BOREY SOM (NPI# 1104359918) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104359918 |
Entity Type | Individual |
Full Name | BOREY SOM |
Practice Address |
3400 Delta Fair Blvd Antioch CA 94509-4004 |
Mailing Address |
Po Box 2302 Pleasant Hill CA 94523-0002 |
Practice Telephone | 9257795247 |
Enumeration Date | 2017-04-07 |
Last Update Date | 2017-04-07 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 183500000X | Pharmacist | 66404 | CA | Pharmacy Service Providers |
Street Address |
3400 DELTA FAIR BLVD |
City | ANTIOCH |
State | CA |
Zip Code | 94509-4004 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215929914 | Barbara A Rhoades | Nurse Practitioner | 3400 Delta Fair Blvd, Antioch, CA 94509-4004 | 2005-08-18 |
1962936849 | Nardip Singh | Pharmacist | 3400 Delta Fair Blvd, Antioch, CA 94509-4004 | 2017-04-17 |
1649704743 | Anh X Nguyen | Pharmacist | 3400 Delta Fair Blvd, Antioch, CA 94509-4004 | 2017-04-14 |
1790005015 | Elizabeth Seidler | Dermatology | 3400 Delta Fair Blvd, Antioch, CA 94509-4004 | 2010-06-09 |
1699091793 | Allison Townsend Hampton | Pediatrics | 3400 Delta Fair Blvd, Department of Pediatrics, Antioch, CA 94509-4004 | 2010-04-14 |
1063746998 | Athena Panzar | Counselor | 3400 Delta Fair Blvd, Antioch, CA 94509-4004 | 2009-09-24 |
1083859888 | Philip Song | Dermatology | 3400 Delta Fair Blvd, Antioch, CA 94509-4004 | 2008-12-08 |
1033319215 | Sanaz Stacy Aboutalebi-simon | Optometrist | 3400 Delta Fair Blvd, The Permanente Medical Group, Inc., Antioch, CA 94509-4004 | 2007-07-24 |
1700099264 | Derek S Mongold | Family Medicine | 3400 Delta Fair Blvd, Antioch, CA 94509-4004 | 2007-05-08 |
1164647467 | Darcey A Thompson | Physical Therapist | 3400 Delta Fair Blvd, Antioch, CA 94509-4004 | 2007-04-13 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932733243 | A Step Above, LLC | Clinic/Center | 3648 Delta Fair Blvd., Antioch, CA 94509 | 2020-02-25 |
1134751167 | Dr. Jeffrey A Saladin, Dental Corporation | Dentist | 3600 Delta Fair Blvd, Antioch, CA 94509 | 2020-02-07 |
1962040865 | Melay Goitom | Behavioral Analyst | 3104 Delta Fair Boulevard, Antioch, CA 94509 | 2019-12-11 |
1518525062 | James Joseph Cook | Counselor | 624 W. 14th Street B, Antioch, CA 94509 | 2019-05-30 |
1922576438 | Wazma Matiee | Behavioral Analyst | 2009 Asilomar Dr., Antioch, CA 94509 | 2018-11-02 |
1346722360 | Dharma Rachelle Yancy | Behavioral Analyst | 3401 Delta Fair Blvd, Antioch, CA 94509 | 2018-09-06 |
1912489931 | Cristian Cruz | Behavioral Analyst | 3100-3104 Delta Fair Blvd, Antioch, CA 94509 | 2018-09-06 |
1780174052 | Melissa Sue Rossi | Counselor | 3701 Lone Tree Way Ste 7a, Antioch, CA 94509 | 2018-05-13 |
1033638085 | Elizabeth Marie Artola | Counselor | 1915 D Street, Antioch, CA 94509 | 2017-09-11 |
1144748690 | Andrea Michelle Newberry | Counselor | 55 E.18th St, Antioch, CA 94509 | 2017-09-05 |
Find all providers in zip 94509 |
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 |
---|---|---|---|---|
1396355939 | Jhung Hyun Hong | Pharmacist | 5485 Rathdrum Way, Antioch, CA 94531-8675 | 2020-08-07 |
1578129664 | Gao Chong | Pharmacist | 2425 Johns Way, Antioch, CA 94531-8367 | 2019-05-14 |
1023516580 | Aida Attia Faltas | Pharmacist | 608 Copper Rideg Trail, Antioch, TN 37013 | 2018-01-30 |
1235655143 | Modupe Onakoya | Pharmacist | 3130 Buchanan Rd, Antioch, CA 94509-4427 | 2017-08-22 |
1013462001 | Deleca Latrice Reynolds-barnes | Pharmacist | 2401 Edge O Lake Dr, Antioch, TN 37013-5755 | 2016-08-18 |
1689023558 | Shannon Marie Herman | Pharmacist | 966 Route 59, Antioch, IL 60002 | 2016-06-10 |
1609224468 | Deanna Dobler-wilkes | Pharmacist | 5601 Deer Valley Rd # 4216, Antioch, CA 94531-8577 | 2016-06-01 |
1083014021 | Thong Vo | Pharmacist | 5464 Oak Chase Dr, Antioch, TN 37013-4246 | 2014-08-27 |
1912319310 | Teresa Elaine Mcnesby | Pharmacist | 3632 Lone Tree Way, Antioch, CA 94509-6001 | 2014-05-20 |
1932530342 | Matthew Bui | Pharmacist | 2114 Sumac Way, Antioch, CA 94509-8988 | 2013-12-11 |
Find all providers in ANTIOCH |
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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.