DR. SUSAN C MITRI (NPI# 1215233994) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215233994 |
| Entity Type | Individual |
| Full Name | DR. SUSAN C MITRI |
| Credential | PHARMD |
| Practice Address |
7100 N Abby St Fresno CA 93720-2920 |
| Practice Telephone | 5594373642 |
| Practice Fax Number | 5594373663 |
| Mailing Telephone | 5594373642 |
| Mailing Fax Number | 5594373663 |
| Enumeration Date | 2011-01-28 |
| Last Update Date | 2017-05-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | RPH 49526 | CA | Pharmacy Service Providers |
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
49526 | CA | Pharmacy Service Providers |
| Street Address |
7100 N ABBY ST |
| City | FRESNO |
| State | CA |
| Zip Code | 93720-2920 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942310552 | Costco Wholesale Corporation | Pharmacy | 7100 N Abby St, Fresno, CA 93720-2920 | 2006-08-30 |
| 1588190474 | Michelle Sanchez-pujol | Pharmacist | 7100 N Abby St, Fresno, CA 93720-2920 | 2017-05-11 |
| 1316330541 | Costco Wholesale Corporation | Hearing Aid Equipment | 7100 N Abby St, Fresno, CA 93720-2920 | 2015-03-12 |
| 1659761237 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 7100 N Abby St, Fresno, CA 93720-2920 | 2015-02-03 |
| 1063849123 | Alden Richard Klemm | Pharmacist | 7100 N Abby St, Fresno, CA 93720-2920 | 2013-10-03 |
| 1689954208 | Lindsay K Hamada | Pharmacist | 7100 N Abby St, Fresno, CA 93720-2920 | 2011-08-26 |
| 1093001216 | Lee Thao | Pharmacist | 7100 N Abby St, Fresno, CA 93720-2920 | 2011-06-27 |
| 1124168059 | Thu Huynh | Optometrist | 7100 N Abby St, Fresno, CA 93720-2920 | 2007-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366061129 | Ariel Lok Yen Leung | Student in an Organized Health Care Education/Training Program | 1313 East Herndon Ave, St 105, Fresno, CA 93720 | 2020-04-13 |
| 1457992513 | Brittany Nichole Willis | Audiologist | 1351 E Spruce Ave Ste 130, Fresno, CA 93720 | 2019-09-30 |
| 1013567668 | Taylor Courteney Cox | Physical Therapist | 7080 N. Maple Ave #101, Fresno, CA 93720 | 2019-09-16 |
| 1457909152 | Lillian M Augilera | Technician | 8419 N Dearing Ave, Fresno, CA 93720 | 2019-08-27 |
| 1215581764 | Sterling Hospitalist Medical Group, Inc. | Clinic/Center | 1191 E. Herndon Avenue Suite 103, Fresno, CA 93720 | 2019-08-01 |
| 1376006429 | Nancy Minh Thao Dang | Student in an Organized Health Care Education/Training Program | 1313 E. Herndon Ave, St 105, Fresno, CA 93720 | 2019-04-06 |
| 1366904716 | Shankar Nair | Student in an Organized Health Care Education/Training Program | 1313 E. Herndon Ave, St 105., Fresno, CA 93720 | 2019-04-04 |
| 1861979544 | Powell Pediatric Dentistry Chestnut Partnership | Dentist | 7005 N. Chestnut Ave Ste 101, Fresno, CA 93720 | 2018-07-25 |
| 1669967311 | Sierra Pacific Orthopaedic Center Medical Group Inc | Specialist | 1270 E. Spruce, Fresno, CA 93720 | 2018-06-26 |
| 1689168700 | Vinita Vishnoi | Student in an Organized Health Care Education/Training Program | 1313 E. Herndon Ave, St 105, Fresno, CA 93720 | 2018-06-21 |
| Find all providers in zip 93720 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750991543 | Priyankumar Arvind Patel | Pharmacist | 2339 S G St, Fresno, CA 93721-3425 | 2020-08-05 |
| 1043696164 | Jon Malepsy | Pharmacist | 1133 E La Quinta Dr, Fresno, CA 93720-3411 | 2015-07-31 |
| 1154661676 | David E Hebert | Pharmacist | 729 W San Madele Ave, Fresno, CA 93704-2331 | 2013-02-20 |
| 1336494806 | Guadalupe Govea | Pharmacist | 155 N Fresno St Ste 224, Fresno, CA 93701-2302 | 2012-07-19 |
| 1093951139 | Asma Alazzawi | Pharmacist | 2615 E. Clinton Ave., Fresno, CA 93703 | 2008-12-19 |
| 1154930006 | Victoria Sarah Leung | Pharmacist | 2615 E Clinton Ave, Fresno, CA 93703-2223 | 2020-07-27 |
| 1609492974 | Cindy Duncan | Pharmacist | 2615 E Clinton Ave, Fresno, CA 93703-2223 | 2020-06-22 |
| 1922667419 | Beth Curcin | Pharmacist | 2615 E Clinton Ave, Fresno, CA 93703-2223 | 2019-06-10 |
| 1972167518 | Francisco Ibarra | Pharmacist | 6750 N Cedar Ave, Fresno, CA 93710-4403 | 2019-04-29 |
| 1033682471 | Charles Lee | Pharmacist | 7535 N Palm Ave Ste 101, Fresno, CA 93711-5504 | 2019-01-08 |
| Find all providers in FRESNO | ||||
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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.