MRS. DIANNE KRISTINE TABLAN BANAWA (NPI# 1003164963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003164963 |
| Entity Type | Individual |
| Full Name | MRS. DIANNE KRISTINE TABLAN BANAWA |
| Practice Address |
72253 Twentynine Palms Highway Twentynine Palms CA 92277 |
| Practice Telephone | 7603673262 |
| Practice Fax Number | 7603670079 |
| Mailing Telephone | 7603673262 |
| Mailing Fax Number | 7603670079 |
| Enumeration Date | 2012-08-27 |
| Last Update Date | 2012-08-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 66722 | CA | Pharmacy Service Providers |
| Street Address |
72253 TWENTYNINE PALMS HIGHWAY |
| City | TWENTYNINE PALMS |
| State | CA |
| Zip Code | 92277 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174632509 | Thrifty Payless Inc | Durable Medical Equipment & Medical Supplies | 72253 Twentynine Palms Highway, Twentynine Palms, CA 92277-2417 | 2006-08-30 |
| 1336668433 | Ram C Malhotra | Pharmacist | 72253 Twentynine Palms Highway, Twentynine Palms, CA 92277 | 2017-09-11 |
| 1902331762 | Miesoo Choi | Pharmacist | 72253 Twentynine Palms Highway, Twentynine Palms, CA 92277 | 2017-04-28 |
| 1083011209 | Jack Nguyen | Pharmacist | 72253 Twentynine Palms Highway, Twentynine Palms, CA 92277 | 2014-12-03 |
| 1134549538 | Rahulbhai Savalia | Pharmacist | 72253 Twentynine Palms Highway, Twentynine Palms, CA 92277 | 2014-04-24 |
| 1902126642 | Minkyung Kim | Pharmacist | 72253 Twentynine Palms Highway, Twentynine Palms, CA 92277-5911 | 2010-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821699737 | William Bill Ngo | Dentist | 1591 Griffin Road Mcagcc, Twentynine Palms, CA 92277 | 2020-11-06 |
| 1932755352 | Candace Irene Myer | Registered Nurse | Mcagcc Mccs Stepping Stones, Del Zalle Dr Building 693, Twentynine Palms, CA 92277 | 2019-08-12 |
| 1831759018 | Courtney Vindigni | Student in an Organized Health Care Education/Training Program | Twentynine Palms, Fpo, AA 92277 | 2019-06-19 |
| 1841857612 | Jasmine E Gomez | Behavior Technician | 8315 Argos Rd, Unit A, 29 Palms, CA 92277 | 2019-05-28 |
| 1861961955 | Golam Subhani Chowdhury | Physician Assistant | 1st Marine Division 7th Marine Regiment, Twentynine Palms, CA 92277 | 2018-11-19 |
| 1093283202 | James Degracie | Dentist | 1519 Griffin Rd, Twentynine Palms, CA 92277 | 2018-11-06 |
| 1659829141 | Sang Eun Lee Dental Corp | Dentist | 72724 Twentynine Palms Hwy #102, Twentynine Palms, CA 92277 | 2016-09-14 |
| 1396115374 | Sarah Camille Paje | Dentist | 1591 Griffin Road, Twentynine Palms, CA 92277 | 2015-10-02 |
| 1053733527 | Hi-desert Memorial Health Care District | Clinic/Center | 72724 29 Palms Hwy Ste 103, 29 Palms, CA 92277 | 2014-01-17 |
| 1871897389 | An Nguyen Dds Prof Corp | Dentist | 73666 Joshua Dr., Twentynine Palms, CA 92277 | 2010-12-28 |
| Find all providers in zip 92277 | ||||
| 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 |
|---|---|---|---|---|
| 1689995227 | Malou Simon Solomon | Pharmacist | 72253 29 Palms Hwy, Twentynine Palms, CA 92277-2467 | 2010-06-17 |
| 1912977398 | Carol Ann Barrett | Pharmacist | Naval Hospital Magtftc Mcagcc Affairs, Attn Professional, Twentynine Palms, CA 92278-8250 | 2006-01-26 |
| 1336668433 | Ram C Malhotra | Pharmacist | 72253 Twentynine Palms Highway, Twentynine Palms, CA 92277 | 2017-09-11 |
| 1902331762 | Miesoo Choi | Pharmacist | 72253 Twentynine Palms Highway, Twentynine Palms, CA 92277 | 2017-04-28 |
| 1346625548 | Erica Marie Gordon | Pharmacist | 72253 29 Palms Hwy, Twentynine Palms, CA 92277-2467 | 2015-07-29 |
| 1083011209 | Jack Nguyen | Pharmacist | 72253 Twentynine Palms Highway, Twentynine Palms, CA 92277 | 2014-12-03 |
| 1134549538 | Rahulbhai Savalia | Pharmacist | 72253 Twentynine Palms Highway, Twentynine Palms, CA 92277 | 2014-04-24 |
| 1821342791 | Shelley Denise Holmes | Pharmacist | 1145 Sturgis Street, Robert Bush Naval Hospital, Pharmacy Department, Twentynine Palms, CA 92278-8250 | 2012-10-31 |
| 1902126642 | Minkyung Kim | Pharmacist | 72253 Twentynine Palms Highway, Twentynine Palms, CA 92277-5911 | 2010-06-04 |
| 1962550657 | Raoul Archambault Iv | Pharmacist | 1145 Sturgis Street, Naval Hospital (attn Professional Affairs), Twentynine Palms, CA 92278-8250 | 2007-01-08 |
| Find all providers in TWENTYNINE PALMS | ||||
| City | TWENTYNINE PALMS |
| Zip Code | 92277 |
Please comment or provide details below to improve the information on MRS. DIANNE KRISTINE TABLAN BANAWA.
| 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.