MRS. MARIANA VAN DER MERWE (NPI# 1134371339) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134371339 |
| Entity Type | Individual |
| Full Name | MRS. MARIANA VAN DER MERWE |
| Practice Address |
725 South Boulevard Rite Aid Pharmacy Fortuna CA 95540 |
| Mailing Address |
4648 Campton Rd Eureka CA 95503-6190 |
| Practice Telephone | 7077259314 |
| Practice Fax Number | 7077254056 |
| Mailing Telephone | 7074442018 |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2008-10-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RPH58934 | CA | Pharmacy Service Providers |
| Street Address |
725 SOUTH BOULEVARD RITE AID PHARMACY |
| City | FORTUNA |
| State | CA |
| Zip Code | 95540 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982234787 | Remi Vista, Inc. | Community/Behavioral Health | 3000 Newburg, Fortuna, CA 95540 | 2020-01-21 |
| 1144867474 | Paula-marie Schneider | Registered Nurse | 3750 Rohnerville Rd., Fortuna, CA 95540 | 2019-12-05 |
| 1609265537 | Nancy Stinson Lollich | Physical Therapy Assistant | 2321 Newburg Road, Fortuna Rehabilitation and Wellness, Fortuna, CA 95540 | 2015-01-15 |
| 1730438151 | Heber House Inc. Dba Dermatology Center | Dermatology | 2404 Newburg Rd., Fortuna, CA 95540 | 2012-08-30 |
| 1104173418 | Michelle Leigh Hoopes | Physician Assistant | 3304 Renner Dr Suite B, Fortuna, CA 95540 | 2012-08-07 |
| 1205181526 | Constance Mitchell | Registered Nurse | Redwood Pediatrics, 3305 Renner Dr, Fortuna, CA 95540 | 2012-07-24 |
| 1730457177 | Joy Nadine Frasier | Counselor | 220 Wilson Ln., Fortuna, CA 95540 | 2011-12-13 |
| 1063791713 | Gardenside Eldercare, LLC | Residential Treatment Facility, Physical Disabilities | 529 9th Street, Fortuna, CA 95540 | 2011-08-12 |
| 1093025173 | Sheri A Jewett | Massage Therapist | 2655 Virginia Court, Fortuna, CA 95540 | 2010-10-07 |
| 1942422688 | Stephanie S Dittmer | Family Medicine | 3750 Rohnerville Road, Fortuna, CA 95540 | 2007-05-03 |
| Find all providers in zip 95540 | ||||
| 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 |
|---|---|---|---|---|
| 1295341709 | Imelda De Los Santos | Pharmacist | 2502 Shay Ct # 2502, Fortuna, CA 95540-2852 | 2020-09-20 |
| 1245499987 | Lee A Woodcock | Pharmacist | 725 S Fortuna Blvd, Fortuna, CA 95540-3034 | 2008-06-06 |
| 1942372883 | Robert Earl Johnson | Pharmacist | 1058 Main St, Fortuna, CA 95540-2009 | 2006-11-15 |
| 1154935823 | Allen Yang | Pharmacist | 1065 S Fortuna Blvd, Fortuna, CA 95540-3010 | 2020-09-01 |
| 1447898788 | Whitney Last | Pharmacist | 725 S Fortuna Blvd, Fortuna, CA 95540-3034 | 2019-12-17 |
| 1770138224 | Fateh Ullah | Pharmacist | 725 S Fortuna Blvd, Fortuna, CA 95540-3034 | 2019-08-01 |
| 1427516061 | Erik Runza | Pharmacist | 725 S Fortuna Blvd, Fortuna, CA 95540-3034 | 2019-03-02 |
| 1295124410 | Rite Aid | Pharmacist | 725 S Fortuna Blvd, Fortuna, CA 95540-3034 | 2015-01-12 |
| 1891198438 | Kenny Lee | Pharmacist | 1065 S Fortuna Blvd, Fortuna, CA 95540-3010 | 2014-09-26 |
| 1568744233 | Diederik-jan Frederick Bouwmeester | Pharmacist | 1065 S Fortuna Blvd, C/o Walgreens Pharmacy, Fortuna, CA 95540-3010 | 2011-09-19 |
| Find all providers in FORTUNA | ||||
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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.