JERRA LYNN BANWARTH RPH FIACP
NPI 1245510072
Pharmacist in Woodland, CA

Active since August 24, 2011
250 W MAIN ST, SUITE 103, WOODLAND, CA 95695(530) 669-7038(530) 669-1655 Get Directions Write a Review

NPPES record last updated: August 24, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jerra Lynn Banwarth Rph Fiacp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JERRA LYNN BANWARTH RPH FIACP (NPI 1245510072) is an individual pharmacist in Woodland, California, licensed in California (PHY45990) and active in the NPI registry since August 2011.

NPPES Registry Identity

NPI1245510072
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameJERRA LYNN BANWARTHCredential: RPH FIACP
Location Address250 W MAIN ST, SUITE 103Woodland, CA 95695-3652
Mailing Address250 W Main St, Suite 103Woodland, CA 95695-3652 · (530) 669-7038 · Fax (530) 669-1655
Fax(530) 669-1655
Sole ProprietorYes
Enumeration DateAugust 24, 2011
NPI 1245510072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in CA · PHY45990
Definition

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.

250 W MAIN ST, Woodland, CA 95695

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Behavior Technician
250 W MAIN ST
WOODLAND, CA 95695
Behavior Technician
250 W MAIN ST
WOODLAND, CA 95695
Behavior Technician
250 W MAIN ST
WOODLAND, CA 95695
Behavior Technician
250 W MAIN ST
WOODLAND, CA 95695
Behavior Technician
250 W MAIN ST
WOODLAND, CA 95695
Behavior Technician
250 W MAIN ST
WOODLAND, CA 95695
Behavior Technician
250 W MAIN ST
WOODLAND, CA 95695
Behavior Technician
250 W MAIN ST
WOODLAND, CA 95695

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1245510072, enumerated as an "individual" on August 24, 2011.

The provider is located at 250 W MAIN ST SUITE 103 WOODLAND, CA 95695 and the phone number is (530) 669-7038.

Pharmacist with taxonomy code 183500000X.