MR. JERRY DANIEL COLE RPH
NPI 1437178365
Pharmacist in Fontana, CA

Active since July 19, 2006
16854 IVY AVE, SUITE C, FONTANA, CA 92335(909) 356-0110(909) 356-1024 Get Directions Write a Review

NPPES record last updated: December 18, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Jerry Daniel Cole Rph NPPES

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

MR. JERRY DANIEL COLE RPH (NPI 1437178365) is an individual pharmacist in Fontana, California, licensed in California (27438) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1437178365
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameMR. JERRY DANIEL COLECredential: RPH
Location Address16854 IVY AVE, SUITE CFontana, CA 92335
Mailing Address488 Highway 2Wrightwood, CA 92397 · (760) 249-6505
Fax(909) 356-1024
Sole ProprietorYes
Enumeration DateJuly 19, 2006
Last NPPES UpdateDecember 18, 2007
NPI 1437178365 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in CA · 27438
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.

16854 IVY AVE, Fontana, CA 92335

Other Identifiers 3

MedicaidPHA352970CA
Other0596354CA · Nabp Number
Medicare NSC0618500001CA

Other Providers at the Same Location NPPES 6

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

Family Medicine
16854 IVY AVE
FONTANA, CA 92335
Family Medicine
16854 IVY AVE
FONTANA, CA 92335
Pharmacy (Community/Retail Pharmacy)
16854 IVY AVE, SUITE C
FONTANA, CA 92335
Family Medicine
16854 IVY AVE
FONTANA, CA 92335
Family Medicine
16854 IVY AVE
FONTANA, CA 92335
Family Medicine
16854 IVY AVE
FONTANA, CA 92335

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1437178365, enumerated as an "individual" on July 19, 2006.

The provider is located at 16854 IVY AVE SUITE C FONTANA, CA 92335 and the phone number is (909) 356-0110.

Pharmacist with taxonomy code 183500000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.