MEAGAN REYNOLDSON (NPI# 1982188959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982188959 |
| Entity Type | Individual |
| Full Name | MEAGAN REYNOLDSON |
| Practice Address |
1540 E Highland Ave San Bernardino CA 92404-4614 |
| Mailing Address |
7772 Santa Angela St Highland CA 92346-6338 |
| Practice Telephone | 9098864981 |
| Mailing Telephone | 9094368886 |
| Enumeration Date | 2018-09-17 |
| Last Update Date | 2018-09-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 78871 | CA | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CALIFORNIA BOARD OF PHARMACY | 78871 | 01 |
| Street Address |
1540 E HIGHLAND AVE |
| City | SAN BERNARDINO |
| State | CA |
| Zip Code | 92404-4614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295778033 | Longs Drug Stores California LLC | Pharmacy | 1540 E Highland Ave, San Bernardino, CA 92404-4614 | 2006-06-13 |
| 1639782204 | Sarah Palomera | Pharmacist | 1540 E Highland Ave, San Bernardino, CA 92404-4614 | 2020-08-25 |
| 1558909408 | Stephen Kim | Pharmacist | 1540 E Highland Ave, San Bernardino, CA 92404-4614 | 2019-12-11 |
| 1639717481 | Narine Bleu Gevorkian | Pharmacist | 1540 E Highland Ave, San Bernardino, CA 92404-4614 | 2019-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740849363 | Danniella Alexandra Murillo | Physician Assistant | 2101 North Waterman Ave, San Bernardino, CA 92404 | 2019-06-07 |
| 1902377484 | Shauntel Renee Nelson | Student in an Organized Health Care Education/Training Program | 1481 N. Windsor Dr., San Bernardino, CA 92404 | 2018-12-10 |
| 1487123584 | Garrett M Grigg | Licensed Psychiatric Technician | 1481 N Windsor Dr, San Bernardino, CA 92404 | 2018-11-19 |
| 1881163434 | James Dean Anders | Counselor | 1481 Windsor Drive, San Bernardino, CA 92404 | 2018-11-13 |
| 1043703564 | Samantha Makpaiboonvatana | Optometrist | 1909 N Waterman Ave Ste 3, San Bernardino, CA 92404 | 2018-06-09 |
| 1861981623 | Christopher Windham | Behavior Technician | 2460 Fremontia Dr, San Bernardino, CA 92404 | 2018-05-08 |
| 1891145041 | Cynthia Lusy Gastelum | Marriage & Family Therapist | 1885 E Lynwood Dr Rm Se3, San Bernardino, CA 92404 | 2016-06-20 |
| 1336598259 | Foundation Enterprises LLC | Non-emergency Medical Transport (VAN) | 1663 Date Pl., #30390, San Bernardino, CA 92404 | 2016-06-10 |
| 1881042877 | Helen Ann Thompson | Speech-Language Pathologist | 1311 E. State St., San Bernardo, CA 92404 | 2016-05-31 |
| 1366839938 | Lanecia Richardson | Counselor | 135 Paul Drive, San Rafeal, CA 92404 | 2015-04-22 |
| Find all providers in zip 92404 | ||||
| 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 |
|---|---|---|---|---|
| 1710592670 | Amanda Messrah | Pharmacist | 3010 W Meyers Rd, San Bernardino, CA 92407-2082 | 2020-09-08 |
| 1689172447 | Robert Edward Beeman | Pharmacist | 355 E 21st St Ste A, San Bernardino, CA 92404-4851 | 2018-01-26 |
| 1417460247 | Nguyen D Dao | Pharmacist | 1033 N Waterman Ave Ste C, San Bernardino, CA 92410-3808 | 2017-11-15 |
| 1861937138 | Theresa Cherisse Taylor | Pharmacist | 618 S Mount Vernon Ave, Suite 136, San Bernardino, CA 92410-2762 | 2016-12-22 |
| 1851766505 | Afrouz Nikmanesh | Pharmacist | 1099 E. Hospitality Dr., San Bernardino, CA 92408 | 2015-12-07 |
| 1316319320 | Helen Phuoc Dien Tran | Pharmacist | 735 Carnegie Dr Ste 250, San Bernardino, CA 92408-3592 | 2015-10-29 |
| 1841676657 | Danielle Lenee Davis | Pharmacist | 1455 East 3rd St, San Bernardino, CA 92408-1719 | 2015-08-04 |
| 1811397086 | Xiaoyun Yang Peng | Pharmacist | 1535 S D St Ste 230, San Bernardino, CA 92408-3253 | 2014-08-25 |
| 1558606517 | Pradeep Amin | Pharmacist | 4150 N Sierra Way, San Bernardino, CA 92407 | 2012-12-03 |
| 1649537762 | Edward V Guerrero | Pharmacist | 10990 East Hospitality Lane, San Bernardino, CA 92408 | 2012-04-13 |
| Find all providers in SAN BERNARDINO | ||||
| City | SAN BERNARDINO |
| Zip Code | 92404 |
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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.