JONATHAN MITSUO COURAGE (NPI# 1477906147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477906147 |
| Entity Type | Individual |
| Full Name | JONATHAN MITSUO COURAGE |
| Credential | PHARM.D. |
| Practice Address |
170 Inner Loop Road Building 170 Fort Irwin CA 92310 |
| Mailing Address |
3895 Granite Pass Rd Apt. A Fort Irwin CA 92310-1856 |
| Practice Telephone | 7603807349 |
| Mailing Telephone | 4126080832 |
| Enumeration Date | 2016-07-19 |
| Last Update Date | 2016-07-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PS50656 | FL | Pharmacy Service Providers |
| Street Address |
170 INNER LOOP ROAD BUILDING 170 |
| City | FORT IRWIN |
| State | CA |
| Zip Code | 92310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457313132 | Robin S. Lindsay | Nurse Practitioner | 170 Inner Loop Road, Mary Walker Clinic, Fort Irwin, CA 92310 | 2006-04-06 |
| 1104398429 | Lytosia Denise Sutton | Dental Assistant | 170 Inner Loop Road, Fort Irwin, CA 92310 | 2018-12-27 |
| 1932689726 | Matthew Tran Pham | Dentist | 170 Inner Loop Road, Fort Irwin, CA 92310 | 2018-08-21 |
| 1023597333 | Stephanie Heejin Chung | Dentist | 170 Inner Loop Road, Fort Irwin, CA 92310 | 2018-08-08 |
| 1376029991 | Paul Chung | Dentist | 170 Inner Loop Road, Fort Irwin, CA 92310 | 2018-07-17 |
| 1285122358 | Claudia Berenice Pascua | Dental Hygienist | 170 Inner Loop Road, Fort Irwin, CA 92310 | 2018-04-24 |
| 1245757533 | Tyler Lincoln Randall | Physical Therapist | 170 Inner Loop Road, Fort Irwin, CA 92310 | 2017-08-28 |
| 1164747010 | Christina Diane Casas | Pediatrics | 170 Inner Loop Road, Pediatric Clinic, Fort Irwin, CA 92310 | 2010-04-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972100568 | Kellyann Michelle Francis | Dental Hygienist | 171, 4th St., Fort Irwin, CA 92310 | 2020-10-06 |
| 1598362253 | Lauren Elisabeth O'keefe | Dental Hygienist | 172 4th Street, Fort Irwin, CA 92310 | 2020-10-06 |
| 1215583737 | Lyra Angelica Velayo Matin | Marriage & Family Therapist | Bldg 390 N Loop Road, Fort Irwin, CA 92310 | 2019-08-12 |
| 1003384629 | Gary Barrow | Chiropractor | 390 Outerloop Rd, Fort Irwin, CA 92310 | 2018-11-13 |
| 1801373055 | Lee John Bizon Jr. | Nurse Practitioner | 390 North Loop Rd, Fort Irwin, CA 92310 | 2018-07-20 |
| 1619489937 | Ronda Marie Shiro | Dental Assistant | 171 Inner Loop Rpad, Fort Irwin, CA 92310 | 2017-10-26 |
| 1841713195 | James Degroot | Registered Nurse | Weed Army Community Hospital 390 North Loop Rd., Fort Irwin, CA 92310 | 2017-07-19 |
| 1356897615 | Alan Josiah Mills II | Dental Assistant | Bldg 171, 4th & Inner Loop Road, Fort Irwin, CA 92310 | 2016-08-28 |
| 1568917136 | Kathryn Paine | Physical Therapist | Building 390, North Loop Rd, Fort Irwin, CA 92310 | 2016-08-23 |
| 1487003588 | Kristyn Lauren Ollison | Dental Assistant | Bldg 248 A Meddac, Fort Irwin, CA 92310 | 2016-06-09 |
| Find all providers in zip 92310 | ||||
| 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 |
|---|---|---|---|---|
| 1982005757 | Andrew Loeffler | Pharmacist | Building 170 Inner Loop Rd, Fort Irwin, CA 92310-1425 | 2014-09-11 |
| 1770828451 | Albert Camacho | Pharmacist | 170 Inner Loop Cr, Room 207- Mary Walker Clinic, Fort Irwin, CA 92310-5109 | 2012-12-06 |
| 1124398367 | Michele Marie Kislan | Pharmacist | Building 390, N Loop Road, Fort Irwin, CA 92310 | 2012-01-05 |
| 1972788529 | Cindy Phi Nguyen | Pharmacist | Bldg 170 Room 412, Mary E Walker Clinic Health Population, Fort Irwin, CA 92310-5109 | 2008-01-02 |
| 1568644847 | Andy Cang Nguyen | Pharmacist | Wach Pharmacy Service, Bldg 170 Rm 207, Fort Irwin, CA 92310 | 2007-11-29 |
| 1952553000 | Mary Sue Bjurstrom | Pharmacist | Inner Loop Bldg 170, Mary Walker Clinic, Fort Irwin, CA 92310-5109 | 2008-10-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356942023 | Kevin Thach Le | Pharmacist | 610 San Gabriel Ave Apt B, Albany, CA 94706-1469 | 2020-11-08 |
| 1902407836 | Christina Tochau Nguyen | Pharmacist | 5219 Rainwood St, Simi Valley, CA 93063-5019 | 2020-11-06 |
| 1487255626 | Olakitan Adegbesan | Pharmacist | 1525 254th St, Harbor City, CA 90710-2716 | 2020-11-04 |
| 1043811516 | Anthony Luu | Pharmacist | 22231 Hazel Crst, Mission Viejo, CA 92692-1086 | 2020-11-02 |
| 1780284315 | Sally Berresse | Pharmacist | 21921 Long Trot Dr, Escondido, CA 92029-5936 | 2020-11-01 |
| 1306446935 | Ryan Tran | Pharmacist | 81875 Avenue 48 Apt 171, Indio, CA 92201-6720 | 2020-11-01 |
| 1003416686 | Marleyna Daughters | Pharmacist | 25 Saint Paul Ln, Laguna Niguel, CA 92677-9374 | 2020-10-31 |
| 1740880772 | Lori Ann Vrabel | Pharmacist | 17 Del Rio Ct, Saint Helena, CA 94574-1246 | 2020-10-28 |
| 1508466806 | Denise Yeung | Pharmacist | 2571 Evergreen Dr, San Bruno, CA 94066-1715 | 2020-10-27 |
| 1588264915 | Christina Thanh Nguyen | Pharmacist | 1810 W Moore Ave, Santa Ana, CA 92704-6131 | 2020-10-26 |
| Find all providers with the same taxonomy | ||||
| City | FORT IRWIN |
| Zip Code | 92310 |
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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.