DR. WICHITAH PRASOEU LENG (NPI# 1033455464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1033455464 |
Entity Type | Individual |
Full Name | DR. WICHITAH PRASOEU LENG |
Credential | PHARMD |
Practice Address |
1010 W Lehigh Ave Philadelphia PA 19133-1640 |
Practice Telephone | 2672737000 |
Practice Fax Number | 2672737057 |
Mailing Telephone | 2672737000 |
Mailing Fax Number | 2672737057 |
Enumeration Date | 2012-12-12 |
Last Update Date | 2012-12-12 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
RP441711 | PA | Pharmacy Service Providers |
Street Address |
1010 W LEHIGH AVE |
City | PHILADELPHIA |
State | PA |
Zip Code | 19133-1640 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962465674 | Heidi J Syropoulos | Internal Medicine | 1010 W Lehigh Ave, Philadelphia, PA 19133-1640 | 2006-04-11 |
1841845369 | Courage Medicine Health Center Inc. | Family Medicine | 1010 W Lehigh Ave, Philadelphia, PA 19133-1640 | 2019-08-02 |
1891243192 | Jennifer Anne Mcpherson | Counselor | 1010 W Lehigh Ave, Philadelphia, PA 19133-1640 | 2016-09-14 |
1972971844 | Diane T Frederick | Nurse Practitioner | 1010 W Lehigh Ave, Philadelphia, PA 19133-1640 | 2015-09-09 |
1811933559 | Sarah E. Farrell | Nurse Practitioner | 1010 W Lehigh Ave, Philadelphia, PA 19133-1640 | 2006-06-21 |
1467497123 | Trisha L Acri | Family Medicine | 1010 W Lehigh Ave, Philadelphia, PA 19133-1640 | 2006-06-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427525708 | Delia Maria Home Care Agency LLC | Home Health Aide | 2945-47 N. 5th Street, Philadelphia, PA 19133 | 2018-10-25 |
1215417738 | Ajaj Medical Equipment & Supplies | Durable Medical Equipment & Medical Supplies | 3116 North Front St, Philadelphia, PA 19133 | 2018-08-14 |
1730636101 | Martha Pinto | Registered Nurse | 412 W. Lehigh Avenue, Philadelphia, PA 19133 | 2016-09-02 |
1295105989 | Mariana Arguelles-alcazar | Technician, Other | 216 W. Somerset St, Esfuerzo Program, Philadelphia, PA 19133 | 2015-10-07 |
1750785457 | Cinthya M Gonzalez Reveron | Speech-Language Pathologist | 2215 N American Street, Philadelphia, PA 19133 | 2014-10-09 |
1306166434 | Roberto Hilario | Counselor | 29297 North 5th Street, Philadelphia, PA 19133 | 2010-06-11 |
1598919300 | Pan American Academy Charter School | Local Education Agency (LEA) | 126 West Dauphin Street, Philadelphia, PA 19133 | 2008-11-06 |
1518157114 | Jennifer Leah Hoffman | Registered Nurse | 452 W. Allegheny Ave, Philadelphia, PA 19133 | 2007-07-30 |
1245441534 | Mark D. Lyons | Physician Assistant | 452 W. Allegheny Ave., Phila., PA 19133 | 2007-05-25 |
1104037613 | Christian Santana | Dentist | 29 10 North 5th Street, Phila, PA 19133 | 2007-05-25 |
Find all providers in zip 19133 |
Taxonomy Code | 1835P0018X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacist |
Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295355030 | Nur Kazzaz | Pharmacist | 3401 N Broad St Ste B150, Philadelphia, PA 19140-5103 | 2020-04-22 |
1164903381 | Suzanne Scott Giyanani | Pharmacist | 200 W Washington Sq Apt 3609, Philadelphia, PA 19106-3538 | 2018-08-25 |
1629412713 | Rath Hean | Pharmacist | 2131 N Broad St, Philadelphia, PA 19122-1105 | 2013-04-19 |
1992010540 | Wayne S Binder | Pharmacist | 9920 Bustleton Ave., Philadelphia, PA 19115 | 2010-08-06 |
1336453521 | Casandra Bonita Jeter | Pharmacist | 2201 W Allegheny Ave, Philadelphia, PA 19132-1420 | 2010-07-30 |
1689993784 | Alina Kandov | Pharmacist | 9920 Bustleton Avenue, Philadelphia, PA 19115-1006 | 2010-05-28 |
1700483120 | James Joseph Cavage II | Pharmacist | 200 Stevens Dr, Philadelphia, PA 19113-1532 | 2020-10-08 |
1376165407 | Jenny Au | Pharmacist | 3401 N Broad St, Philadelphia, PA 19140-5103 | 2020-05-12 |
1043831480 | Alasan Jallow | Pharmacist | 3401 N Broad St, Philadelphia, PA 19140-5103 | 2020-04-27 |
1477190288 | Sherin Abu | Pharmacist | 12311 Academy Rd, Philadelphia, PA 19154-1927 | 2019-12-01 |
Find all providers in PHILADELPHIA |
City | PHILADELPHIA |
Zip Code | 19133 |
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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.