JENNIFER LOIS KOIKE (NPI# 1831657873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831657873 |
| Entity Type | Individual |
| Full Name | JENNIFER LOIS KOIKE |
| Credential | PHARMD, RPH |
| Practice Address |
949 11th St Lakeport CA 95453-4119 |
| Practice Telephone | 7072620244 |
| Practice Fax Number | 7072621078 |
| Mailing Telephone | 7072620244 |
| Mailing Fax Number | 7072621078 |
| Enumeration Date | 2019-03-08 |
| Last Update Date | 2019-03-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 76029 | CA | Pharmacy Service Providers |
| Street Address |
949 11TH ST |
| City | LAKEPORT |
| State | CA |
| Zip Code | 95453-4119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336182104 | Longs Drug Stores California LLC | Durable Medical Equipment & Medical Supplies | 949 11th St, Lakeport, CA 95453-4119 | 2006-06-13 |
| 1366062317 | Kevin Q. Hong | Pharmacist | 949 11th St, Lakeport, CA 95453-4119 | 2020-04-20 |
| 1558924456 | Tizah Evelyn Anjeh | Pharmacist | 949 11th St, Lakeport, CA 95453-4119 | 2019-04-16 |
| 1295260321 | Harvey Ripple | Pharmacist | 949 11th St, Lakeport, CA 95453-4119 | 2017-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427526847 | Easter Seals Bay Area | Early Intervention Provider Agency | 1950 Parallel Drive, Lakeport, CA 95453 | 2018-11-03 |
| 1285000810 | Lake County Tribal Health Consortium, Inc. | Clinic/Center | 14678 Lakeshore Boulevard, Clearlake, CA 95453 | 2015-08-18 |
| 1942558721 | Lorena A Watson | Nurse Practitioner | 5108 Hill Road East, Lakeport, CA 95453 | 2012-08-27 |
| 1992024657 | Jennifer Stolworthy Smith | Case Manager/Care Coordinator | 991 Parallel Dr. Ste. B, County of Lake, Mental Health, Lakeport, CA 95453 | 2010-05-20 |
| 1376720664 | June Arisa Masato | Marriage & Family Therapist | 1152 S. Main St, Lakeport, CA 95453 | 2008-01-29 |
| 1245417021 | Robert Ryan Taylor Sr. | Physical Therapist | 1285 S Main Street, Lakeport, CA 95453 | 2008-01-24 |
| 1760669618 | Joan Kammerer | Registered Nurse | 922 Bevins Court, Lakeport, CA 95453 | 2008-01-23 |
| 1881878353 | Mary Theresa Mcmillan | Marriage & Family Therapist | 75 Fourth Street, Lakeport, CA 95453 | 2007-12-19 |
| 1922288984 | Robert William Krause | Family Medicine | 755 Eleventh St, Lakeport, CA 95453 | 2007-11-07 |
| 1568683092 | Dan Sleeth | Marriage & Family Therapist | 991 Parallel Dr., Lakeport, CA 95453 | 2007-05-01 |
| Find all providers in zip 95453 | ||||
| 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 |
|---|---|---|---|---|
| 1316089626 | William Earl Kearney | Pharmacist | 355 Lakeport Blvd, Lakeport, CA 95453-5412 | 2007-02-13 |
| 1366062317 | Kevin Q. Hong | Pharmacist | 949 11th St, Lakeport, CA 95453-4119 | 2020-04-20 |
| 1831720705 | Huy Cong Nguyen | Pharmacist | 1071 11th St, Lakeport, CA 95453-4105 | 2020-01-30 |
| 1558924456 | Tizah Evelyn Anjeh | Pharmacist | 949 11th St, Lakeport, CA 95453-4119 | 2019-04-16 |
| 1295260321 | Harvey Ripple | Pharmacist | 949 11th St, Lakeport, CA 95453-4119 | 2017-04-26 |
| 1316491285 | Donna Carr | Pharmacist | 1071 11th St, Lakeport, CA 95453-4105 | 2016-08-09 |
| 1558724591 | Jill Janice Minudri | Pharmacist | 5176 Hill Road East, Pharmacy Department, Lakeport, CA 95453 | 2016-03-29 |
| 1396171609 | Laura Keys | Pharmacist | 2019 S Main St, Lakeport, CA 95453-5617 | 2013-09-18 |
| 1437584000 | Diane Sigrid Rowe | Pharmacist | 2019 S Main St, Lakeport, CA 95453-5617 | 2013-09-13 |
| 1710258439 | Kyla Neeley | Pharmacist | 5136 Hill Rd E, Lakeport, CA 95453-6300 | 2012-01-26 |
| Find all providers in LAKEPORT | ||||
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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.