KATHLEEN CHAN (NPI# 1003124041) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003124041 |
| Entity Type | Individual |
| Full Name | KATHLEEN CHAN |
| Credential | PHARMD |
| Practice Address |
401 Picacho Road Winterhaven CA 92283 |
| Mailing Address |
Po Box 1368 Yuma AZ 85365 |
| Practice Telephone | 7605724100 |
| Practice Fax Number | 7605722133 |
| Mailing Telephone | 7605724100 |
| Mailing Fax Number | 7605722133 |
| Enumeration Date | 2010-09-23 |
| Last Update Date | 2018-04-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | S010861 | AZ | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922417211 | Kathleen Chan | Anesthesiology | 51 Crown St Apt 205, New Haven, CT 06510-3334 | 2014-08-12 |
| 1417255845 | Kathleen Kennedy Chan | Counselor | 3707 Sunset Ln, Antioch, CA 94509-6101 | 2011-03-09 |
| 1104056613 | Kathleen Ann Chan | Social Worker | 4577 W Pecos Rd, Laveen, AZ 85339 | 2009-07-17 |
| 1891743266 | Kathleen T Chan | Dentist | 72 S River Rd, Bedford, NH 03110-6709 | 2006-05-05 |
| Street Address |
401 PICACHO ROAD |
| City | WINTERHAVEN |
| State | CA |
| Zip Code | 92283 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366557605 | Louise Susan Del Negro | Family Medicine | 401 Picacho Road, Winterhaven, CA 92283 | 2006-08-19 |
| 1639651854 | Marjorie Gloria Yates | Registered Nurse | 401 Picacho Road, Winterhaven, CA 92283 | 2018-09-04 |
| 1073010898 | Mary Decorse | Registered Nurse | 401 Picacho Road, Winterhaven, CA 92283 | 2018-04-09 |
| 1013423607 | Natasha White | Registered Nurse | 401 Picacho Road, Winterhaven, CA 92283 | 2017-12-19 |
| 1619332061 | Diana Vargas | Registered Nurse | 401 Picacho Road, Winterhaven, CA 92283 | 2015-12-29 |
| 1023480142 | Arazely Padilla | Technician, Other | 401 Picacho Road, Winterhaven, CA 92283 | 2015-10-28 |
| 1295119238 | Raquel Yorba | Physician Assistant | 401 Picacho Road, Winterhaven, CA 92283 | 2015-07-18 |
| 1073900213 | Raphael Ugwu | General Practice | 401 Picacho Road, Winterhaven, CA 92283 | 2015-04-24 |
| 1093080590 | Bernaliza Laban Arce | Clinic/Center | 401 Picacho Road, Winterhaven, CA 92283 | 2012-03-15 |
| 1578837902 | Terri Hamilton | Pharmacist | 401 Picacho Road, Winterhaven, CA 92283 | 2012-03-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467018614 | Jessica Rose Langton | Pharmacist | 401 East Picacho Rd, Winterhaven, CA 92283 | 2019-05-14 |
| 1598248551 | Jennifer Andrea Ochoa | Pharmacy Technician | 401 E Picacho Rd, Winterhaven, CA 92283 | 2018-09-14 |
| 1043793185 | Roberta Jean Sam | Pharmacy Technician | 401 E. Picacho Road, Winterhaven, CA 92283 | 2018-09-14 |
| 1871905000 | Kelli Rogers | Registered Nurse | One Indian Hill Rd., Winterhaven, CA 92283 | 2014-05-22 |
| 1225197908 | Richard Gilbert Schrage | Dentist | One Indian Hill Road, Winterhaven, CA 92283 | 2006-12-08 |
| 1447290127 | Trivean Garcia | Social Worker | One Indian Rd, Winterhaven, CA 92283 | 2006-06-08 |
| 1588604284 | Deborah Ann Drumel | Dietitian, Registered | One Indian Hill Rd, Winterhaven, CA 92283 | 2006-06-08 |
| 1295785186 | Antonio Rivera | Family Medicine | 1 Indian Hill Road, Winterhaven, CA 92283 | 2006-05-11 |
| 1609351469 | Deana Cachora | Technician | 401 Picacho Rd, Winterhaven, CA 92283 | 2018-09-27 |
| 1750866513 | Sarena San Diego | Technician | 401 Picacho Rd, Winterhaven, CA 92283 | 2018-09-27 |
| Find all providers in zip 92283 | ||||
| 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 |
|---|---|---|---|---|
| 1467018614 | Jessica Rose Langton | Pharmacist | 401 East Picacho Rd, Winterhaven, CA 92283 | 2019-05-14 |
| 1427655992 | Deborah Lai | Pharmacist | 401 Picacho Rd, Winterhaven, CA 92283-9605 | 2020-10-07 |
| 1104437706 | Madelaine Rae Tech | Pharmacist | 401 Picacho Rd, Winterhaven, CA 92283-9605 | 2020-08-17 |
| 1578187647 | Eun Joong Oh | Pharmacist | 401 Picacho Rd, Winterhaven, CA 92283-9605 | 2020-06-03 |
| 1801142591 | Beth Cleavenger | Pharmacist | One Indian Hill Rd, Winterhaven, CA 92283 | 2012-07-31 |
| 1578837902 | Terri Hamilton | Pharmacist | 401 Picacho Road, Winterhaven, CA 92283 | 2012-03-02 |
| 1750602116 | Margaret Rincon | Pharmacist | One Indian Hill Rd, Winterhaven, CA 92283 | 2010-06-18 |
| 1639403371 | Aaron D Ross | Pharmacist | One Indian Hill Rd, Winterhaven, CA 92283 | 2009-09-29 |
| 1528277662 | James Wilton Carter Jr. | Pharmacist | 401 Picacho Road, Winterhaven, CA 92283 | 2007-05-22 |
| 1487713178 | Kelley Marie Simms | Pharmacist | One Indian Hill Road, Winterhaven, CA 92283 | 2006-12-08 |
| Find all providers in WINTERHAVEN | ||||
| City | WINTERHAVEN |
| Zip Code | 92283 |
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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.