DR. MALLORY CRUZ (NPI# 1114346590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114346590 |
| Entity Type | Individual |
| Full Name | DR. MALLORY CRUZ |
| Credential | PHARMD |
| Practice Address |
290 N Wayte Ln Fresno CA 93701-2124 |
| Mailing Address |
Po Box 1232 Fresno CA 93715-1232 |
| Practice Telephone | 5594595030 |
| Enumeration Date | 2014-04-14 |
| Last Update Date | 2014-04-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
65798 | CA | Pharmacy Service Providers |
| Street Address |
290 N WAYTE LN |
| City | FRESNO |
| State | CA |
| Zip Code | 93701-2124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780680611 | Irene R Sanchez | Nurse Practitioner | 290 N Wayte Ln, Fresno, CA 93701-2124 | 2005-06-24 |
| 1033730593 | Ashley Robbins | Student in an Organized Health Care Education/Training Program | 290 N Wayte Ln, Fresno, CA 93701-2124 | 2020-05-06 |
| 1639790298 | Benjamin Koppel | Student in an Organized Health Care Education/Training Program | 290 N Wayte Ln, Fresno, CA 93701-2124 | 2020-05-05 |
| 1770103111 | Weijian Genry Lung | Student in an Organized Health Care Education/Training Program | 290 N Wayte Ln, Fresno, CA 93701-2124 | 2020-04-24 |
| 1588284350 | Claudia Garcia | Student in an Organized Health Care Education/Training Program | 290 N Wayte Ln, Fresno, CA 93701-2124 | 2020-04-22 |
| 1114553831 | Scott Matthew Evans | Pharmacist | 290 N Wayte Ln, Pharmacy 1st Floor, Suite 1500, Fresno, CA 93701-2124 | 2020-03-13 |
| 1225546575 | Family Healthcare Network | Clinic/Center | 290 N Wayte Ln, Fresno, CA 93701-2124 | 2018-01-19 |
| 1366969990 | Leanne Wakefield | Social Worker | 290 N Wayte Ln, Fresno, CA 93701-2124 | 2017-08-24 |
| 1881129690 | Leeann Toshie Sakamoto Cunningham | Registered Nurse | 290 N Wayte Ln, Fresno, CA 93701-2124 | 2017-04-29 |
| 1134653017 | Janette Chung | Student in an Organized Health Care Education/Training Program | 290 N Wayte Ln, Suite 2500, Fresno, CA 93701-2124 | 2017-04-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134740244 | Tamara Sue Stanic | Registered Nurse | 215 N. Fresno Street, Suite 370, Fresno, CA 93701 | 2020-04-29 |
| 1144849829 | Katelyn Nicole Van Leir | Student in an Organized Health Care Education/Training Program | Surabian Dental Care Center - Suite 2500, 290 N. Wayte Lane, Fresno, CA 93701 | 2020-04-13 |
| 1003445693 | Michelle Edwardson | Registered Nurse | 215 North Fresno Street, Suite 370, Fresno, CA 93701 | 2020-04-06 |
| 1184253924 | Patricia Calderon | Registered Nurse | 215 N. Fresno Street, Suite 230, Fresno, CA 93701 | 2020-04-03 |
| 1922637032 | Leticia Lopez | Registered Nurse | 215 N. Fresno Street, Suite 230, Fresno, CA 93701 | 2020-04-02 |
| 1275026585 | Yesenia Gonzalez | Nurse Practitioner | 311 Abby Street, Fresno, CA 93701 | 2018-06-11 |
| 1710474606 | Amanda Juarez | Dietitian, Registered | 215 N Fresno, Suite 370, Fresno, CA 93701 | 2018-04-17 |
| 1235650391 | Plastic Surgery Partners of Fresno Inc | Plastic Surgery | 215 N Fresno St, Ste 490, Fresno, CA 93701 | 2017-06-29 |
| 1205369790 | Amy Alagh | Student in an Organized Health Care Education/Training Program | 155 N Fresno Street, Fresno, CA 93701 | 2017-04-11 |
| 1922462159 | Henry Matthew Dunn | Student in an Organized Health Care Education/Training Program | Ucsf Fresno, 155 N. Fresno St., Department of Orthopaedic Surgery, Fresno, CA 93701 | 2016-04-13 |
| Find all providers in zip 93701 | ||||
| Taxonomy Code | 1835P1200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacotherapy |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346412590 | Neal S. Howard | Pharmacist | 4586 N College Ave, Fresno, CA 93704-3807 | 2008-03-27 |
| 1285035287 | Shahrzad Toosi | Pharmacist | 740 W Alluvial Ave, 101, Fresno, CA 93711-5509 | 2014-09-09 |
| 1376891812 | Harlan M Husted | Pharmacist | 2823 Fresno Street, Community Regional Med Ctr - Inpatient Pharmacy, Fresno, CA 93715 | 2012-08-15 |
| 1780976829 | Edward L Tow | Pharmacist | 4593 N Cedar Ave, Fresno, CA 93726-2540 | 2011-05-09 |
| 1104057652 | Anoli Vitthal Patel | Pharmacist | 2615 E Clinton Ave, Fresno, CA 93703-2223 | 2009-07-31 |
| 1750572343 | Marisa Mendez | Pharmacist | 2823 Fresno St, Fresno, CA 93721-1324 | 2007-08-07 |
| 1871695338 | Lisa Jean Adams | Pharmacist | 2615 E Clinton Ave, Fresno, CA 93703-2223 | 2006-09-03 |
| 1922069285 | Staci Arin Anderson | Pharmacist | 2615 E Clinton Ave, Fresno, CA 93703-2223 | 2006-03-28 |
| 1659356814 | Nancy Nkansah | Pharmacist | 155 N Fresno St, Suite 224, Fresno, CA 93701-2302 | 2005-12-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619594587 | Tsunnum Uzma Malik | Pharmacist | 2527 Royalridge Way, Santa Clara, CA 95051-1243 | 2020-06-26 |
| 1710515580 | Danny Situ | Pharmacist | 261 Capistrano Ave, San Francisco, CA 94112-2501 | 2020-03-29 |
| 1215492277 | En Chiang | Pharmacist | 300 Stein Plaza (wasserman Building) Room 123, Los Angeles, CA 90095-0001 | 2019-02-04 |
| 1366910325 | Queenie Hip Ying Wan | Pharmacist | 13059 Hedda Ln, Cerritos, CA 90703-6145 | 2018-11-07 |
| 1487120861 | Amanda Ju Chuan Chao | Pharmacist | 10964 Wellworth Ave Apt 303, Los Angeles, CA 90024-6230 | 2018-10-23 |
| 1104333772 | Patricia Lee Mcnamee | Pharmacist | 18325 Coastline Dr, Malibu, CA 90265-5729 | 2018-01-04 |
| 1235655457 | Joseph P Gee | Pharmacist | Cosumnes River College Pharmacy Technology Program, 8401 Center Parkway, Sacramento, CA 95823 | 2017-08-18 |
| 1275075087 | Erzsebet Gyorfi-miglecz | Pharmacist | 24236 Bella Ct, Newhall, CA 91321-3923 | 2016-11-10 |
| 1245787035 | Nina Michelle Bemben | Pharmacist | 555 Mission Rock St, #507, San Francisco, CA 94158-2119 | 2016-09-08 |
| 1861845273 | Vahid Bordbar | Pharmacist | 2325 Palos Verdes Dr W Ste 220, Palos Verdes Estates, CA 90274-2777 | 2016-07-20 |
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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.