Dana Dewitt, PHARMD
Individual provider Active NPI Pharmacist · Jurupa Valley, CA
NPI 1366910796 · NPPES record last updated Jun 29, 2022
Key facts
- NPI
- 1366910796
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 79180 (CA)
- Practice address
- 8844 Limonite Ave
Jurupa Valley, CA 92509-5021 - Phone
- (951) 968-7218
- NPI assigned
- Nov 3, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 79180 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walmart Inc. | Past | Accepting new patients | |
| Walmart Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 79180 | CA | Yes |
Addresses
Primary practice location
8844 Limonite Ave
Jurupa Valley, CA 92509-5021
Mailing address
6008 Ventura Canyon Ave
Van Nuys, CA 91401-3028
Phone (818) 404-2457
Other practice location 1
1425 N Hacienda Blvd
LA Puente, CA 91744-1133
Phone (626) 251-1906
Other practice location 2
1425 N Hacienda Blvd
LA Puente, CA 91744-1133
Phone (626) 251-1906
Other providers in Jurupa Valley, CA
- Vanessa De la Torre
- Marisae Esther De Leon
- Frances Marie Pasculado Del Fierro
- Roman Delacruz
- Stella Itzel Delgadillo
- Melody Diaz
- Morena Guadalupe Diaz
- Nadia Luctia Diaz
- Adinda Golden Dobyns
- Dr Smile Dental and Orthodontics Office of Dr Rahij Obid
All providers in Jurupa Valley, CA · Pharmacist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 29, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.