TDSM INC (NPI# 1093802514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093802514 |
| Entity Type | Organization |
| Organization Name | TDSM INC |
| Other Organization Name | VIDA DRUG STORE & PHARMACY |
| Practice Address |
437 N Euclid Ave Suite B Ontario CA 91762-3456 |
| Practice Telephone | 9099830999 |
| Practice Fax Number | 9099830888 |
| Mailing Telephone | 9099830999 |
| Mailing Fax Number | 9099830888 |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2009-04-27 |
| Authorized Official Name | MR. SAHER ABD EL-MALIK MEKHAIL (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 9099830999 |
| Authorized Official Credential | PHARMACIST |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHY 49856 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DEA | FV1347168 | 01 |
| Other Name | Type Code |
|---|---|
| VIDA DRUG STORE & PHARMACY | Doing Business As Name - Organization |
| Street Address |
437 N EUCLID AVE SUITE B |
| City | ONTARIO |
| State | CA |
| Zip Code | 91762-3456 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316974652 | Vache Chakmakian | Family Medicine | 437 N Euclid Ave, Ontario, CA 91762-3456 | 2006-06-26 |
| 1396391470 | Romulo Atienza Lucasan IIi | Nurse Practitioner | 437 N Euclid Ave, Ontario, CA 91762-3456 | 2019-08-14 |
| 1003344391 | Rachel Nuguid Taruc-carlos | Nurse Practitioner | 437 N Euclid Ave, Ontario, CA 91762-3456 | 2017-05-31 |
| 1104367846 | Heather Wong | Physician Assistant | 437 N Euclid Ave, Ontario, CA 91762-3456 | 2017-03-14 |
| 1376906719 | Naila Mubashar | Family Medicine | 437 N Euclid Ave, Ontario, CA 91762-3456 | 2016-04-02 |
| 1659744241 | Leona Sandrik | Nurse Practitioner | 437 N Euclid Ave, Ontario, CA 91762-3456 | 2015-11-04 |
| 1831561448 | Hawanatu Fofanah | Nurse Practitioner | 437 N Euclid Ave, Ontario, CA 91762-3456 | 2015-10-21 |
| 1710309513 | Unicare Community Health Center, Inc. | Clinic/Center | 437 N Euclid Ave, Ontario, CA 91762-3456 | 2014-01-13 |
| 1912111543 | Lincoln Heights Family & Industrial Medical Clinic | Family Medicine | 437 N Euclid Ave, Suite A, Ontario, CA 91762-3456 | 2007-05-10 |
| 1225178353 | Jennifer Villalba | Social Worker | 437 N Euclid Ave, Ontario, CA 91762-3456 | 2007-02-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366093486 | Samantha Jo Brumfield | Nurse Practitioner | 5562 Central Avenue, Suite 300, Chino, CA 91762 | 2019-09-20 |
| 1215598578 | Janet Murphy | Behavior Technician | 1520 North Mountain Ave., Ste 206, Ontario, CA 91762 | 2019-06-26 |
| 1437717550 | Fjs Hearing Professionals | Hearing Instrument Specialist | 528 N Palm Ave, Ontario, CA 91762 | 2019-06-04 |
| 1669990768 | Claudia Juarez Tapia | Counselor | 125 W F Street, Ontario, CA 91762 | 2017-09-08 |
| 1093230468 | David Rayo | Respiratory Therapist, Registered | 805 W E St, Ontario, CA 91762 | 2017-08-07 |
| 1215475348 | Chinmay Patel | Physical Therapist | 910 S Mountain Avenue Unite A, Ontario, CA 91762 | 2017-02-09 |
| 1003265604 | Bambi Mpiana | Dentist | 1337 N Mountain Ave Ste 1, Ontario, CA 91762 | 2016-06-06 |
| 1548630940 | Ned Paniagua, Dmd A Professional Corporation | Dentist | 533 W. Holt Blvd., Suite B, Ontario, CA 91762 | 2015-09-29 |
| 1568865251 | Jennifer Estberg | Student in an Organized Health Care Education/Training Program | 317 W. F Street, Ontario, CA 91762 | 2014-10-08 |
| 1447660873 | Agha Zulfequar Hayder | Nurse Practitioner | 1001 West 6th Street, Suite B., Ontario, CA 91762 | 2014-05-07 |
| Find all providers in zip 91762 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
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|---|---|---|---|---|
| 1154792570 | Prxp of Ca LLC | Pharmacy | 4345 E Lowell St, Suites C and D, Ontario, CA 91761-2222 | 2015-10-12 |
| 1669513529 | San Antonio Infusion Pharmacy | Pharmacy | 105 W B St, Ontario, CA 91762-3502 | 2007-02-12 |
| 1033203385 | Gemmel Pharmacy, Inc. | Pharmacy | 143 N Euclid Ave, Ontario, CA 91762-3510 | 2006-10-03 |
| 1285737932 | Ohio Cvs Stores LLC | Pharmacy | 1049 W 4th St, Ontario, OH 44906-1945 | 2006-09-07 |
| 1841234119 | Garfield Beach Cvs LLC | Pharmacy | 2238 S Euclid Ave, Ontario, CA 91762-6503 | 2006-06-16 |
| 1023493244 | Jmc Pharmacy, Inc | Pharmacy | 2920 Inland Empire Blvd, 112, Ontario, CA 91764-5564 | 2015-07-29 |
| 1154422111 | J&j Rx | Pharmacy | 403 W F St, Ontario, CA 91762-3207 | 2006-09-25 |
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| 1750981874 | Capsule San Francisco LLC | Pharmacy | 475 University Ave, Palo Alto, CA 94301-1814 | 2020-10-28 |
| 1447850623 | Sterling Hatteras LLC | Pharmacy | 916 E Cypress Ave Ste 300, Redding, CA 96002-1038 | 2020-10-28 |
| 1922608454 | Vanessa Ann Marie Rita Pitts | Pharmacy | 26365 Buccaneer Ln, Helendale, CA 92342-7739 | 2020-10-26 |
| 1205435971 | Rinaldi Pharmacy, Inc. | Pharmacy | 11237 Tampa Ave, Porter Ranch, CA 91326-1610 | 2020-10-22 |
| 1467051300 | San Dimas Wellness Pharmacy | Pharmacy | 830 W Arrow Hwy Ste 830b, San Dimas, CA 91773-2498 | 2020-10-21 |
| 1225636889 | Med-plus Pharmacy Inc | Pharmacy | 335 Lindbergh Ave, Livermore, CA 94551-9291 | 2020-10-15 |
| 1689271066 | Innova Pharmacy Iv | Pharmacy | 4815 Watt Ave Ste B101, North Highlands, CA 95660-5108 | 2020-10-08 |
| 1114524683 | Bear Valley Pharmacy | Pharmacy | 17003 Bear Valley Rd Ste B, Hesperia, CA 92345-1420 | 2020-10-07 |
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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.