JENNIFER PICIUCCO (NPI# 1962826701) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1962826701 |
Entity Type | Individual |
Full Name | JENNIFER PICIUCCO |
Credential | PHARMD |
Practice Address |
11804 Marsyas Way Rancho Cordova CA 95742-8057 |
Practice Telephone | 9167165487 |
Practice Fax Number | 9169324050 |
Mailing Telephone | 9167165487 |
Mailing Fax Number | 9169324050 |
Enumeration Date | 2014-02-14 |
Last Update Date | 2014-02-14 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 183500000X | Pharmacist | 38254 | CA | Pharmacy Service Providers |
Street Address |
11804 MARSYAS WAY |
City | RANCHO CORDOVA |
State | CA |
Zip Code | 95742-8057 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629597265 | Christopher Michael Colbert Sr. | Counselor | 2025 Aerojet, Rancho Cordova, CA 95742 | 2017-09-14 |
1588185516 | Bautista Dental Corporation | Dentist | 4022 Sunrise Blvd,., Ste 160, Rancho Cordova, CA 95742 | 2017-06-29 |
1770011561 | Fatmeh A Jobay | Nurse Practitioner | 4040 Sunrise Blvd Ste 130, Rancho Cordova, CA 95742 | 2017-05-24 |
1881966273 | Trevor Nabholz | Chiropractor | 2708 Mercantile Dr., Rancho Cordova, CA 95742 | 2012-02-01 |
1518241470 | Edward Yuan | Pharmacist | 4050 Sunrise Blvd., Rancho Cordova, CA 95742 | 2011-10-10 |
1356538920 | Shannon Fistner | Counselor | 2025 Aerojet Rd, Rancho Cordova, CA 95742 | 2007-09-27 |
1679615348 | Owen Y Hsu | Optometrist | 11260 White Rock Road, Rancho Cordova, CA 95742 | 2007-02-12 |
1235249830 | Costco Wholesale Corporation | Pharmacy | 11260 White Rock Rd, Rancho Cordova, CA 95742 | 2006-08-30 |
1255617882 | Ani M Verrios | Pharmacist | 4050 Sunrise Blvd., Rancho Cordova, CA 95742 | 2011-10-27 |
1124302088 | Daniela Sam | Pharmacist | 4050 Sunrise Blvd, Rancho Cordova, CA 95742 | 2011-10-10 |
Find all providers in zip 95742 |
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 |
---|---|---|---|---|
1841765724 | Karen Erinmwingbovo | Pharmacist | 10734 International Dr, Rancho Cordova, CA 95670-7359 | 2018-10-08 |
1881182301 | Nicholas Andrew Hussey | Pharmacist | 3466 Data Dr Apt 20132, Rancho Cordova, CA 95670-7957 | 2018-04-30 |
1629588967 | Thuan Tran | Pharmacist | 3549 Debina Way, Rancho Cordova, CA 95670-6973 | 2017-09-30 |
1689125874 | Linda Sung Chon | Pharmacist | 11809 Autumn Sunset Way, Rancho Cordova, CA 95742-8009 | 2016-10-22 |
1174926638 | Bill Huynh | Pharmacist | 3513 Blanchette Way, Rancho Cordova, CA 95670-6974 | 2014-09-29 |
1033535927 | Moumita Poddar | Pharmacist | 11833 Loisdale Way, Rancho Cordova, CA 95742-8029 | 2014-03-15 |
1184967473 | Van Soi Voong | Pharmacist | 10610 Beclan Dr, Rancho Cordova, CA 95670-3807 | 2013-04-04 |
1518241470 | Edward Yuan | Pharmacist | 4050 Sunrise Blvd., Rancho Cordova, CA 95742 | 2011-10-10 |
1184877458 | Donald Whitney Gubbins Jr. | Pharmacist | 2111 Golden Centre Ln, Rancho Cordova, CA 95670-4477 | 2008-10-29 |
1710019799 | Michelle Denise Tenerelli | Pharmacist | 2115 Golden Centre Ln, Rancho Cordova, CA 95670-4477 | 2007-03-12 |
Find all providers in RANCHO CORDOVA |
City | RANCHO CORDOVA |
Zip Code | 95742 |
Please comment or provide details below to improve the information on JENNIFER PICIUCCO.
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.