GARY COLLINSWORTH (NPI# 1659628287) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659628287 |
| Entity Type | Individual |
| Full Name | GARY COLLINSWORTH |
| Credential | RPH |
| Practice Address |
5100 Obyrnes Ferry Rd Jamestown CA 95327-9102 |
| Mailing Address |
5100 O'byrnes Ferry Rd Jamestown CA 95327 |
| Practice Telephone | 2099845291 |
| Mailing Telephone | 2099845291 |
| Enumeration Date | 2012-08-14 |
| Last Update Date | 2012-08-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RPH28168 | CA | Pharmacy Service Providers |
| Street Address |
5100 OBYRNES FERRY RD |
| City | JAMESTOWN |
| State | CA |
| Zip Code | 95327-9102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255302022 | Blong Roger Ly | Dentist | 5100 Obyrnes Ferry Rd, Jamestown, CA 95327-9102 | 2006-01-30 |
| 1831625102 | Richard Perry Halliburton | Psychologist | 5100 Obyrnes Ferry Rd, Jamestown, CA 95327 | 2017-05-05 |
| 1710427778 | Sierra Conservation Center | Clinic/Center | 5100 Obyrnes Ferry Rd, Jamestown, CA 95327-9102 | 2017-02-24 |
| 1881959369 | John M Gonsalves | Pharmacist | 5100 Obyrnes Ferry Rd, Jamestown, CA 95327-9102 | 2012-07-10 |
| 1770848343 | Greg Pryor | Pharmacist | 5100 Obyrnes Ferry Rd, Jamestown, CA 95327-9102 | 2012-07-10 |
| 1982919676 | Jarie Mccoy | Counselor | 5100 Obyrnes Ferry Rd, Jamestown, CA 95327-9102 | 2010-08-18 |
| 1093999187 | Christine Lynn Mckeehan | Social Worker | 5100 Obyrnes Ferry Rd, Jamestown, CA 95327-9102 | 2007-12-26 |
| 1962684597 | David Wormhood | Dentist | 5100 Obyrnes Ferry Rd, Jamestown, CA 95327-9102 | 2007-12-05 |
| 1023290988 | Young Quoc Ngo | Dentist | 5100 Obyrnes Ferry Rd, Jamestown, CA 95327-9102 | 2007-12-03 |
| 1780864371 | Nancy Marie Brace | Dentist | 5100 Obyrnes Ferry Rd, Jamestown, CA 95327-9102 | 2007-11-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386985794 | Minou Alexander | Psychologist | 5100 O'byrner Ferry Rd., Sierra Conservation Center, Jamestown, CA 95327 | 2013-03-11 |
| 1871898304 | Corrections and Rehabilitation | Pharmacy | 5100 O'byrnes Ferry Road, Attn: Pharmacy, Jamestown, CA 95327 | 2011-01-13 |
| 1760709935 | Nicole R Stevenson | Dental Assistant | 17922 Shell Road, Jamestown Road, CA 95327 | 2010-04-28 |
| 1326020710 | Russell Dean Park | Psychologist | 5100 O'byrnes Ferry Rd., Jamestown, CA 95327 | 2005-11-19 |
| 1770690968 | Margaret L. Smith | Registered Nurse | 18189 Seco St., Jamestown, CA 95327-0950 | 2006-08-24 |
| 1932268646 | Michael A Backlund | Psychologist | 5100 O Brynes Ferry Rd, Jamestown, CA 95327-9102 | 2006-12-08 |
| 1629545447 | Kimberly Veronica Salinas | Non-emergency Medical Transport (VAN) | 18920 Old Bridge Rd, Jamestown, CA 95327-9152 | 2018-10-30 |
| 1881665958 | James E. Sweetland | Family Medicine | 10641 Mountain Oak Ct, Jamestown, CA 95327-9247 | 2006-01-27 |
| 1659646487 | Jeffrey Frank Kocher | Dentist | 18259 Main St, Jamestown, CA 95327-9251 | 2012-03-12 |
| 1235427642 | Debra Leann Townsend | Lactation Consultant, Non-RN | 9909 Pulpit Rock Road, Jamestown, CA 95327-9319 | 2011-07-19 |
| Find all providers in zip 95327 | ||||
| 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 |
|---|---|---|---|---|
| 1528546249 | Clara Olaitan Ogunsan | Pharmacist | 6215 Stonewick Dr, Jamestown, NC 27282-8758 | 2018-08-03 |
| 1073945176 | Sarah Walker | Pharmacist | 410 10th Street Se, Suite 8, Jamestown, ND 58401 | 2013-07-31 |
| 1437424504 | Maryanne Guertin | Pharmacist | 460 Sampan Ave, Jamestown, RI 02835-1739 | 2012-03-21 |
| 1699049288 | Linda Conatser | Pharmacist | 418a W Central Avenue, Jamestown, TN 38556 | 2012-02-29 |
| 1417234212 | Laurel Ann Haroldson | Pharmacist | 213 1st Ave N, Jamestown, ND 58401-3165 | 2011-11-08 |
| 1942515051 | Geoffrey William Freeman | Pharmacist | 138 Valleyview Ave, Jamestown, NY 14701-8415 | 2010-08-12 |
| 1821314733 | Kristin Holly Adams | Pharmacist | 1417 N. Main St., Jamestown, KY 42629 | 2010-04-16 |
| 1225350390 | Linda Marie Panteli | Pharmacist | 975 Fairmount Ave, Jamestown, NY 14701-2452 | 2010-02-17 |
| 1740467380 | Philip Joseph Carcione | Pharmacist | 738 Foote Ave, Jamestown, NY 14701-8201 | 2008-01-25 |
| 1538282967 | Lewis James Ives IIi | Pharmacist | 975 Fairmont W E, Jamestown, NY 14701 | 2007-04-09 |
| Find all providers in JAMESTOWN | ||||
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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.