JESSICA ROACH (NPI# 1689218935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689218935 |
| Entity Type | Individual |
| Full Name | JESSICA ROACH |
| Practice Address |
44900 Saint Andrews Church Rd California MD 20619-2106 |
| Mailing Address |
21510 Rominger Ct Lexington Park MD 20653-2754 |
| Practice Telephone | 3017372518 |
| Practice Fax Number | 3017372679 |
| Enumeration Date | 2019-10-30 |
| Last Update Date | 2019-10-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 25388 | MD | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487172516 | Jessica Roach | Counselor | 1045 9th Avenue, San Diego, CA 92101 | 2017-09-09 |
| 1962536359 | Jessica Tranell, Nanice Roach | Case Manager/Care Coordinator | 9244 N Woolsey Ave, Portland, OR 97203-2027 | 2007-03-15 |
| 1821506742 | Jessica Roach | Behavioral Analyst | 12276 San Jose Blvd Ste 508, Jacksonville, FL 32223 | 2018-01-12 |
| 1962888107 | Jessica Anne Roach | Nurse Practitioner | 3333 Burnet Ave, Mlc 11024, Cincinnati, OH 45229-3026 | 2015-08-10 |
| 1790049997 | Jessica Roach | Occupational Therapist | 1120 Business Center Dr, Houston, TX 77043-2735 | 2012-07-02 |
| Street Address |
44900 SAINT ANDREWS CHURCH RD |
| City | CALIFORNIA |
| State | MD |
| Zip Code | 20619-2106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821651522 | Joel Dexter Thomas | Pharmacist | 44900 Saint Andrews Church Rd, California, MD 20619-2106 | 2019-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851932412 | Ebony Thomas | Technician | 23560 Fdr Blvd, #402, California, MD 20619 | 2019-10-04 |
| 1538723374 | Pyramid Walden LLC | Counselor | 44871 St. Andrews Church Rd., California, MD 20619 | 2019-04-26 |
| 1902378714 | Pyramid Walden, LLC | Clinic/Center | 44863 St. Andrews Church Rd., California, MD 20619 | 2018-12-19 |
| 1073084885 | Pyramid Walden, LLC | Substance Abuse Rehabilitation Facility | 44863 St. Andrew's Church Rd, California, MD 20619 | 2018-12-06 |
| 1972099489 | Leslie Ann Gilbert | Audiologist | 23077 Three Notch Rd Ste 101, California, MD 20619 | 2018-07-09 |
| 1538575261 | Eric Ndoumbe Ndimasa | Pharmacist | 22565 Three Notch Road, California, MD 20619 | 2014-07-02 |
| 1790121861 | Oluwagbolahan Oladipo Lagoke | Pharmacist | 45482 Miramar Way, Walmart, California, MD 20619 | 2013-05-16 |
| 1831437128 | Dylan Schneider | Dentist | 23415 Three Notch Road, Suite 2003, California, MD 20619 | 2013-01-22 |
| 1659603322 | Pyramid Walden, LLC | Counselor | 44867 St. Andrews Church Road, California, MD 20619 | 2010-02-05 |
| 1376742270 | Platinum Eyes | Eyewear Supplier (Equipment, not the service) | 45315 Alton Ln, Suite 16038, California, MD 20619 | 2007-07-12 |
| Find all providers in zip 20619 | ||||
| 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 |
|---|---|---|---|---|
| 1821651522 | Joel Dexter Thomas | Pharmacist | 44900 Saint Andrews Church Rd, California, MD 20619-2106 | 2019-04-17 |
| 1538575261 | Eric Ndoumbe Ndimasa | Pharmacist | 22565 Three Notch Road, California, MD 20619 | 2014-07-02 |
| 1790121861 | Oluwagbolahan Oladipo Lagoke | Pharmacist | 45482 Miramar Way, Walmart, California, MD 20619 | 2013-05-16 |
| 1497040935 | Denise Keown | Pharmacist | 45155 First Colony Way T-1258, California, MD 20619-2416 | 2011-06-13 |
| 1427376912 | Jenifer Jo Gallo | Pharmacist | 404 3rd St, California, PA 15419-1105 | 2010-05-10 |
| 1740494038 | Randall L Lange | Pharmacist | 3501 Shortcutt Rd, California, KY 41007 | 2007-05-09 |
| 1366471153 | Bond Pharmacy, Inc. | Pharmacist | 703 W Buchanan St, California, MO 65018-1227 | 2006-07-02 |
| 1922009612 | Michelle Merryman Weisburgh | Pharmacist | 45155 First Colony Way, California, MD 20619-2416 | 2005-08-03 |
| 1013518158 | Anh Bui Johnsen | Pharmacist | 45101 First Colony Way, California, MD 20619-2416 | 2020-11-05 |
| 1386244168 | Elfreda U Ekwunife | Pharmacist | 45485 Miramar Way, California, MD 20619-3191 | 2020-10-29 |
| Find all providers in CALIFORNIA | ||||
| City | CALIFORNIA |
| Zip Code | 20619 |
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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.