MADELEINE LORD (NPI# 1053412411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053412411 |
| Entity Type | Organization |
| Organization Name | MADELEINE LORD |
| Other Organization Name | CROWN DRUG STORE |
| Practice Address |
657 E University Dr Carson CA 90746-1966 |
| Practice Telephone | 3103236193 |
| Mailing Telephone | 3103236193 |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2017-09-21 |
| Authorized Official Name | MADELEINE LORD (OWNER) |
| Authorized Official Telephone | 3103236193 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PHY39951 | CA | Pharmacy Service Providers |
| Other Name | Type Code |
|---|---|
| crown drug store | Doing Business As Name - Organization |
| Street Address |
657 E UNIVERSITY DR |
| City | CARSON |
| State | CA |
| Zip Code | 90746-1966 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174172837 | Darren Nakano Chiropractic, Professional Corporation | Chiropractor | 460 East Carson Plaza Drive, Suite 116, Carson, CA 90746 | 2019-09-05 |
| 1205370079 | Natalie Bland | Nurse Practitioner | 454 E. Carson Plaza Drive Suite 211, Carson, CA 90746 | 2016-12-13 |
| 1891146767 | Francis O Okpan | Nurse Practitioner | 17546 Buttonwood Ln, Carson, CA 90746 | 2016-06-22 |
| 1689049371 | Fresenius Medical Care Long Beach, LLC | Clinic/Center | 20710 Leapwood Ave Ste E, Carson, CA 90746 | 2015-12-07 |
| 1447649108 | Brandi Glenn | Occupational Therapist | 17811 Hazelwood Court, Carson, CA 90746 | 2015-01-20 |
| 1700226263 | Allen Berger | Counselor | 460 Est. Carson Plaza Dr. #119, Carson, CA 90746 | 2013-06-28 |
| 1902147036 | Basen Inc | Counselor | 460 Carson Plaza Drive, Ste 106, Carson, CA 90746 | 2013-03-14 |
| 1811238298 | Basen Inc | Counselor | 460 E Carsin Plaza Dr, #106, Carson, CA 90746 | 2013-03-08 |
| 1871858084 | Joseph H. Rodd M.d. Inc | Psychiatry & Neurology | 20710 S. Leapwood Ave., Suite B, Carson, CA 90746 | 2012-07-13 |
| 1467718601 | Laquesha Shonte Robinson | Counselor | 460 E. Carson Plaza Drive, Suite 200, Carson, CA 90746 | 2012-04-02 |
| Find all providers in zip 90746 | ||||
| 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 |
|---|---|---|---|---|
| 1174035661 | Marc Leo Garcia Peralta | Pharmacist | 22539 Figueroa St Apt 303, Carson, CA 90745-4486 | 2017-10-24 |
| 1437699642 | Giana Hasley | Pharmacist | 20014 Alvo Ave, Carson, CA 90746-2575 | 2017-03-07 |
| 1184052805 | Jumana B Hanna | Pharmacist | 500 Carson Town Center Kmart 4987 Pharmacy, Carson, CA 90745 | 2013-10-15 |
| 1073949442 | Rebecca Lee | Pharmacist | 500 Carson Town Ctr, Carson, CA 90745-1446 | 2013-09-17 |
| 1578832259 | Chidinma Jenny Chikezie | Pharmacist | 22005 Avalon Blvd Ste D, Carson, CA 90745-7169 | 2011-12-23 |
| 1427325091 | Daniel Chow | Pharmacist | 20700 Avalon Blvd Ste 200, Carson, CA 90746-3718 | 2011-11-25 |
| 1841584638 | Cary Fang | Pharmacist | 20700 Avalon Blvd Ste 750, T-2026, Carson, CA 90746-3724 | 2011-06-08 |
| 1497974042 | Edward Leo Callahan | Pharmacist | 123 W. Walnut St., Carson, CA 90248-3103 | 2007-04-24 |
| 1922159417 | Joann N Dong | Pharmacist | 824 E Carson St Ste 104, Carson, CA 90745-2262 | 2007-01-13 |
| 1598378259 | Carlos Romero Jr. | Pharmacist | 651 W Sepulveda Blvd, Carson, CA 90745-6314 | 2020-08-24 |
| Find all providers in CARSON | ||||
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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.