DR. JESSICA LYNE CUDMORE (NPI# 1972898864) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972898864 |
| Entity Type | Individual |
| Full Name | DR. JESSICA LYNE CUDMORE |
| Credential | PHARM.D |
| Practice Address |
5800 Birdcage St Citrus Heights CA 95610-6800 |
| Practice Telephone | 9165001263 |
| Mailing Telephone | 9165001263 |
| Enumeration Date | 2011-06-18 |
| Last Update Date | 2014-07-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 65035 | CA | Pharmacy Service Providers |
| Street Address |
5800 BIRDCAGE ST |
| City | CITRUS HEIGHTS |
| State | CA |
| Zip Code | 95610-6800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164701280 | Monica Manatt | Pharmacist | 5800 Birdcage St, Citrus Heights, CA 95610-6800 | 2011-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326682113 | Gregory Dilts | Behavior Technician | 5620 Birdcage Street, 230, Citrus Heights, CA 95610 | 2019-11-04 |
| 1831684059 | Omara Sin | Behavior Technician | 5620 Birdcage Street, Suite 230, Citrus Heights, CA 95610 | 2018-06-29 |
| 1528427804 | Mpl Group, LLC | General Practice | 7601 Sunrise Blvd., Suite 8, Citrus Heights, CA 95610 | 2016-02-16 |
| 1851788327 | L.kravchuk Dental Corporation | Dentist | 6240 San Juan Ave, Suite#f, Citrus Heights, CA 95610 | 2015-04-22 |
| 1093152035 | Lynda Louise Dickerson | Marriage & Family Therapist | 5750 Sunrise Blvd., Citrus Heights, CA 95610 | 2013-05-31 |
| 1346582640 | Vista Child Therapy LLC | Physical Therapist | 7579 Old Auburn Road, Citrus Heights, CA 95610 | 2013-03-25 |
| 1982954475 | Exam Collections and Testing Services LLC | Health Maintenance Organization | 6060 Sunrise Vista Dr Ste 1975, Citrus Heights, CA 95610 | 2012-09-12 |
| 1235486168 | Adam Olives | Behavioral Analyst | 5750 Sunrise Blvd Ste 210b, Citrus Heights, CA 95610 | 2012-08-09 |
| 1245598598 | William S. Fastiggi | Veterinarian | 7484 Sunrise Blvd, Citrus Heights, CA 95610 | 2012-04-24 |
| 1295023679 | The Living Water | Residential Treatment Facility, Physical Disabilities | 7504 Chipmunk Way, Citrus Heights, CA 95610 | 2011-07-19 |
| Find all providers in zip 95610 | ||||
| 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 |
|---|---|---|---|---|
| 1457990632 | Abdulla Nabil Nafia Alsalihi | Pharmacist | 12801 Fair Oaks Blvd Apt 102, Citrus Heights, CA 95610-5177 | 2020-01-05 |
| 1073166955 | Nagi Attia | Pharmacist | 7460 Tiara Way Apt D, Citrus Heights, CA 95610-3058 | 2019-07-19 |
| 1356800866 | Mohamad Amr Mohamad Abdelham Eldash | Pharmacist | 12801 Fair Oaks Blvd Apt 482, Citrus Heights, CA 95610-5221 | 2019-03-14 |
| 1932644283 | Sonia Bains | Pharmacist | 7812 Cottingham Ct, Citrus Heights, CA 95610-3075 | 2016-12-22 |
| 1528501467 | David Roland Rogers | Pharmacist | 6301 Misty Wood Way, Citrus Heights, CA 95621-3504 | 2016-11-26 |
| 1144632209 | Arizo Wilson | Pharmacist | 7847 Lichen Dr, Citrus Heights, CA 95621-1074 | 2014-05-23 |
| 1134488042 | Anthony Robert Bricchetti | Pharmacist | 7000 Auburn Blvd # 771, Citrus Heights, CA 95621-4342 | 2012-05-11 |
| 1407131832 | Jason Court Richey | Pharmacist | 6144 Dewey Drive, Citrus Heights, CA 95621 | 2011-10-17 |
| 1871810895 | Loan Mong Le | Pharmacist | 8501 Auburn Blvd, Citrus Heights, CA 95610-0315 | 2010-04-29 |
| 1972830156 | Asem M Sarameh | Pharmacist | 7900 Arcadia Dr, Citrus Heights, CA 95610-6914 | 2009-11-10 |
| Find all providers in CITRUS HEIGHTS | ||||
| City | CITRUS HEIGHTS |
| Zip Code | 95610 |
Please comment or provide details below to improve the information on DR. JESSICA LYNE CUDMORE.
| 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.