DALE G JEWELL (NPI# 1760782858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760782858 |
| Entity Type | Individual |
| Full Name | DALE G JEWELL |
| Credential | RPH |
| Practice Address |
2300 Mendocino Ave Santa Rosa CA 95403-3115 |
| Practice Telephone | 7075693111 |
| Practice Fax Number | 7075693115 |
| Mailing Telephone | 7075693111 |
| Mailing Fax Number | 7075693115 |
| Enumeration Date | 2010-10-24 |
| Last Update Date | 2010-10-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 28261 | CA | Pharmacy Service Providers |
| Street Address |
2300 MENDOCINO AVE |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95403-3115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639115249 | Safeway Inc | Pharmacy | 2300 Mendocino Ave, Santa Rosa, CA 95403-3115 | 2006-06-21 |
| 1871016766 | Kasia Whiting | Pharmacist | 2300 Mendocino Ave, Santa Rosa, CA 95403-3115 | 2017-07-23 |
| 1548719602 | Keiko Duncan | Pharmacist | 2300 Mendocino Ave, Santa Rosa, CA 95403-3115 | 2016-09-29 |
| 1629423744 | Cecilia Kimloan Pham | Pharmacist | 2300 Mendocino Ave, Santa Rosa, CA 95403-3115 | 2016-04-26 |
| 1932578945 | Amanda Man Vien | Pharmacist | 2300 Mendocino Ave, Santa Rosa, CA 95403-3115 | 2015-09-20 |
| 1447669148 | Steve Ferreira | Pharmacist | 2300 Mendocino Ave, Santa Rosa, CA 95403-3115 | 2014-08-06 |
| 1306146808 | Andrea S Gutierrez | Pharmacist | 2300 Mendocino Ave, Santa Rosa, CA 95403-3115 | 2010-10-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912549841 | Abundance Acupuncture Healing Clinic | Acupuncturist | 3410 Mendocino Avenue, Santa Rosa, CA 95403 | 2019-10-11 |
| 1982161337 | Crystal J Ward | Registered Nurse | 2350 Mendocino Ave, Ste A4, Santa Rosa, CA 95403 | 2019-02-21 |
| 1033674379 | George Edward Griese | Respiratory Therapist, Registered | 501 Bicentennial Way, Santa Rosa, CA 95403 | 2019-01-31 |
| 1508320672 | East-west Natural Medicine Inc. | Acupuncturist | 2200 Range Ave #207, Santa Rosa, CA 95403 | 2019-01-23 |
| 1316410640 | Lionel C Cooper | Counselor | 315 Mark West Springs Road, Santa Rosa, CA 95403 | 2019-01-09 |
| 1326519182 | Jkb Solutions Inc. | In Home Supportive Care | 3554 Round Barn Boulevard, Suite 311, Santa Rosa, CA 95403 | 2018-12-05 |
| 1487121265 | Catholic Charities of The Diocese of Santa Rosa | Clinic/Center | 987 Airway Ct, Santa Rosa, CA 95403 | 2018-10-30 |
| 1447746524 | Lisa Jean Quang | Optometrist | 3925 Old Redwood, Medical Office Building 4, Suite 141, Santa Rosa, CA 95403 | 2018-07-02 |
| 1598253353 | Jennifer Renee Lummus | Community Health Worker | 3614 Condo Court, Santa Rosa, CA 95403 | 2018-04-27 |
| 1871042366 | Sadie Thuet | Marriage & Family Therapist | 3434 A Mendocino Ave, Santa Rosa, CA 95403 | 2016-09-26 |
| Find all providers in zip 95403 | ||||
| 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 |
|---|---|---|---|---|
| 1154939205 | Stephine Ann Golik | Pharmacist | 333 Green Field Cir, Santa Rosa, CA 95409-6106 | 2020-07-15 |
| 1033774187 | Jamie Yeung | Pharmacist | 955 Stony Point Rd, Santa Rosa, CA 95407-7129 | 2019-05-03 |
| 1396234068 | Julie Glassmaker | Pharmacist | 915 Village Ct, Santa Rosa, CA 95405-6759 | 2018-05-08 |
| 1588165518 | Eric Robert Dehner | Pharmacist | 1418 Range Ave Apt 205, Santa Rosa, CA 95401-8901 | 2018-02-25 |
| 1306360599 | Farnaz Kazerooni | Pharmacist | 4659 Quigg Dr Apt 750, Santa Rosa, CA 95409-8310 | 2017-07-28 |
| 1891219275 | Emily Deeann Richards | Pharmacist | 2807 Yulupa Ave Apt 33, Santa Rosa, CA 95405-8637 | 2017-07-27 |
| 1932629730 | Je Hoon Jung | Pharmacist | 4145 Shadow Ln Apt 713, Santa Rosa, CA 95405-5257 | 2017-06-22 |
| 1750814968 | John Frey Jr. | Pharmacist | 1785 S Wright Rd, Santa Rosa, CA 95407-7364 | 2017-04-05 |
| 1679013940 | Dan Nguyen | Pharmacist | 401 Bicentennial Way, Mob 1, 1 St Floor Pharmacy, Santa Rosa, CA 95403-2149 | 2017-03-06 |
| 1740731678 | Phoua Diane Vang | Pharmacist | 1002 Jennings Ave, Apt 208, Santa Rosa, CA 95401-4293 | 2016-10-14 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 95403 |
Please comment or provide details below to improve the information on DALE G JEWELL.
| 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.