MARTIN KINSMAN VACCA (NPI# 1215002902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215002902 |
| Entity Type | Individual |
| Full Name | MARTIN KINSMAN VACCA |
| Credential | PHARM D |
| Practice Address |
571 Bellevue Rd Atwater CA 95301 |
| Mailing Address |
6013 Spring Valley Ct Atwater CA 95301 |
| Practice Telephone | 2093586306 |
| Practice Fax Number | 2093588639 |
| Mailing Telephone | 2093571884 |
| Mailing Fax Number | 2093588639 |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RPH 35524 | CA | Pharmacy Service Providers |
| Street Address |
571 BELLEVUE RD |
| City | ATWATER |
| State | CA |
| Zip Code | 95301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184261356 | Kayla Page | Pharmacist | 571 Bellevue Rd, Atwater, CA 95301-2928 | 2019-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043731052 | Tlc Non-emergency Medical Transportation | Transportation Broker | 6235 Josie Street, Atwater, CA 95301 | 2017-06-29 |
| 1740536168 | Richard Adjetey Sewoatsri | Pharmacist | 2511 Boulder Dr, Atwater, CA 95301 | 2012-08-03 |
| 1396003588 | Muhammad Iqbal Choudhry | Physician Assistant | 1775 Third Street, Atwater, CA 95301 | 2012-04-25 |
| 1003117185 | Barbara Gatlin | Social Worker | 540 E Bellevue Rd, Atwater, CA 95301 | 2010-11-05 |
| 1063722635 | Carlos C Say,m..d.inc | Internal Medicine | 329 East Bellevue Rd, Atwater, CA 95301 | 2010-10-18 |
| 1689851669 | Simplicity of Heart Counseling Service LLC | Family Medicine | 1201 Cedar Avenue, Atwater, CA 95301 | 2008-01-22 |
| 1154507374 | Garfield Beach Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 1651 Bellevue Rd, Atwater, CA 95301 | 2008-01-17 |
| 1881893600 | Cheryl Anne Assante | Registered Nurse | 6255 W. Camellia Drive, Atwater, CA 95301 | 2007-07-12 |
| 1669502027 | Atwater Chiropractic, Inc. | Chiropractor | 2601 First Street, Atwater, CA 95301 | 2007-03-06 |
| 1538246327 | William Gerald Oliver | Dentist | 1095 Winton Way, Atwater, CA 95301 | 2006-11-01 |
| Find all providers in zip 95301 | ||||
| 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 |
|---|---|---|---|---|
| 1275166290 | Belinda Casillas | Pharmacist | 1790 Buhach Rd, Atwater, CA 95301-9332 | 2020-02-18 |
| 1457802746 | Ricardo Carrillo | Pharmacist | 1713 Redwood Ave, Atwater, CA 95301-2667 | 2016-10-20 |
| 1740536168 | Richard Adjetey Sewoatsri | Pharmacist | 2511 Boulder Dr, Atwater, CA 95301 | 2012-08-03 |
| 1639215320 | Robert Allen Bertelli | Pharmacist | 1473 Broadway Ave, Atwater, CA 95301-3546 | 2007-01-29 |
| 1710949169 | Gerald E Flanders | Pharmacist | 1870 Bellevue Rd, Atwater, CA 95301-2668 | 2006-04-03 |
| 1447247473 | Madhu S.r Vanga | Pharmacist | 3605 Hospital Road, Atwater, CA 95301 | 2005-10-04 |
| 1992304570 | Rajvir Singh | Pharmacist | 1651 Bellevue Rd, Atwater, CA 95301-2608 | 2020-10-23 |
| 1992336366 | Joshwinder Singh Tung | Pharmacist | 1651 Bellevue Rd, Atwater, CA 95301-2608 | 2020-02-04 |
| 1689212631 | Seema Saini | Pharmacist | 1651 Bellevue Rd, Atwater, CA 95301-2608 | 2019-12-19 |
| 1780222547 | Janniri Chavez Partida | Pharmacist | 1651 Bellevue Rd, Atwater, CA 95301-2608 | 2019-12-11 |
| Find all providers in ATWATER | ||||
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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.