JACOB M GONZALES (NPI# 1700111556) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700111556 |
| Entity Type | Individual |
| Full Name | JACOB M GONZALES |
| Credential | PHARM.D. |
| Practice Address |
811 Paseo Del Pueblo Sur Taos NM 87571 |
| Mailing Address |
Po Box 991 Taos NM 87571-0991 |
| Practice Telephone | 5053414739 |
| Mailing Telephone | 5757700118 |
| Enumeration Date | 2009-10-13 |
| Last Update Date | 2009-10-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 6470 | NM | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851771257 | Jacob Ray Gonzales | Emergency Medicine | 4800 Alberta Ave, El Paso, TX 79905-2709 | 2015-06-02 |
| 1023415304 | Jacob Michael Gonzales | Case Manager/Care Coordinator | 100 Cherry St Se, Grand Rapids, MI 49503-4526 | 2014-12-02 |
| Street Address |
811 PASEO DEL PUEBLO SUR |
| City | TAOS |
| State | NM |
| Zip Code | 87571 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609857036 | Gerald Quintana | Pharmacist | 811 Paseo Del Pueblo Sur, Taos, NM 87571 | 2005-11-11 |
| 1346716685 | Alyssa Rose Lujan | Pharmacist | 811 Paseo Del Pueblo Sur, Taos, NM 87571-6395 | 2018-10-14 |
| 1902320880 | Gabriel John Chavez | Pharmacist | 811 Paseo Del Pueblo Sur, Taos, NM 87571-6395 | 2017-08-01 |
| 1831517655 | Craig B Dale | Pharmacist | 811 Paseo Del Pueblo Sur, Taos, NM 87571-6395 | 2014-03-29 |
| 1205118270 | Jeniffer Sylvester | Pharmacist | 811 Paseo Del Pueblo Sur, Taos, NM 87571 | 2011-09-15 |
| 1952534125 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 811 Paseo Del Pueblo Sur, Taos, NM 87571-6395 | 2009-09-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174080923 | Veronika Anne Peacetree | Counselor | Vds-taos, 314 Don Fernando Street, Taos, NM 87571 | 2019-02-28 |
| 1043785603 | Lindsey M Schreiber | Counselor | 412 Sipapu Street, Taos, NM 87571 | 2018-10-10 |
| 1881173698 | Mia M Mcmullen | Specialist/Technologist | Enos Garcia Elementary School, 305 Don Fernando St, Taos, NM 87571 | 2018-08-13 |
| 1992225403 | Ted Dimond | Counselor | 525 Salazar Rd, Suite A, Taos, NM 87571 | 2017-06-26 |
| 1467908103 | Jacqueline Danielle Arcand | Social Worker | 250 Shadow Mountain Rd, Taos, NM 87571 | 2016-09-01 |
| 1225487812 | James Lucero | Social Worker | 905 Witt Rd., Taos, NM 87571 | 2016-06-06 |
| 1083098370 | Ellen Durant | Marriage & Family Therapist | 1135 Butterfly Rd, Taos, NM 87571 | 2015-07-16 |
| 1831584192 | Eight Northern Indian Pueblos Council, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1130 Butterfly Rd., Taos, NM 87571 | 2015-04-03 |
| 1790179844 | Eight Northern Indian Pueblos | Substance Abuse Rehabilitation Facility | 1130 Butterfly Road, Taos, NM 87571 | 2015-03-26 |
| 1992106041 | Debbie I Salazar, Lisw Ltd Co | Community/Behavioral Health | 208 Ranchitos Road Unit B, Taos, NM 87571 | 2014-09-09 |
| Find all providers in zip 87571 | ||||
| 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 |
|---|---|---|---|---|
| 1396086161 | Robert Motha | Pharmacist | 366 Monte Vista Rd, Taos, NM 87571-6390 | 2013-03-04 |
| 1740478361 | Thomas Jeffrey Ewers | Pharmacist | 523 San Geronimo Rd, #13, Taos, NM 87571-6456 | 2007-10-09 |
| 1942421573 | Heather D Pipkin | Pharmacist | 224 Paseo Del Pueblo Sur, Taos, NM 87517 | 2007-05-01 |
| 1891756185 | Jake Mossman | Pharmacist | 622 Paseo Del Pueblo Sur, 5401 Ndcbu, Taos, NM 87571-5101 | 2006-03-28 |
| 1609857036 | Gerald Quintana | Pharmacist | 811 Paseo Del Pueblo Sur, Taos, NM 87571 | 2005-11-11 |
| 1346716685 | Alyssa Rose Lujan | Pharmacist | 811 Paseo Del Pueblo Sur, Taos, NM 87571-6395 | 2018-10-14 |
| 1902320880 | Gabriel John Chavez | Pharmacist | 811 Paseo Del Pueblo Sur, Taos, NM 87571-6395 | 2017-08-01 |
| 1881062107 | Tu Pham | Pharmacist | 926 Paseo Del Pueblo Sur, Taos, NM 87571-5966 | 2015-09-02 |
| 1043629678 | Crestina Cordova | Pharmacist | 224 Paseo Del Pueblo Sur, Taos, NM 87571-6413 | 2014-08-07 |
| 1831517655 | Craig B Dale | Pharmacist | 811 Paseo Del Pueblo Sur, Taos, NM 87571-6395 | 2014-03-29 |
| Find all providers in TAOS | ||||
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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.