KATHLEEN CHAN


Address: 401 Picacho Road, Winterhaven, CA 92283
Phone: 7605724100

KATHLEEN CHAN (NPI# 1003124041) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 183500000X Pharmacist S010861 AZ Pharmacy Service Providers

Other Providers KATHLEEN CHAN

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

Office Location

Street Address 401 PICACHO ROAD
City WINTERHAVEN
State CA
Zip Code 92283

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 183500000X
Grouping Pharmacy Service Providers
Classification Pharmacist

Taxonomy 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.
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]

Providers in the same taxonomy and city

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

Competitor

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City WINTERHAVEN
Zip Code 92283

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Dataset Information

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.

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