JEFFREY WILLIAM WYLIE SAMUELSON


Address: 2175 Market Street, Unit 122, San Francisco, CA 94114-1477
Phone: 6288959508

JEFFREY WILLIAM WYLIE SAMUELSON (NPI# 1649634239) 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) 1649634239
Entity Type Individual
Full Name JEFFREY WILLIAM WYLIE SAMUELSON
Other Name JEFFREY W SAMUELSON
Credential CPHT
Practice Address 2175 Market Street
Unit 122
San Francisco
CA 94114-1477
Mailing Address 1423 Broadway Ste 122
Oakland
CA 94612-2054
Practice Telephone 6288959508
Practice Fax Number 6288959509
Mailing Telephone 5109844916
Mailing Fax Number 5109899089
Enumeration Date 2016-04-08
Last Update Date 2020-09-26
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 183700000X Pharmacy Technician 134195 CA Pharmacy Service Providers

Other Providers JEFFREY SAMUELSON

NPI Name Taxonomy Address Enumeration
1407912678 Jeffrey Neil Samuelson Dermatology 1414 Woodland Ave, Duluth, MN 55803-2624 2006-12-29

Office Location

Street Address 2175 MARKET STREET
UNIT 122
City SAN FRANCISCO
State CA
Zip Code 94114-1477

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1861016883 Eric Robert Holmgren Radiologic Technologist 601 Duboce Ave, North Tower, Level A, San Francisco, CA 94114 2020-06-05
1407488836 Jocelyn Y. Skelley Dentist 3969 24th Street, San Francisco, CA 94114 2020-02-04
1467005710 Tin Rx Castro San Francisco Pharmacy 2175 Market St., Unit 122, San Francisco, CA 94114 2019-07-16
1396239075 Larry Do Nguyen Physical Therapist Castro and Duboce St, San Francisco, CA 94114 2018-06-18
1407385875 Christine Kaede Fischer Chiropractor 1326 Church Street, San Francisco, CA 94114 2017-06-08
1437521168 Caleb Zeringue Registered Nurse 840 Castro St, San Francisco, CA 94114 2015-10-21
1811310188 Jennifer Lynn Sharpe Counselor 126 Church St., San Francisco, CA 94114 2014-01-22
1457787657 Robin Rachel Rome Art Therapist 76a Pond Street, San Francisco, CA 94114 2013-09-19
1487990396 Gregg S Aspacher Pharmacist 2262 Market Street, San Francisco, CA 94114 2012-12-20
1699025338 Jinous Amjadi Pharmacist 2020 Market Street, San Francisco, CA 94114 2012-09-10
Find all providers in zip 94114

Taxonomy Information

Taxonomy Code 183700000X
Grouping Pharmacy Service Providers
Classification Pharmacy Technician

Taxonomy Definition

A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist.
Notes: Source: Pharmacy Technician Certification Board, www.ptcb.org [1/1/2006: modified definition, modified source]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1144840547 Siu Pang Lee Pharmacy Technician 970 Cayuga Ave, San Francisco, CA 94112-3222 2020-04-26
1235680794 Kit Ian Hui Pharmacy Technician 1230 Visitacion Ave, San Francisco, CA 94134-2753 2016-10-20
1437549557 Christina Kwan Pharmacy Technician 1308 Anza St, San Francisco, CA 94118-3933 2015-01-27
1609137025 Jon Kwong Pharmacy Technician 2107 Larkin St, 8, San Francisco, CA 94109-0104 2012-06-01
1699956177 David Frederick Eberhardt Pharmacy Technician 584 Castro St # 866, San Francisco, CA 94114-2512 2007-11-26
1043794894 Omar J Woodworth Pharmacy Technician 1380 Howard St Rm 130, San Francisco, CA 94103-2638 2018-09-18
1538655923 Hercules Casian Pharmacy Technician 1380 Howard St, San Francisco, CA 94103-2638 2018-07-09
1376098723 Jose Manzano Pharmacy Technician 1380 Howard St, San Francisco, CA 94103-2638 2016-08-15
1457778631 Elizabeth Preciado Pharmacy Technician 1380 Howard St, Room 130, San Francisco, CA 94103-2638 2014-03-25
1588904684 Diana Mae Estores Bunac Pharmacy Technician 498 Castro St, San Francisco, CA 94114-2020 2013-02-26
Find all providers in SAN FRANCISCO

Competitor

Search similar providers

City SAN FRANCISCO
Zip Code 94114

Improve Information

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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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