JARED EDAN CRUZ (NPI# 1740758036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740758036 |
| Entity Type | Individual |
| Full Name | JARED EDAN CRUZ |
| Other Name | JARED-EDAN DUMALAOG CRUZ |
| Practice Address |
3 Marcela Dr Ste B Willits CA 95490-5769 |
| Practice Telephone | 7074563005 |
| Enumeration Date | 2018-11-05 |
| Last Update Date | 2018-11-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 79581 | CA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336595214 | Jared Cruz | Counselor | 3213 D 3/4 Rd, 4, Clifton, CO 81520-8862 | 2016-05-10 |
| 1932696747 | Jared Cruz | Student in an Organized Health Care Education/Training Program | Medical City Fort Worth, 900 8th Avenue, Fort Worth, TX 76103-3902 | 2018-04-17 |
| Street Address |
3 MARCELA DR STE B |
| City | WILLITS |
| State | CA |
| Zip Code | 95490-5769 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629432968 | Willits Hospital Inc. | Pharmacy | 3 Marcela Dr Ste B, Willits, CA 95490-5769 | 2016-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679194971 | Laisenia Sau | Specialist | 180 E Barbara Lane, Willits, CA 95490 | 2020-04-28 |
| 1588160527 | Redwood Quality Management Company, Inc. | Community/Behavioral Health | 99 S. Humoldt Street #2, Willits, CA 95490 | 2018-03-30 |
| 1497063861 | Daniel Doyle | Audiologist | 474 E. Valley St., Willits, CA 95490 | 2010-09-20 |
| 1659524346 | Erika Littlefawn Tsonetokoy Coyle | Counselor | 110 E Mendocino Ave, Willits, CA 95490 | 2008-10-28 |
| 1912180548 | Paul F Jacobson | Marriage & Family Therapist | 221-b S. Lenore Avenue, Willits, CA 95490 | 2007-12-05 |
| 1629107735 | Mendocino County | Clinic/Center | 474 East Valley Street, Willits, CA 95490 | 2007-03-05 |
| 1821136482 | Jeff A Cramer | Marriage & Family Therapist | 99 East Humboldt Street, Willits, CA 95490 | 2007-02-02 |
| 1215098215 | Esther Judith Faber | Marriage & Family Therapist | 104 W Mendocino Ave, Willits, CA 95490 | 2006-12-13 |
| 1174684492 | Diana E Levy-peart | Chiropractor | 1225 South Main Street, Willits, CA 95490 | 2006-12-12 |
| 1396810628 | Maria Theresa Bates | Social Worker | Maria T Bates Lcsw, 660 So Main St Suite D, Willits, CA 95490 | 2006-11-21 |
| Find all providers in zip 95490 | ||||
| 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 |
|---|---|---|---|---|
| 1598742132 | Little Lake Pharmacy Inc | Pharmacist | 90 S Main St, Willits, CA 95490-3526 | 2005-12-24 |
| 1437789641 | Eugene Lee | Pharmacist | 1730 S Main St, Willits, CA 95490-4405 | 2020-01-16 |
| 1215575642 | Dinh Le | Pharmacist | 845 S Main St, Willits, CA 95490-3915 | 2019-12-16 |
| 1912471566 | Jiho Jang | Pharmacist | 845 S Main St, Willits, CA 95490-3915 | 2019-01-17 |
| 1043794753 | Lyra Cavada | Pharmacist | 1730 S Main St, Willits, CA 95490-4405 | 2018-09-18 |
| 1891272142 | Jeffrey Laist Gore | Pharmacist | 845 S Main St, Willits, CA 95490-3998 | 2018-07-19 |
| 1114431848 | Frank A Braverman | Pharmacist | 3 Marcela Dr, Willits, CA 95490-5769 | 2017-11-16 |
| 1306371208 | Amit Mathur | Pharmacist | 845 S Main St, Willits, CA 95490-3915 | 2017-04-27 |
| 1528514478 | Rahel Negash | Pharmacist | 1 Marcela Drive, Pharmacy 2nd Floor, Willits, CA 95482 | 2016-08-31 |
| 1205208055 | Pooneh Ebrahimi | Pharmacist | 845 S Main St, Willits, CA 95490-3915 | 2015-10-20 |
| Find all providers in WILLITS | ||||
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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.