STEPHANIE PECK-WHEELER


Address: 3851 Rosecrans St, Ms P-507-j, San Diego, CA 92110-3115
Phone: 6196928037

STEPHANIE PECK-WHEELER (NPI# 1639170053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1639170053
Entity Type Individual
Full Name STEPHANIE PECK-WHEELER
Credential PHARM.D.
Practice Address 3851 Rosecrans St
Ms P-507-j
San Diego
CA 92110-3115
Mailing Address 3944 Del Mar Ave
San Diego
CA 92107-3735
Practice Telephone 6196928037
Practice Fax Number 6196926696
Mailing Telephone 6192250042
Enumeration Date 2005-08-09
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1835P1300X Pharmacist
Specialization: Psychiatric
39114 CA Pharmacy Service Providers

Office Location

Street Address 3851 ROSECRANS ST
MS P-507-J
City SAN DIEGO
State CA
Zip Code 92110-3115

Providers in the same location

NPI Name Taxonomy Address Enumeration
1801494919 Jacquelyn Gaynor Registered Nurse 3851 Rosecrans St, San Diego, CA 92110-3115 2020-10-12
1780282871 Soofia Khan Registered Nurse 3851 Rosecrans St, San Diego, CA 92110-3115 2020-10-12
1083212336 Gabriela Maria Miller Registered Nurse 3851 Rosecrans St, San Diego, CA 92110-3115 2020-10-09
1770180101 Nadia Contreras Counselor 3851 Rosecrans St, San Diego, CA 92110-3115 2020-10-08
1841897717 Mary Rebecca Miller Registered Nurse 3851 Rosecrans St, San Diego, CA 92110-3115 2020-10-05
1598371684 Reanna Beshelle Craig Registered Nurse 3851 Rosecrans St, San Diego, CA 92110-3115 2020-09-23
1578170635 Alisa Sathirabarabongse Registered Nurse 3851 Rosecrans St, San Diego, CA 92110-3115 2020-09-23
1962018465 Erik Mantsch Registered Nurse 3851 Rosecrans St, San Diego, CA 92110-3115 2020-09-20
1972118248 Vera Miller Registered Nurse 3851 Rosecrans St, San Diego, CA 92110-3115 2020-09-13
1114532629 Jeffrey Michael Conti Registered Nurse 3851 Rosecrans St, San Diego, CA 92110-3115 2020-09-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669021713 Ruben Daniel Gutierrez Marriage & Family Therapist 4141 Pacific Coast Hwy, San Diego, CA 92110 2019-09-10
1548724081 Denise Ellen Thompson Counselor 3255 Wings Street, San Diego, CA 92110 2019-01-29
1801378716 Michelle Lisa Jean Crawford Student in an Organized Health Care Education/Training Program 3767 Central Avenue, San Diego, CA 92110 2018-09-06
1427539048 Allison Turrell Case Manager/Care Coordinator 4930 Naples Street, San Diego, CA 92110 2018-08-22
1750872768 Matthew Langworthy Physical Therapist 3405 Kenyon St Ste 212, San Diego, CA 92110 2018-05-24
1245748342 The One Health Boutique, LLC Chiropractor 5350 Riley St, San Diego, CA 92110 2018-01-11
1437670155 Monique A Fernandez Counselor 3132 Jefferson Street, San Diego, CA 92110 2017-07-03
1538510391 Mayu Winters Registered Nurse 853 Rosecrans St, San Diego, CA 92110 2016-06-23
1376998864 Briniti Ichull Specialist 3941 Kurtz St, San Diego, CA 92110 2016-05-03
1912352576 Healthcare Services, Inc. Substance Abuse Rehabilitation Facility 3880 Rosecrans Street, San Diego, CA 92110 2016-05-02
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Taxonomy Information

Taxonomy Code 1835P1300X
Grouping Pharmacy Service Providers
Classification Pharmacist
Specialization Psychiatric

Taxonomy Definition

A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing care of patients with psychiatric illness by assessing and monitoring patients, recognizing drug-induced problems, and recommending appropriate treatment plans.
Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified title, added definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1083616874 Kelly C Lee Pharmacist 140 Arbor Drive, San Diego, CA 92103-0000 2005-08-11
1073511390 Michael L. Ross Pharmacist 11878 Avenue of Industry, San Diego, CA 92128-3423 2005-07-11
1528255338 Danielle Kay Strack Pharmacist 200 W Arbor Dr, Uc San Diego Health System #8765, San Diego, CA 92103-9000 2007-09-26
1013947647 Lisa Arai Pharmacist 3350 La Jolla Village Dr, San Diego, CA 92161-0002 2006-07-03
1649227752 Benjamin Robert Dishman Pharmacist 3350 Lajolla Village Dr., San Diego, CA 92161-0001 2006-05-27
1932108131 Jonathan Lacro Pharmacist 3350 La Jolla Village Dr, San Diego, CA 92161-0002 2005-07-19

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1205457918 Abdulla Nooristani Pharmacist 3630 Business Dr Ste D, Sacramento, CA 95820-2179 2020-05-04
1811534878 Susan Lee Pharmacist 9362 Canterbury Ln, Garden Grove, CA 92841-3415 2019-12-09
1669963294 Geoffrey Charles Henrietta Pharmacist 19205 Almond Rd, Castro Valley, CA 94546-3033 2018-05-18
1689034498 Meredyth Keast-devine Pharmacist 4875 Shadow Canyon Rd Bldg B, Templeton, CA 93465-9714 2016-03-07
1922330638 Christopher Ching Pharmacist 1380 Howard St # 130, San Francisco, CA 94103-2638 2010-02-04
1588856850 Luriko Jean Ajari Pharmacist 2356 Sutter Street, Fourth Floor, San Francisco, CA 94115-1648 2007-08-10
1104020841 Mark David Watanabe Pharmacist 1380 Howard St Rm 130, San Francisco, CA 94103 2007-06-14
1568672400 Van Viet Do Pharmacist 2418 Hummel Ct, San Jose, CA 95148-2510 2007-05-22
1861610693 Bruce David Miller Pharmacist 3057 S Higuera St, Spc # 53, San Luis Obispo, CA 93401-6625 2007-04-24
1316009830 Michael Francis Pondrom Pharmacist 590 N Vermont Ave, Los Angeles, CA 90004-2115 2006-12-14
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Competitor

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City SAN DIEGO
Zip Code 92110

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Dataset Information

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.

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