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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 183700000X | Pharmacy Technician | 134195 | CA | Pharmacy Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407912678 | Jeffrey Neil Samuelson | Dermatology | 1414 Woodland Ave, Duluth, MN 55803-2624 | 2006-12-29 |
Street Address |
2175 MARKET STREET UNIT 122 |
City | SAN FRANCISCO |
State | CA |
Zip Code | 94114-1477 |
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 Code | 183700000X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacy Technician |
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] |
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 |
City | SAN FRANCISCO |
Zip Code | 94114 |
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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.