CHERYL DAWN JORGENSON (NPI# 1598196446) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598196446 |
| Entity Type | Individual |
| Full Name | CHERYL DAWN JORGENSON |
| Credential | PHARMD. |
| Practice Address |
401 South Jim Wright Freeway Suite 102 Fort Worth TX 76108 |
| Mailing Address |
Po Box 150155 Fort Worth TX 76108-0155 |
| Practice Telephone | 8173674265 |
| Practice Fax Number | 8773615900 |
| Mailing Telephone | 8173674265 |
| Mailing Fax Number | 8772463291 |
| Enumeration Date | 2013-12-03 |
| Last Update Date | 2015-03-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
46801 | TX | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407194152 | Cheryl L Jorgenson | Dietitian, Registered | 13307 Miami Ln, Caldwell, ID 83607-4701 | 2013-01-30 |
| Street Address |
401 SOUTH JIM WRIGHT FREEWAY SUITE 102 |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407488364 | Sharvari Patel | Physical Therapist | 800 Jim Wright Fwy Bldg #2, Fort Worth, TX 76108 | 2020-02-09 |
| 1053778118 | Texas Prosmiles Pllc | Dentist | 9400 Clifford Street, Ste 110, Fort Worth, TX 76108 | 2016-01-20 |
| 1609275981 | Palo Pinto County Hospital District | Skilled Nursing Facility | 7820 Sklyline Park Drive, White Settlement, TX 76108 | 2014-08-22 |
| 1508274895 | Tbhh Investments LLC | Home Health | 403 S Jim Wright Fwy, Ste 160, White Settlement, TX 76108 | 2014-07-30 |
| 1366854267 | Alex Bonnette | Physical Therapist | 9660 Bartlett Cir Ste 708, Fort Worth, TX 76108 | 2014-05-27 |
| 1760700017 | North Texas Ems | Ambulance | 321 Mesa Grande Dr, Fort Worth, TX 76108 | 2010-05-12 |
| 1801036868 | Gary Don Keel | Physician Assistant | #1 Lockheed Blvd., Lockheed Martin Aeronautics Company, Ft. Worth, TX 76108 | 2009-03-03 |
| 1942420211 | Tina Mclendon | Specialist/Technologist, Other | 332 Memory Dr, Fort Worth, TX 76108 | 2007-04-27 |
| 1700901766 | Jennifer E Gamez | Nurse Practitioner | 12001 S. Freeway Suite 205, Burleson, TX 76108 | 2007-03-20 |
| 1194863001 | Roger Wayne Moore | Family Medicine | 1 Lockheed Blvd., Fort Worth, TX 76108 | 2007-02-02 |
| Find all providers in zip 76108 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669810586 | Ralph Winston Jr. | Pharmacist | 3513 Welsh Ct, Fort Worth, TX 76244-9473 | 2013-06-13 |
| 1356640049 | Gregory W Gossman | Pharmacist | 3921 Hwy 377 South, Fort Worth, TX 76116 | 2011-03-21 |
| 1528667961 | Jae Ki Lee | Pharmacist | 6650 N Beach St, Fort Worth, TX 76137-1801 | 2020-10-17 |
| 1053919555 | Chad Weissinger | Pharmacist | 3300 Texas Sage Trl, Fort Worth, TX 76177-8600 | 2020-10-15 |
| 1104437466 | Coy Johnson | Pharmacist | 3300 Texas Sage Trl, Fort Worth, TX 76177-8600 | 2020-08-11 |
| 1053929901 | Brenton C Hall | Pharmacist | 1500 S Main St, Fort Worth, TX 76104-4941 | 2020-07-16 |
| 1033733936 | Kevin Guilbeau | Pharmacist | 6650 N Beach St, Fort Worth, TX 76137-1801 | 2020-06-05 |
| 1699306282 | Phung Trinh | Pharmacist | 9114 Camp Bowie West Blvd, Fort Worth, TX 76116-6023 | 2020-01-31 |
| 1215567961 | Christopher Lowe | Pharmacist | 3510 Altamesa Blvd, Fort Worth, TX 76133-5602 | 2020-01-22 |
| 1821628769 | Tausha Reeves | Pharmacist | 4750 W Bailey Boswell Rd, Fort Worth, TX 76179-4321 | 2020-01-20 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76108 |
Please comment or provide details below to improve the information on CHERYL DAWN JORGENSON.
| 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.