DR. FRANK A BRAVERMAN (NPI# 1114431848) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114431848 |
| Entity Type | Individual |
| Full Name | DR. FRANK A BRAVERMAN |
| Credential | PHARMD |
| Practice Address |
3 Marcela Dr Willits CA 95490-5769 |
| Mailing Address |
1540 Road D Redwood Valley CA 95470-9794 |
| Practice Telephone | 7074563005 |
| Mailing Telephone | 7073671458 |
| Enumeration Date | 2017-11-16 |
| Last Update Date | 2017-11-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 30606 | CA | Pharmacy Service Providers |
| Street Address |
3 MARCELA DR |
| City | WILLITS |
| State | CA |
| Zip Code | 95490-5769 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801866785 | John Richard Glyer | Family Medicine | 3 Marcela Dr, Willits, CA 95490-5769 | 2006-01-24 |
| 1477919033 | Adventist Health Physicians Network | Internal Medicine | 3 Marcela Dr, Willits, CA 95490-5769 | 2016-01-12 |
| 1437551652 | Willits Hospital Inc | Clinic/Center | 3 Marcela Dr, Willits, CA 95490-5769 | 2014-09-18 |
| 1740542380 | Paul Michael Charpentier | Orthopaedic Surgery | 3 Marcela Dr, Willits, CA 95490 | 2012-06-11 |
| 1295813889 | Lance L. Ludington | Surgery | 3 Marcela Dr, Willits, CA 95490 | 2006-11-01 |
| 1891722575 | Craig M Boyle | Chiropractor | 3 Marcela Dr, Willits, CA 95490-5769 | 2006-06-27 |
| 1699719369 | Claudia M Petruncio | Internal Medicine | 3 Marcela Dr, Willits, CA 95490-5769 | 2006-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679194971 | Laisenia Sau | Specialist | 180 E Barbara Lane, Willits, CA 95490 | 2020-04-28 |
| 1588160527 | Redwood Quality Management Company, Inc. | Community/Behavioral Health | 99 S. Humoldt Street #2, Willits, CA 95490 | 2018-03-30 |
| 1497063861 | Daniel Doyle | Audiologist | 474 E. Valley St., Willits, CA 95490 | 2010-09-20 |
| 1659524346 | Erika Littlefawn Tsonetokoy Coyle | Counselor | 110 E Mendocino Ave, Willits, CA 95490 | 2008-10-28 |
| 1912180548 | Paul F Jacobson | Marriage & Family Therapist | 221-b S. Lenore Avenue, Willits, CA 95490 | 2007-12-05 |
| 1629107735 | Mendocino County | Clinic/Center | 474 East Valley Street, Willits, CA 95490 | 2007-03-05 |
| 1821136482 | Jeff A Cramer | Marriage & Family Therapist | 99 East Humboldt Street, Willits, CA 95490 | 2007-02-02 |
| 1215098215 | Esther Judith Faber | Marriage & Family Therapist | 104 W Mendocino Ave, Willits, CA 95490 | 2006-12-13 |
| 1174684492 | Diana E Levy-peart | Chiropractor | 1225 South Main Street, Willits, CA 95490 | 2006-12-12 |
| 1396810628 | Maria Theresa Bates | Social Worker | Maria T Bates Lcsw, 660 So Main St Suite D, Willits, CA 95490 | 2006-11-21 |
| Find all providers in zip 95490 | ||||
| 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 |
|---|---|---|---|---|
| 1598742132 | Little Lake Pharmacy Inc | Pharmacist | 90 S Main St, Willits, CA 95490-3526 | 2005-12-24 |
| 1437789641 | Eugene Lee | Pharmacist | 1730 S Main St, Willits, CA 95490-4405 | 2020-01-16 |
| 1215575642 | Dinh Le | Pharmacist | 845 S Main St, Willits, CA 95490-3915 | 2019-12-16 |
| 1912471566 | Jiho Jang | Pharmacist | 845 S Main St, Willits, CA 95490-3915 | 2019-01-17 |
| 1740758036 | Jared Edan Cruz | Pharmacist | 3 Marcela Dr Ste B, Willits, CA 95490-5769 | 2018-11-05 |
| 1043794753 | Lyra Cavada | Pharmacist | 1730 S Main St, Willits, CA 95490-4405 | 2018-09-18 |
| 1891272142 | Jeffrey Laist Gore | Pharmacist | 845 S Main St, Willits, CA 95490-3998 | 2018-07-19 |
| 1306371208 | Amit Mathur | Pharmacist | 845 S Main St, Willits, CA 95490-3915 | 2017-04-27 |
| 1528514478 | Rahel Negash | Pharmacist | 1 Marcela Drive, Pharmacy 2nd Floor, Willits, CA 95482 | 2016-08-31 |
| 1205208055 | Pooneh Ebrahimi | Pharmacist | 845 S Main St, Willits, CA 95490-3915 | 2015-10-20 |
| Find all providers in WILLITS | ||||
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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.