JESSICA MCELFRESH (NPI# 1679098198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679098198 |
| Entity Type | Individual |
| Full Name | JESSICA MCELFRESH |
| Practice Address |
6050 Us Highway 6 Portage IN 46368-5047 |
| Practice Telephone | 2197630310 |
| Enumeration Date | 2017-08-04 |
| Last Update Date | 2017-08-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 26027221A | IN | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578056610 | Jessica Mcelfresh | Physical Therapist | 3950 Beaubien St, Detroit, MI 48201-2120 | 2018-06-13 |
| Street Address |
6050 US HIGHWAY 6 |
| City | PORTAGE |
| State | IN |
| Zip Code | 46368-5047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013239847 | Cynthia Jane Walters | Pharmacist | 6050 Us Highway 6, Portage, IN 46368-5047 | 2010-02-21 |
| 1992114193 | Loren Reid | Pharmacist | 6050 Us Highway 6, Portage, IN 46368-5047 | 2014-08-13 |
| 1245640952 | Philip Sloboda | Pharmacist | 6050 Us Highway 6, Portage, IN 46368-5047 | 2014-05-02 |
| 1457796542 | Meijer Stores Limited Partnership | Durable Medical Equipment & Medical Supplies | 6050 Us Highway 6, Portage, IN 46368-5047 | 2013-05-03 |
| 1831533801 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 6050 Us Highway 6, Portage, IN 46368-5047 | 2013-04-22 |
| 1578594636 | K Mart Corp | Pharmacy | 6050 Us Highway 6, Portage, IN 46368-5047 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366041121 | Latresa Renee Sims | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1777 Armstrong St. Suite C., Portage, IN 46368 | 2020-10-22 |
| 1831576693 | Bishara Robert Khoury | Family Medicine | 3545 Arbor Blvd Ste E, Portage, IN 46368 | 2015-04-30 |
| 1962813535 | Diane Farrington | Pharmacist | 6050 Us Hwy 6, Portage, IN 46368 | 2014-05-16 |
| 1588827562 | Jennifer Ann Rumpel | Allergy & Immunology | 6375 Us Highway 6 Ste C, Portage, IN 46368 | 2008-07-09 |
| 1588822688 | Total Renal Care Inc | Clinic/Center | 5823 Us Highway 6, Portage, IN 46368 | 2008-05-27 |
| 1235321480 | Michael Wendahl | Physical Therapist | 3691 Willowcreek Road, Suite 100, Portage, IN 46368 | 2007-08-13 |
| 1679663603 | Stephen V Headley | Family Medicine | 3283 Willowcreek Rd, Portage, IN 46368 | 2006-10-13 |
| 1730276486 | Robert Tan Ang | Psychiatry & Neurology | 3156 Willowcreek Road, Portage, IN 46368 | 2006-10-06 |
| 1013029883 | Primary Care PC | Family Medicine | 3125 Willowcreek Road, Portage, IN 46368 | 2006-08-31 |
| 1104936962 | Margaret Eileen Griffith | Dentist | 2646 Lois Street, Portage, IN 46368 | 2006-08-30 |
| Find all providers in zip 46368 | ||||
| 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 |
|---|---|---|---|---|
| 1851998074 | Sharvil Patel | Pharmacist | 4625 Fox Valley Dr Apt 3a, Portage, MI 49024-8198 | 2020-10-01 |
| 1427453273 | Jessica Biggs | Pharmacist | 2431 Woodbine Ave, Portage, MI 49002-7243 | 2014-10-22 |
| 1255682746 | Kelly Jo Thiede | Pharmacist | 6330 S Westnedge Ave, Portage, MI 49002-3572 | 2012-09-25 |
| 1891051744 | Gregory Weaver | Pharmacist | 2935 New Pinery Rd, Portage, WI 53901-9226 | 2012-04-04 |
| 1679859516 | David William Gysin | Pharmacist | 7769 Kenmure Dr Apt 11, Portage, MI 49024-5079 | 2011-10-24 |
| 1164702635 | Timothy George Hord | Pharmacist | 6030 Central Ave, Portage, IN 46368-3501 | 2011-08-28 |
| 1013239847 | Cynthia Jane Walters | Pharmacist | 6050 Us Highway 6, Portage, IN 46368-5047 | 2010-02-21 |
| 1366567125 | Jessica Erin Burley | Pharmacist | 1950 W Centre Ave, Portage, MI 49024-5334 | 2007-03-20 |
| 1720162068 | Thomas A Christianson | Pharmacist | 117 E Cook St, Portage, WI 53901-2204 | 2006-10-24 |
| 1609825173 | Derek James Quinn | Pharmacist | 8822 Portage Rd, Westlake Drug, Inc., Portage, MI 49002-6416 | 2006-05-10 |
| Find all providers in PORTAGE | ||||
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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.