center | 1611 Old Granger Road, Suite A, Taylor, TX 76574 | 2007-04-27 |
| 1134258197 | Vernon Robert Bender | Dentist | 1611 Old Granger Rd, Taylor, TX 76574 | 2007-03-05 |
| 1528100898 | Taylor Care Center | Nursing Facility/Intermediate Care Facility | 212 East Lake Dr., Taylor, TX 76574 | 2007-02-13 |
| 1376613679 | Paul Anthony Burow | Chiropractor | 612 North Main Street, Taylor, TX 76574 | 2006-11-08 |
| 1306948765 | Ronald P Werner | Dentist | 501 Mallard Lane, Taylor, TX 76574 | 2006-09-05 |
| 1710096151 | H-e-b, Lp | Clinical Medical Laboratory | 100 Carlos G Parker Blvd Nw Ste 101, Taylor, TX 76574 | 2006-08-30 |
| Find all providers in zip 76574 | ||||
| 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 |
|---|---|---|---|---|
| 1043839020 | Soma Aqeel Mirza | Pharmacist | 15549 Dupage Blvd, Taylor, MI 48180-6024 | 2020-04-10 |
| 1821564949 | Joseph Kyle Allen | Pharmacist | 3768 Papermill Rd, 1614, Taylor, AZ 85939 | 2018-10-16 |
| 1447608583 | Med Mart Pharmacy LLC | Pharmacist | 25850 Eureka Rd, Taylor, MI 48180-4924 | 2016-05-31 |
| 1760766141 | Boniface Ifeanyi Ezeokoli | Pharmacist | 9475 E Pickwick Cir, #28, Taylor, MI 48180-3857 | 2011-10-04 |
| 1598084345 | Tracy Lee Trest | Pharmacist | 100 N W Carlos G. Parker Blvd, Ste 101, Taylor, TX 76574-7060 | 2010-05-19 |
| 1770812653 | Jina Morris | Pharmacist | 1610 N. Main St., Taylor, TX 76574 | 2009-12-23 |
| 1548393002 | Mofid Beydoun | Pharmacist | 5811 Telegraph Rd, Taylor, MI 48180-1214 | 2007-03-13 |
| 1992838452 | Donna M Beydoun | Pharmacist | 9155 Telegraph Rd, Taylor, MI 48180-2365 | 2007-03-13 |
| 1659396174 | Charles Allen Dutcher | Pharmacist | 660 N. Main, Taylor, AZ 85939-0919 | 2006-07-13 |
| 1881619617 | Rhett Flake | Pharmacist | 660 N Main St, Taylor, AZ 85939 | 2006-07-13 |
| Find all providers in TAYLOR | ||||
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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.