DR. KENNETH ALAN LUCK (NPI# 1376618652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1376618652 |
Entity Type | Individual |
Full Name | DR. KENNETH ALAN LUCK |
Credential | PHARM.D. |
Practice Address |
9961 Sierra Ave Fontana CA 92335-6720 |
Mailing Address |
1538 Rancho Hills Dr Chino Hills CA 91709-6248 |
Practice Telephone | 9094277364 |
Practice Fax Number | 9094274050 |
Enumeration Date | 2006-11-21 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
44107 | CA | Pharmacy Service Providers |
Street Address |
9961 SIERRA AVE |
City | FONTANA |
State | CA |
Zip Code | 92335-6720 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578560199 | Barbara Ann Mahoney | Nurse Practitioner | 9961 Sierra Ave, Fontana, CA 92335-6720 | 2005-06-29 |
1023629979 | Whitney Mah | Speech-Language Pathologist | 9961 Sierra Ave, Fontana, CA 92335-6720 | 2020-08-13 |
1083224166 | Jennifer Hull | Genetic Counselor, MS | 9961 Sierra Ave, Fontana, CA 92335-6720 | 2020-08-04 |
1568081842 | Jorge Kareem Sierra | Radiologic Technologist | 9961 Sierra Ave, Fontana, CA 92335-6720 | 2020-04-16 |
1821625963 | Syed Sajjad Sarwar Naqvi | Student in an Organized Health Care Education/Training Program | 9961 Sierra Ave, Fontana, CA 92335-6720 | 2020-03-26 |
1730716903 | Hannah Choi | Student in an Organized Health Care Education/Training Program | 9961 Sierra Ave, Fontana, CA 92335-6720 | 2020-03-26 |
1912534413 | Mia Raquel Montoya | Student in an Organized Health Care Education/Training Program | 9961 Sierra Ave, Fontana, CA 92335-6720 | 2020-03-25 |
1093342461 | Jennica Kahkejian | Student in an Organized Health Care Education/Training Program | 9961 Sierra Ave, Fontana, CA 92335-6720 | 2020-03-25 |
1881221299 | Youstina Youssef | Student in an Organized Health Care Education/Training Program | 9961 Sierra Ave, Fontana, CA 92335-6720 | 2020-03-25 |
1790312015 | Sara Tong | Student in an Organized Health Care Education/Training Program | 9961 Sierra Ave, Fontana, CA 92335-6720 | 2020-03-25 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104425131 | Hossein Malakooti A Dental Corporation | Clinic/Center | 16540 Merrill Ave, Fontana, CA 92335 | 2020-10-21 |
1790312791 | Trevor Nguyen | Student in an Organized Health Care Education/Training Program | 17234 Valley Blvd, Building A, Fontana, CA 92335 | 2020-03-27 |
1184251365 | Benjamin Chang | Student in an Organized Health Care Education/Training Program | 17234 Valley Blvd., Bldg. A, Fontana, CA 92335 | 2020-03-26 |
1407487309 | Perla Hernandez | Licensed Vocational Nurse | 14677 Merrill Aver, Fontana, CA 92335 | 2020-01-29 |
1013552660 | Valencia Malone | Licensed Vocational Nurse | 14677 Merrill, Fontana, CA 92335 | 2019-11-07 |
1831749779 | Daniel Eric Wright | Student in an Organized Health Care Education/Training Program | 14677 Merrell Ave., Fontana, CA 92335 | 2019-09-12 |
1962069815 | Melissa Rivera | Licensed Vocational Nurse | 15217 San Bernardino Ave., Fontana, CA 92335 | 2019-05-28 |
1275199770 | Jennifer Lynn Malone | Peer Specialist | 14677 Merrall Ave, Fontana, CA 92335 | 2019-05-10 |
1770147894 | Noelle Chong | Registered Nurse | 14677 Merill Ave, Fontana, CA 92335 | 2019-04-24 |
1992261929 | Destiny Alzate | Counselor | 1467 Merrill Ave, Fontana, CA 92335 | 2019-02-14 |
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Taxonomy Code | 1835P1200X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacist |
Specialization | Pharmacotherapy |
A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. |
Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114456431 | John Khoan | Pharmacist | 9961 Sierra Ave, Fontana, CA 92335-6720 | 2017-06-09 |
1720368517 | Kyle Blake Towne | Pharmacist | 9961 Sierra Ave, Fontana, CA 92335-6720 | 2011-08-24 |
1306911698 | Tony H. Wang | Pharmacist | 9985 Sierra Ave, Mob 2, 2nd Floor, Module C, Fontana, CA 92335-6720 | 2006-11-21 |
1437222130 | Hien-phuong Thi Tran | Pharmacist | 9961 Sierra Ave, Fontana, CA 92335-6720 | 2006-11-17 |
1891869426 | Christina H Isinhue | Pharmacist | 9961 Sierra Ave, Preventive Med. 6th Floor Mob 2, Fontana, CA 92335-6720 | 2006-11-17 |
1952475600 | Seung Bin Kim | Pharmacist | 9961 Sierra Ave, Fontana, CA 92335-6720 | 2006-11-17 |
1538232764 | Armen Melik-abramians | Pharmacist | 9961 Sierra Ave, Fontana, CA 92335-6720 | 2006-11-16 |
1043389737 | Stephen Berdette Parker | Pharmacist | 9961 Sierra Ave, Fontana, CA 92335-6720 | 2006-11-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619594587 | Tsunnum Uzma Malik | Pharmacist | 2527 Royalridge Way, Santa Clara, CA 95051-1243 | 2020-06-26 |
1710515580 | Danny Situ | Pharmacist | 261 Capistrano Ave, San Francisco, CA 94112-2501 | 2020-03-29 |
1215492277 | En Chiang | Pharmacist | 300 Stein Plaza (wasserman Building) Room 123, Los Angeles, CA 90095-0001 | 2019-02-04 |
1366910325 | Queenie Hip Ying Wan | Pharmacist | 13059 Hedda Ln, Cerritos, CA 90703-6145 | 2018-11-07 |
1487120861 | Amanda Ju Chuan Chao | Pharmacist | 10964 Wellworth Ave Apt 303, Los Angeles, CA 90024-6230 | 2018-10-23 |
1104333772 | Patricia Lee Mcnamee | Pharmacist | 18325 Coastline Dr, Malibu, CA 90265-5729 | 2018-01-04 |
1235655457 | Joseph P Gee | Pharmacist | Cosumnes River College Pharmacy Technology Program, 8401 Center Parkway, Sacramento, CA 95823 | 2017-08-18 |
1275075087 | Erzsebet Gyorfi-miglecz | Pharmacist | 24236 Bella Ct, Newhall, CA 91321-3923 | 2016-11-10 |
1245787035 | Nina Michelle Bemben | Pharmacist | 555 Mission Rock St, #507, San Francisco, CA 94158-2119 | 2016-09-08 |
1861845273 | Vahid Bordbar | Pharmacist | 2325 Palos Verdes Dr W Ste 220, Palos Verdes Estates, CA 90274-2777 | 2016-07-20 |
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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.