DR. JONATHAN LACRO (NPI# 1932108131) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932108131 |
| Entity Type | Individual |
| Full Name | DR. JONATHAN LACRO |
| Credential | PHARM.D. |
| Practice Address |
3350 La Jolla Village Dr San Diego CA 92161-0002 |
| Practice Telephone | 8586421263 |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P1300X |
Pharmacist Specialization: Psychiatric |
43909 | CA | Pharmacy Service Providers |
| Street Address |
3350 LA JOLLA VILLAGE DR |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92161-0002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053928218 | Leslie Gwen Mcewan | Registered Nurse | 3350 La Jolla Village Dr, San Diego, CA 92161-0002 | 2020-09-30 |
| 1093329419 | Esther Yerim Hwang | Pharmacist | 3350 La Jolla Village Dr, San Diego, CA 92161-0002 | 2020-09-02 |
| 1821602244 | Tracy Xinye Chen | Pharmacist | 3350 La Jolla Village Dr, San Diego, CA 92161-0002 | 2020-09-02 |
| 1083227946 | Kayla Christine Knopp | Psychologist | 3350 La Jolla Village Dr, San Diego, CA 92161 | 2020-08-28 |
| 1609489699 | Cristina De Almeida Amaral | Registered Nurse | 3350 La Jolla Village Dr, San Diego, CA 92161-0002 | 2020-08-28 |
| 1528670221 | Elizabeth O'neill | Nurse Practitioner | 3350 La Jolla Village Dr, San Diego, CA 92161-0002 | 2020-08-24 |
| 1194335828 | David Alan Yee | Pharmacist | 3350 La Jolla Village Dr, San Diego, CA 92161-0002 | 2020-08-07 |
| 1770193831 | Devon Gregory | Registered Nurse | 3350 La Jolla Village Dr, San Diego, CA 92161-0002 | 2020-08-04 |
| 1356950216 | Lauren F Monsanto | Optometrist | 3350 La Jolla Village Dr, San Diego, CA 92161-0002 | 2020-07-27 |
| 1184232530 | Sean Mommerency | Physical Therapist | 3350 La Jolla Village Dr, San Diego, CA 92161-0002 | 2020-07-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902315807 | Laura Crocker | Psychologist | 3350 La Jolla Village Dr Mc 151b, San Diego, CA 92161 | 2017-09-22 |
| 1568849545 | Deborah Falch | Internal Medicine | Office of Primary Care Room 3322, 3350 La Jolla Village Drive, San Diego, CA 92161 | 2015-04-29 |
| 1649566001 | Alyan Ali | Student in an Organized Health Care Education/Training Program | 350 La Jolla Village Dr, Unit 118, San Diego, CA 92161 | 2011-06-23 |
| 1992840144 | I-wei Shu | Psychiatry & Neurology | 3350 La Jolla Village Drive Mc 116a, San Diego, CA 92161 | 2007-02-21 |
| 1639252216 | R Shabetai | General Acute Care Hospital | Vahcs 3350 La Jolla Village Dr, Cardiolgy 111a, La Jolla, CA 92161 | 2006-10-24 |
| 1437233624 | Lee Michael Williams | Marriage & Family Therapist | Department of Veteran Affairs, 3350 La Jolla Village Dr, Psychology Department, San Diego, CA 92161 | 2006-10-24 |
| 1295824340 | Pamela Anne Broder | Pharmacist | San Diego Va Medical Center (119), 3350 La Jolla Village Drive, San Diego, CA 92161 | 2006-10-12 |
| 1750484259 | Michael Neil Oxman | Internal Medicine | Shingles Prevention Study (111f-1), Va Medical Center, 3350 La Jolla Village Drive, San Diego, CA 92161 | 2006-09-07 |
| 1295847358 | Patricia Ellen Fornes | Physical Therapist | Dept. Veterens Affairs San Diego Healthcare Services, 3350 La Jolla Village Dr. Dept. Pm&r Mb 117, San Diego, CA 92161 | 2006-08-31 |
| 1477667087 | Kathryn Victoria Frederick Louv | Nurse Practitioner | 3350 La Jolla Village Dr., La Jolla, CA 92161 | 2006-08-19 |
| Find all providers in zip 92161 | ||||
| Taxonomy Code | 1835P1300X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Psychiatric |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing care of patients with psychiatric illness by assessing and monitoring patients, recognizing drug-induced problems, and recommending appropriate treatment plans. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified title, added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083616874 | Kelly C Lee | Pharmacist | 140 Arbor Drive, San Diego, CA 92103-0000 | 2005-08-11 |
| 1639170053 | Stephanie Peck-wheeler | Pharmacist | 3851 Rosecrans St, Ms P-507-j, San Diego, CA 92110-3115 | 2005-08-09 |
| 1073511390 | Michael L. Ross | Pharmacist | 11878 Avenue of Industry, San Diego, CA 92128-3423 | 2005-07-11 |
| 1528255338 | Danielle Kay Strack | Pharmacist | 200 W Arbor Dr, Uc San Diego Health System #8765, San Diego, CA 92103-9000 | 2007-09-26 |
| 1013947647 | Lisa Arai | Pharmacist | 3350 La Jolla Village Dr, San Diego, CA 92161-0002 | 2006-07-03 |
| 1649227752 | Benjamin Robert Dishman | Pharmacist | 3350 Lajolla Village Dr., San Diego, CA 92161-0001 | 2006-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205457918 | Abdulla Nooristani | Pharmacist | 3630 Business Dr Ste D, Sacramento, CA 95820-2179 | 2020-05-04 |
| 1811534878 | Susan Lee | Pharmacist | 9362 Canterbury Ln, Garden Grove, CA 92841-3415 | 2019-12-09 |
| 1669963294 | Geoffrey Charles Henrietta | Pharmacist | 19205 Almond Rd, Castro Valley, CA 94546-3033 | 2018-05-18 |
| 1689034498 | Meredyth Keast-devine | Pharmacist | 4875 Shadow Canyon Rd Bldg B, Templeton, CA 93465-9714 | 2016-03-07 |
| 1922330638 | Christopher Ching | Pharmacist | 1380 Howard St # 130, San Francisco, CA 94103-2638 | 2010-02-04 |
| 1588856850 | Luriko Jean Ajari | Pharmacist | 2356 Sutter Street, Fourth Floor, San Francisco, CA 94115-1648 | 2007-08-10 |
| 1104020841 | Mark David Watanabe | Pharmacist | 1380 Howard St Rm 130, San Francisco, CA 94103 | 2007-06-14 |
| 1568672400 | Van Viet Do | Pharmacist | 2418 Hummel Ct, San Jose, CA 95148-2510 | 2007-05-22 |
| 1861610693 | Bruce David Miller | Pharmacist | 3057 S Higuera St, Spc # 53, San Luis Obispo, CA 93401-6625 | 2007-04-24 |
| 1316009830 | Michael Francis Pondrom | Pharmacist | 590 N Vermont Ave, Los Angeles, CA 90004-2115 | 2006-12-14 |
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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.