TINA HARRACH DENETCLAW (NPI# 1225494768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225494768 |
| Entity Type | Individual |
| Full Name | TINA HARRACH DENETCLAW |
| Credential | PHARM.D. |
| Practice Address |
23 Kirkpatrick Dr El Sobrante CA 94803-1415 |
| Practice Telephone | 5107586407 |
| Mailing Telephone | 5107586407 |
| Enumeration Date | 2016-01-14 |
| Last Update Date | 2016-01-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
RPH 44718 | CA | Pharmacy Service Providers |
| Street Address |
23 KIRKPATRICK DR |
| City | EL SOBRANTE |
| State | CA |
| Zip Code | 94803-1415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831680446 | Andrew Jaejun Lee | Acupuncturist | 3980 San Pablo Dam Rd Ste 205, El Sobrante, CA 94803 | 2018-05-21 |
| 1104343458 | Kayla Simone Fields | Counselor | 4892 San Pablo Dam Road, El Sobrante, CA 94803 | 2017-08-28 |
| 1104353101 | Paula Jean Armstrong | Marriage & Family Therapist | 754 El Centro Rd, El Sobrante, CA 94803 | 2017-05-22 |
| 1932538121 | Wayne Matecki | Acupuncturist | 448 Valley View Road Suite B, El Sobrante, CA 94803 | 2013-11-07 |
| 1093937617 | Francine C. Manuel | Physical Therapist | 627 El Centro Road, El Sobrante, CA 94803 | 2007-05-03 |
| 1144362955 | Damon Garfield Whitaker | Counselor | 3535 El Portial Dr. B203, El Sobrante, CA 94803 | 2007-02-12 |
| 1457841058 | Maria Sanchez Madlansacay | Student in an Organized Health Care Education/Training Program | 4892 San Pablo Dam Rd, El Sobrante, CA 94803 | 2018-05-18 |
| 1801242110 | Omari Marzine Hudson | Counselor | 4892 San Pablo Dam Rd, El Sobrante, CA 94803 | 2016-05-05 |
| 1891154431 | Nelly Sarahy Hernandez | Counselor | 4892 San Pablo Dam Rd, El Sobrante, CA 94803 | 2016-02-10 |
| 1356627814 | Claudia Adriana Martinez | Counselor | 4892 San Pablo Dam Rd, El Sobrante, CA 94803 | 2011-10-28 |
| Find all providers in zip 94803 | ||||
| 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 |
|---|---|---|---|---|
| 1376142430 | Daria Mohazzab Hosseinian | Pharmacist | 450 E Spring St Ste 11, Long Beach, CA 90806-1625 | 2020-10-20 |
| 1235745100 | Ngoc Tran | Pharmacist | 10371 Luders Ave, Garden Grove, CA 92843-3213 | 2020-09-16 |
| 1275143752 | Sherine Ann Legge | Pharmacist | 17 Westchester Ct, Trabuco Canyon, CA 92679-4955 | 2020-08-09 |
| 1922618412 | Ashley Keane Hayes | Pharmacist | 6551 E El Pulcro St, Long Beach, CA 90815-2302 | 2020-08-09 |
| 1750991543 | Priyankumar Arvind Patel | Pharmacist | 2339 S G St, Fresno, CA 93721-3425 | 2020-08-05 |
| 1912521261 | Sharon Jung | Pharmacist | 851 Langholm Way, Riverside, CA 92508-6075 | 2020-06-02 |
| 1710500376 | Christine Nguyen | Pharmacist | 2248 E Nyon Ave, Anaheim, CA 92806-4634 | 2020-05-18 |
| 1134740582 | Cj3m Corporation | Pharmacist | 2626 El Camino Real Ste A, Carlsbad, CA 92008-1253 | 2020-04-27 |
| 1629607775 | Tiffany Chang | Pharmacist | 213 Quarry Rd Rm 2726a, Palo Alto, CA 94304-1416 | 2020-04-01 |
| 1124655782 | Noor Mikhail | Pharmacist | 220 W Main St Ste 102, El Cajon, CA 92020-3462 | 2020-03-24 |
| Find all providers with the same taxonomy | ||||
| City | EL SOBRANTE |
| Zip Code | 94803 |
Please comment or provide details below to improve the information on TINA HARRACH DENETCLAW.
| 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.