ALONZO BENJAMIN MENDOZA (NPI# 1285796722) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285796722 |
| Entity Type | Individual |
| Full Name | ALONZO BENJAMIN MENDOZA |
| Credential | RPH |
| Practice Address |
6510 S Columbia Ave Hammond IN 46320-2748 |
| Mailing Address |
2861 Mingo Ct Portage IN 46368-3707 |
| Practice Telephone | 2199313332 |
| Mailing Telephone | 2197633540 |
| Enumeration Date | 2006-12-14 |
| 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 | 26021321A | IN | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | PHARMACIST LICENSE | 26021321A | 01 |
| Street Address |
6510 S COLUMBIA AVE |
| City | HAMMOND |
| State | IN |
| Zip Code | 46320-2748 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225501356 | Miyako S Streeter | Nurse Practitioner | 31 Sibley St Ste A, Hammond, IN 46320 | 2019-01-11 |
| 1700397478 | Prairie Healthcare Services LLC | Home Health | 5920 Hohman Av, Hammond, IN 46320 | 2017-10-20 |
| 1881143469 | Taryn Petty | Nurse Practitioner | 31 Sibley St, Hammond, IN 46320 | 2016-09-23 |
| 1407108079 | Lakeside Behavioral Solutions | Community/Behavioral Health | 5944 1/2 Hohman Ave., Hammond, IN 46320 | 2012-10-08 |
| 1609098607 | Martha Socorro Kozub | Nurse Practitioner | 5514 Hohman Ave., Hammond, IN 46320 | 2007-05-02 |
| 1851414379 | A&k Kouklakis Od. P.C. | Eyewear Supplier (Equipment, not the service) | 1303 165th Street, Hammond, IN 46320 | 2007-04-09 |
| 1639278138 | Syed Sohail Ahmed | Psychiatry & Neurology | 5500 Hohman Avenue, Suite 1e, Hammond, IN 46320 | 2006-09-21 |
| 1215990965 | Trc - Indiana LLC | Clinic/Center | 222 Douglas St, Hammond, IN 46320 | 2006-04-11 |
| 1700845260 | Deepak Ariga | Internal Medicine | 5529 Hohman Avenue, Hammond, IN 46320 | 2006-03-22 |
| 1609869130 | Cathleen M Mcgovern | Emergency Medicine | 5454 S Hohman Ave, Hammond, IN 46320 | 2005-08-30 |
| Find all providers in zip 46320 | ||||
| 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 |
|---|---|---|---|---|
| 1255815130 | Jimmy Taylor II | Pharmacist | 15794 Medical Arts Dr, Hammond, LA 70403-1446 | 2018-09-18 |
| 1750827481 | Katerra Williams | Pharmacist | 607 Campo St, Hammond, LA 70401-1909 | 2017-01-19 |
| 1750747630 | Kenneth Duracher | Pharmacist | 1322 W Thomas St, Hammond, LA 70401-3046 | 2016-01-08 |
| 1104256650 | Jennifer Santangelo Ricard | Pharmacist | 42242 Veterans Ave., Hammond, LA 70403 | 2013-11-20 |
| 1538403886 | Thomas C Oglesbee | Pharmacist | 52 Pine Ln, Hammond, LA 70401-8277 | 2012-11-26 |
| 1306138656 | Henry Louis Faust Iv | Pharmacist | 1918 Hammond Square Dr, Hammond, LA 70403-6155 | 2011-05-04 |
| 1174838957 | Elise Crovetto | Pharmacist | 1801 Southwest Railroad Ave, Hammond, LA 70403 | 2010-08-17 |
| 1447408612 | Karla M Broussard | Pharmacist | 701 Pride Dr, Hammond, LA 70401-9526 | 2008-08-29 |
| 1497844716 | Pamela Denise White | Pharmacist | 1131 South Morrison Avenue, Hammond, LA 70403 | 2006-10-12 |
| 1497858484 | Rosamaend Ilizabeth Kitchens | Pharmacist | 3925 Highway 190 W, Hammond, LA 70401-4981 | 2006-09-06 |
| Find all providers in HAMMOND | ||||
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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.