GREGORY DANIEL MEDLEY (NPI# 1700886207) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700886207 |
| Entity Type | Individual |
| Full Name | GREGORY DANIEL MEDLEY |
| Credential | PHARM. D. |
| Practice Address |
9888 Genesee Ave Lj-18 La Jolla CA 92037-1276 |
| Mailing Address |
13044 Caminito Del Rocio Del Mar CA 92014-3621 |
| Practice Telephone | 8586266081 |
| Mailing Telephone | 8584720906 |
| Enumeration Date | 2005-07-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 53146 | CA | Pharmacy Service Providers |
| Street Address |
9888 GENESEE AVE LJ-18 |
| City | LA JOLLA |
| State | CA |
| Zip Code | 92037-1276 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548867864 | Caitlin Hopkins | Physician Assistant | 9888 Genesee Ave, La Jolla, CA 92037-1205 | 2020-10-08 |
| 1750998191 | Ginger Lo | Pharmacist | 9888 Genesee Ave, La Jolla, CA 92037-1205 | 2020-09-29 |
| 1265045652 | Leslie Ann Reynolds | Nurse Practitioner | 9888 Genesee Ave, La Jolla, CA 92037-1205 | 2020-08-26 |
| 1629690946 | Lillian H Pak | Registered Nurse | 9888 Genesee Ave, La Jolla, CA 92037-1205 | 2020-05-08 |
| 1285274894 | Diane Morgan | Pharmacist | 9888 Genesee Ave, La Jolla, CA 92037-1205 | 2020-01-11 |
| 1326684473 | Gina Marie Costi-wong | Speech-Language Pathologist | 9888 Genesee Ave, La Jolla, CA 92037-1205 | 2019-11-25 |
| 1144866294 | Cedar Raymond | Speech-Language Pathologist | 9888 Genesee Ave, La Jolla, CA 92037-1205 | 2019-11-25 |
| 1831735232 | Kyle Wade | Speech-Language Pathologist | 9888 Genesee Ave, La Jolla, CA 92037-1205 | 2019-11-20 |
| 1558903682 | Rajvi Rajesh Patel | Pharmacist | 9888 Genesee Ave, La Jolla, CA 92037-1205 | 2019-10-10 |
| 1346801289 | Compassion Breast Inc | Internal Medicine | 9888 Genesee Ave, La Jolla, CA 92037-1205 | 2019-06-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982221768 | Equip Health Medical, PC | Clinic/Center | 2674 Costebelle Drive, Unit A, La Jolla, CA 92037 | 2020-06-29 |
| 1134745474 | Brenda Kay Wiederhold | Psychologist | Virtual Reality Medical Center, 9834 Genesee Avenue, Suite 427, La Jolla, CA 92037 | 2020-06-23 |
| 1316581598 | Kathleen M Blechertas | Physical Therapist | 9888 Genesee, Lj19, La Jolla, CA 92037 | 2019-10-31 |
| 1316592876 | Kevin Yanyan Li | Student in an Organized Health Care Education/Training Program | 9300 Campus Point Drive, Mc7400, La Jolla, CA 92037 | 2019-08-01 |
| 1407400542 | Juan J Salmeron | Dentist | Callejin Internacional 351 L2, Los Algodones, BAJA CALIFORNIA 92037 | 2019-07-26 |
| 1609428598 | Nicole Whitney Mark | Physician Assistant | 8103 Caminito Sonoma, La Jolla, CA 92037 | 2019-07-11 |
| 1700357936 | Cecelia Rose Greene/pendzich | Mastectomy Fitter | 7760 Fay Ave, Suite M., La Jolla, CA 92037 | 2018-12-16 |
| 1740765890 | Jeenal Ankit Gordhandas | Student in an Organized Health Care Education/Training Program | East Campus Office Building, Medical Center Dr, La Jolla, CA 92037 | 2018-09-25 |
| 1306325220 | Lisa Beth Perlov Marks | Marriage & Family Therapist | 7734 Hershel Avenue, Suite O, La Jolla, CA 92037 | 2018-08-10 |
| 1023596731 | Uc San Diego, Pathology Dept | Pathology | East Campus Office Building, Medical Center Dr, San Diego, CA 92037 | 2018-08-03 |
| Find all providers in zip 92037 | ||||
| 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 |
|---|---|---|---|---|
| 1427657618 | Susan Mimm Hogue | Pharmacist | 7757 Eads Ave Unit A5, La Jolla, CA 92037-4332 | 2020-10-20 |
| 1689216103 | Jaclyn Marja Jaskowiak | Pharmacist | 9452 Medical Center Dr Rm 312, La Jolla, CA 92037-1337 | 2019-10-16 |
| 1700427580 | Meredith Park | Pharmacist | 3855 Health Sciences Dr Rm 1064a, La Jolla, CA 92093-1503 | 2019-10-03 |
| 1134776222 | Nancy Thai Yam | Pharmacist | 9300 Campus Point Dr # Mc7765, La Jolla, CA 92037-1300 | 2019-08-22 |
| 1730744764 | Jeannine Louise Mcclinton-adams | Pharmacist | 9500 Gilman Dr Dept 828, La Jolla, CA 92093-2204 | 2019-05-06 |
| 1356829931 | Nathan Santos | Pharmacist | 9245 Regents Rd Unit M109, La Jolla, CA 92037-9264 | 2018-08-05 |
| 1891239869 | Richard Muus | Pharmacist | 3157 Evening Way, Unit A, La Jolla, CA 92037-1636 | 2016-12-11 |
| 1730630641 | Tiffany Pham | Pharmacist | 6067 Firwood Row, La Jolla, CA 92037-0922 | 2016-10-17 |
| 1861849465 | Olivia Ronan | Pharmacist | 8435 Via Mallorca Unit 94, La Jolla, CA 92037-2611 | 2016-05-24 |
| 1720459787 | Troy Drysdale | Pharmacist | 9888 Genesee Ave # Lj-18, La Jolla, CA 92037-1205 | 2015-10-15 |
| Find all providers in LA JOLLA | ||||
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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.