ELISA MARIE CHI SUPAN (NPI# 1053662700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053662700 |
| Entity Type | Individual |
| Full Name | ELISA MARIE CHI SUPAN |
| Credential | PHARM.D. |
| Practice Address |
18220 State Highway 249 Houston TX 77070-4347 |
| Mailing Address |
2666 Skyview Glen Ct Houston TX 77047-6818 |
| Practice Telephone | 2817371440 |
| Mailing Telephone | 8563977516 |
| Enumeration Date | 2012-09-20 |
| Last Update Date | 2012-09-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
42879 | TX | Pharmacy Service Providers |
| Street Address |
18220 STATE HIGHWAY 249 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77070-4347 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912999483 | James Patrick Weller | Emergency Medicine | 18220 State Highway 249, Houston, TX 77070-4347 | 2005-08-19 |
| 1396350963 | Janet Nguyen | Nurse Practitioner | 18220 State Highway 249, Houston, TX 77070-4347 | 2020-09-10 |
| 1750999116 | Monica Kocel | Nurse Practitioner | 18220 State Highway 249, Houston, TX 77070-4347 | 2020-07-21 |
| 1558912378 | Teresa Tauriello | Nurse Practitioner | 18220 State Highway 249, Houston, TX 77070-4347 | 2019-09-23 |
| 1215598180 | Cesar Amaya Romero | Specialist/Technologist, Other | 18220 State Highway 249, Houston, TX 77070-4347 | 2019-06-21 |
| 1972169050 | Jacqueline Rose Semenoff | Nurse Practitioner | 18220 State Highway 249, Houston, TX 77070-4347 | 2019-05-14 |
| 1508326000 | Lac Anh.,pa | Internal Medicine | 18220 State Highway 249, Houston, TX 77070-4347 | 2019-03-21 |
| 1952869901 | Richard Conrad Bear IIi | Nurse Practitioner | 18220 State Highway 249, Houston, TX 77070-4347 | 2019-03-08 |
| 1811485337 | Richard W Brainerd IIi | Physical Medicine & Rehabilitation | 18220 State Highway 249, Houston, TX 77070-4347 | 2018-04-30 |
| 1194238998 | Suna Cai-ng | Nurse Practitioner | 18220 State Highway 249, Houston, TX 77070-4347 | 2017-11-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356962666 | Polyanna De La Garza Optometrist Pllc | Optometrist | 22438 Tomball Parkway, Houston, TX 77070 | 2020-04-28 |
| 1871113837 | Carolyn Hong Nguyen | Radiology | 18220 Tx 249, Houston, TX 77070 | 2020-04-20 |
| 1942831268 | Rea May Roque Danao | Registered Nurse | 18220 Tx-249, Houston, TX 77070 | 2020-01-27 |
| 1124669866 | Endocrine Diabetes and Thyroid Specialists of Houston Pllc | Internal Medicine | 18220 Texas 249 Access Rd, Houston, TX 77070 | 2019-10-03 |
| 1851944300 | Oculus Cypresswood, LLC | Optometrist | Hwy 249 & Cypresswood, Houston, TX 77070 | 2019-07-23 |
| 1740832310 | Oculus Cypresswood, LLC | Optometrist | Highway 249 & Cypresswood, Houston, TX 77070 | 2019-07-12 |
| 1750846176 | Karen Fletcher | Occupational Therapy Assistant | Silverado Vintage Preserve, 10120 Louette Rd, Houston, TX 77070 | 2019-02-11 |
| 1154803518 | Geraldine Santillan Villanueva | Physical Therapist | 13220 Breton Ridge St., Houston, TX 77070 | 2018-09-02 |
| 1467945865 | Pure G Kids, LLC | Clinic/Center | 21175 Tomball Pkwy Ste 379, Houston, TX 77070 | 2018-06-11 |
| 1063902518 | Stephanie Leona Bloodworth | Marriage & Family Therapist | 9950 Cypresswood Dr Ste 214, Houston, TX 77070 | 2018-05-10 |
| Find all providers in zip 77070 | ||||
| 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 |
|---|---|---|---|---|
| 1992321277 | Chinonso Bright Ezeudu | Pharmacist | 12647 Ashford Meadow Dr Apt A, Houston, TX 77082-6252 | 2020-06-22 |
| 1902439524 | Kristy Nguyen | Pharmacist | 1515 Holcombe Blvd # Y2561021, Houston, TX 77030-4000 | 2020-02-21 |
| 1407488489 | Hai Trang | Pharmacist | 9919 Westheimer Rd, Houston, TX 77042-3802 | 2020-02-07 |
| 1750847125 | Janet Starnes Way | Pharmacist | 905 Town and Country Blvd Apt 644, Houston, TX 77024-2322 | 2019-02-11 |
| 1275089823 | Blessing Obehi Adodo | Pharmacist | 2900 N Loop West, Houston, TX 77092 | 2016-09-01 |
| 1154793842 | Denise Crow | Pharmacist | 5723 Sanford Rd, Houston, TX 77096-6036 | 2015-10-21 |
| 1154755791 | Janell Fontenot | Pharmacist | 15938 La Avenida Dr, Houston, TX 77062-4234 | 2013-08-31 |
| 1700138690 | Elaine Bec | Pharmacist | 21202 State Hwy 249, Houston, TX 77070 | 2012-10-03 |
| 1063760791 | Ronald Lee | Pharmacist | 9829 Cynthia Ann Court, Houston, TX 77025 | 2012-08-28 |
| 1740541119 | Michael Allen Adams | Pharmacist | 14655 Northwest Fwy, Suite 101, Houston, TX 77040-4042 | 2012-06-01 |
| Find all providers in HOUSTON | ||||
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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.