ELIZABETH GRAMER (NPI# 1275833618) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275833618 |
| Entity Type | Individual |
| Full Name | ELIZABETH GRAMER |
| Credential | PHARMD |
| Practice Address |
3350 La Jolla Village Dr # 119 San Diego CA 92161-0002 |
| Mailing Address |
4085 Rosenda Court #269 San Diego CA 92122 |
| Practice Telephone | 8585528585 |
| Mailing Telephone | 3107212705 |
| Enumeration Date | 2010-11-02 |
| Last Update Date | 2011-09-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
64846 | CA | Pharmacy Service Providers |
| Street Address |
3350 LA JOLLA VILLAGE DR # 119 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92161-0002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184734956 | Jessica E Harris | Pharmacist | 3350 La Jolla Village Dr # 119, San Diego, CA 92161-0002 | 2006-08-30 |
| 1144746041 | Lauren Andrea Wong | Pharmacist | 3350 La Jolla Village Dr # 119, San Diego, CA 92161-0002 | 2017-08-22 |
| 1366844052 | Angela Katherine Bougetz | Pharmacist | 3350 La Jolla Village Dr # 119, San Diego, CA 92161-0002 | 2014-09-24 |
| 1386045243 | Lois Kim | Pharmacist | 3350 La Jolla Village Dr # 119, San Diego, CA 92161-0002 | 2014-09-10 |
| 1760816334 | Nader Milad Tossoun | Pharmacist | 3350 La Jolla Village Dr # 119, San Diego, CA 92161-0002 | 2013-08-30 |
| 1518272509 | Jiayi Huang | Pharmacist | 3350 La Jolla Village Dr # 119, San Diego, CA 92161-0002 | 2010-08-13 |
| 1720272578 | Mark Bounthavong | Pharmacist | 3350 La Jolla Village Dr # 119, San Diego, CA 92161-0002 | 2007-09-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902315807 | Laura Crocker | Psychologist | 3350 La Jolla Village Dr Mc 151b, San Diego, CA 92161 | 2017-09-22 |
| 1568849545 | Deborah Falch | Internal Medicine | Office of Primary Care Room 3322, 3350 La Jolla Village Drive, San Diego, CA 92161 | 2015-04-29 |
| 1649566001 | Alyan Ali | Student in an Organized Health Care Education/Training Program | 350 La Jolla Village Dr, Unit 118, San Diego, CA 92161 | 2011-06-23 |
| 1992840144 | I-wei Shu | Psychiatry & Neurology | 3350 La Jolla Village Drive Mc 116a, San Diego, CA 92161 | 2007-02-21 |
| 1639252216 | R Shabetai | General Acute Care Hospital | Vahcs 3350 La Jolla Village Dr, Cardiolgy 111a, La Jolla, CA 92161 | 2006-10-24 |
| 1437233624 | Lee Michael Williams | Marriage & Family Therapist | Department of Veteran Affairs, 3350 La Jolla Village Dr, Psychology Department, San Diego, CA 92161 | 2006-10-24 |
| 1295824340 | Pamela Anne Broder | Pharmacist | San Diego Va Medical Center (119), 3350 La Jolla Village Drive, San Diego, CA 92161 | 2006-10-12 |
| 1750484259 | Michael Neil Oxman | Internal Medicine | Shingles Prevention Study (111f-1), Va Medical Center, 3350 La Jolla Village Drive, San Diego, CA 92161 | 2006-09-07 |
| 1295847358 | Patricia Ellen Fornes | Physical Therapist | Dept. Veterens Affairs San Diego Healthcare Services, 3350 La Jolla Village Dr. Dept. Pm&r Mb 117, San Diego, CA 92161 | 2006-08-31 |
| 1477667087 | Kathryn Victoria Frederick Louv | Nurse Practitioner | 3350 La Jolla Village Dr., La Jolla, CA 92161 | 2006-08-19 |
| Find all providers in zip 92161 | ||||
| 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 |
|---|---|---|---|---|
| 1235773854 | Ruth Chan | Pharmacist | 9305 Lightwave Ave, San Diego, CA 92123-6463 | 2019-11-06 |
| 1306490453 | Genevieve Cheung | Pharmacist | 200 W Arbor Dr #8765, Department of Pharmacy, San Diego, CA 92103 | 2019-07-26 |
| 1013393107 | Saba Rab | Pharmacist | 550 Washington St Ste 100, San Diego, CA 92103-2227 | 2015-07-31 |
| 1881001584 | Pamela Richter | Pharmacist | 8944 Highwood Dr, San Diego, CA 92119-1426 | 2014-07-15 |
| 1083045678 | Michelle Schlueter | Pharmacist | 200 W Arbor Dr # 8765, San Diego, CA 92103-1911 | 2013-12-06 |
| 1467881359 | Daniel Siev | Pharmacist | 10415 Westchester Ave, San Diego, CA 92126-3340 | 2013-11-01 |
| 1760745616 | Dipika Patel | Pharmacist | 11910 Charmaine Way, San Diego, CA 92131-6123 | 2012-06-15 |
| 1992066153 | Gordon George Mcguire | Pharmacist | 9632 Saskatchewan Ave, San Diego, CA 92129-3501 | 2012-06-05 |
| 1285929075 | Angela Tran Berry | Pharmacist | 1389 Caminito Gabaldon Unit F, San Diego, CA 92108-1460 | 2011-06-09 |
| 1083944599 | Nhu Quynh Tran | Pharmacist | 8927 Duncan Rd, San Diego, CA 92126-2437 | 2010-01-05 |
| Find all providers in SAN DIEGO | ||||
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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.