BOREY SOM


Address: 3400 Delta Fair Blvd, Antioch, CA 94509-4004
Phone: 9257795247

BOREY SOM (NPI# 1104359918) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 183500000X Pharmacist 66404 CA Pharmacy Service Providers

Office Location

Street Address 3400 DELTA FAIR BLVD
City ANTIOCH
State CA
Zip Code 94509-4004

Providers in the same location

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
Find all providers in the same location

Providers in the same zip code

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 Information

Taxonomy Code 183500000X
Grouping Pharmacy Service Providers
Classification Pharmacist

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Competitor

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City ANTIOCH
Zip Code 94509

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Dataset Information

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.

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