DR. CODY LUALLEN (NPI# 1265060982) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265060982 |
| Entity Type | Individual |
| Full Name | DR. CODY LUALLEN |
| Credential | PHARM.D |
| Practice Address |
115 Mall Dr Hanford CA 93230-5786 |
| Mailing Address |
1360 S Rio Vista Ave Sanger CA 93657-9543 |
| Practice Telephone | 5595829000 |
| Mailing Telephone | 5599777614 |
| Enumeration Date | 2020-03-29 |
| Last Update Date | 2020-03-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 81737 | CA | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CALIFORNIA BOARD OF PHARMACY | 81737 | 01 |
| Street Address |
115 MALL DR |
| City | HANFORD |
| State | CA |
| Zip Code | 93230-5786 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902888084 | Roger Bautista | Emergency Medicine | 115 Mall Dr, Hanford, CA 93230-5786 | 2005-11-15 |
| 1669080511 | Daniel James Garland | Nurse Anesthetist, Certified Registered | 115 Mall Dr, Hanford, CA 93230-5786 | 2020-07-16 |
| 1184245896 | Carl Eric Galeon | Nurse Anesthetist, Certified Registered | 115 Mall Dr, Hanford, CA 93230-5786 | 2020-05-04 |
| 1043843741 | Michelle Marie Mertens | Nurse Anesthetist, Certified Registered | 115 Mall Dr, Hanford, CA 93230-5786 | 2020-02-20 |
| 1609417161 | Marisol Tienda | Nurse Practitioner | 115 Mall Dr, Hanford, CA 93230-5786 | 2019-10-04 |
| 1568019826 | Michelle Renee Hernandez | Nurse Practitioner | 115 Mall Dr, Hanford, CA 93230-5786 | 2019-08-21 |
| 1720634652 | Liviu Amariei | Nurse Anesthetist, Certified Registered | 115 Mall Dr, Hanford, CA 93230-5786 | 2019-08-15 |
| 1285293969 | Kevin Tatum | Registered Nurse | 115 Mall Dr, Hanford, CA 93230-5786 | 2019-06-06 |
| 1033777164 | Shirley Zhao | Nurse Anesthetist, Certified Registered | 115 Mall Dr, Hanford, CA 93230-5786 | 2019-06-04 |
| 1336705763 | Ava Wong | Physician Assistant | 115 Mall Dr, Hanford, CA 93230-5786 | 2019-05-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740889518 | Jeremy Dane Baker | Hearing Instrument Specialist | 1413-b Bailey Dr., Hanford, CA 93230 | 2020-10-22 |
| 1891392643 | Matthew Thomas Williams | Physician Assistant | Adventist Health Hanford, 115 Mall Dr., Hanford, CA 93230 | 2020-10-05 |
| 1730795667 | Mercedes Zaragoza | Behavior Technician | 520 1ab, W. Lacey Blvd., Hanford, CA 93230 | 2020-09-16 |
| 1659989077 | Anmarie Torres | Behavior Technician | 520 1a&b W Lacey Blvd, Hanford, CA 93230 | 2020-07-22 |
| 1326506965 | Natalie Rodriguez Mejia | Marriage & Family Therapist | 1393 Bailey Drive St, Hanford, CA 93230 | 2019-03-02 |
| 1972094597 | Mariah Michelle Davila | Licensed Psychiatric Technician | 1529 W Sidonia St, Hanford, CA 93230 | 2018-05-21 |
| 1871011072 | Amanda Leann Perez | Counselor | 629 N. Irwin Street, Hanford, CA 93230 | 2017-09-07 |
| 1336667906 | Nicole Reyne Mcgowan | Case Manager/Care Coordinator | 700 N. Irwin Street, Hanford, CA 93230 | 2017-09-05 |
| 1932643251 | Diana Tran Nguyen | Midwife | 1122 N Harris St Ste 104, Hanford, CA 93230 | 2016-12-05 |
| 1770032997 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 2395 E. Lacey Blvd, Hanford, CA 93230 | 2016-09-29 |
| Find all providers in zip 93230 | ||||
| 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 |
|---|---|---|---|---|
| 1851831010 | Reed Alexander Mathis | Pharmacist | 887 Greenfield Ave, Hanford, CA 93230-3504 | 2017-03-06 |
| 1417329103 | Caitlin Killam | Pharmacist | 2395 E Lacey Blvd, Hanford, CA 93230-4740 | 2015-10-21 |
| 1992114946 | Emad Mousad | Pharmacist | 365 Campus Dr, Suite 101, Hanford, CA 93230-4374 | 2014-08-04 |
| 1710242680 | David Elder | Pharmacist | 12228 Fargo Ave, Hanford, CA 93230-9645 | 2012-07-06 |
| 1013207398 | Julius Ombogo | Pharmacist | 2500 N 10th Ave, Hanford, CA 93230-2391 | 2011-04-08 |
| 1437448727 | Kevin Hoang | Pharmacist | 707 W Lacey Blvd, Hanford, CA 93230-4326 | 2011-04-07 |
| 1023307618 | Emad N Ghobrial | Pharmacist | 409 Pepper Dr Apt F, Hanford, CA 93230-7064 | 2011-04-04 |
| 1649878489 | Alisia Ntxuacoua Thaoxaochay | Pharmacist | 2539 N 11th Ave, Hanford, CA 93230-1426 | 2020-10-14 |
| 1932725397 | Rosa De La Paz | Pharmacist | 250 W 5th St, Hanford, CA 93230-5029 | 2020-06-22 |
| 1619599941 | Christopher Michael Merlino | Pharmacist | 574 W Lacey Blvd, Hanford, CA 93230-4480 | 2020-05-08 |
| Find all providers in HANFORD | ||||
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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.