DR. OMAR HERNANDEZ PANUCO (NPI# 1306452776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306452776 |
| Entity Type | Individual |
| Full Name | DR. OMAR HERNANDEZ PANUCO |
| Credential | PHARMD |
| Practice Address |
7300 N Fresno St Fresno CA 93720-2942 |
| Mailing Address |
882 Tuolumne St Parlier CA 93648-2440 |
| Practice Telephone | 5594484521 |
| Mailing Telephone | 5594193256 |
| Enumeration Date | 2020-09-21 |
| Last Update Date | 2020-09-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 83207 | CA | Pharmacy Service Providers |
| Street Address |
7300 N FRESNO ST |
| City | FRESNO |
| State | CA |
| Zip Code | 93720-2942 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518948108 | Sanjay Kumar | Orthopaedic Surgery | 7300 N Fresno St, Fresno, CA 93720-2941 | 2005-11-10 |
| 1619582749 | Geoffrey Ian Setiawan Ong | Pharmacist | 7300 N Fresno St, Fresno, CA 93720-2942 | 2020-09-15 |
| 1487268967 | Juliet Regis Vista | Clinical Nurse Specialist | 7300 N Fresno St, Fresno, CA 93720-2942 | 2020-09-02 |
| 1497367452 | Pouran Etezadi | Dietitian, Registered | 7300 N Fresno St, Fresno, CA 93720-2941 | 2020-08-20 |
| 1699390161 | Monica D Gomez | Speech-Language Pathologist | 7300 N Fresno St, Fresno, CA 93720-2941 | 2020-06-10 |
| 1497395271 | An Hong Pham | Pharmacist | 7300 N Fresno St, Fresno, CA 93720-2941 | 2020-01-09 |
| 1861033896 | Krystal Pombo | Registered Nurse | 7300 N Fresno St, Fresno, CA 93720-2941 | 2019-10-01 |
| 1780157735 | Britton John Ulmer | Respiratory Therapist, Registered | 7300 N Fresno St, Fresno, CA 93720-2941 | 2019-01-02 |
| 1346713336 | Mijeong Kim | Pharmacist | 7300 N Fresno St, Fresno, CA 93720-2941 | 2019-01-02 |
| 1073084315 | Kerri Lee Brannum-neufeld | Respiratory Therapist, Registered | 7300 N Fresno St, Fresno, CA 93720-2942 | 2018-12-16 |
| Find all providers in the same location | ||||
| 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 | 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 |
|---|---|---|---|---|
| 1174163174 | Michael Krage | Pharmacist | 1302 Fulton St, Fresno, CA 93721-1608 | 2020-01-08 |
| 1417595711 | Alexis Mozelle Lolita Woods | Pharmacist | 5348 E Heaton Ave, Fresno, CA 93727-5252 | 2019-12-17 |
| 1154966588 | Vy T Tran | Pharmacist | 261 E Braddock Dr, Fresno, CA 93720-0826 | 2019-11-08 |
| 1831750413 | Nancy Lam | Pharmacist | 7112 N Fresno St Ste 460, Fresno, CA 93720-2947 | 2019-06-25 |
| 1710545322 | Vijay S Dalvi | Pharmacist | 6055 N Brawley Ave, Apt 235, Fresno, CA 93722 | 2019-05-30 |
| 1306409792 | Golnoosh Dalili | Pharmacist | 1349 E Via Roma Dr, Fresno, CA 93730-8800 | 2019-04-21 |
| 1104489814 | Jaime Bautista Bautista | Pharmacist | 7762 N Princess Ave, Fresno, CA 93722-2231 | 2019-04-18 |
| 1801359286 | Madlen Rizkallah | Pharmacist | 7090 N Refinement Dr, Fresno, CA 93711-0291 | 2019-04-11 |
| 1346714375 | Maha Mhaissen | Pharmacist | 2272 E Prestwick Ave, Fresno, CA 93730-5958 | 2019-01-12 |
| 1851867386 | Cuihong Zhai Leung | Pharmacist | 525 E Mariners Cir, Fresno, CA 93730-0848 | 2018-10-23 |
| 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.