MRS. GLENDA PETERSON ALLRED (NPI# 1376680538) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376680538 |
| Entity Type | Individual |
| Full Name | MRS. GLENDA PETERSON ALLRED |
| Credential | RPH |
| Practice Address |
425 Broadway St King City CA 93930-3131 |
| Practice Telephone | 8313853259 |
| Practice Fax Number | 8313853928 |
| Mailing Telephone | 8313853259 |
| Mailing Fax Number | 8313853928 |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2009-03-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 33197 | CA | Pharmacy Service Providers |
| Street Address |
425 BROADWAY ST |
| City | KING CITY |
| State | CA |
| Zip Code | 93930-3131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841841202 | Carl Jorgensen | Pharmacist | Riteaid, 540 Canal Street, King City, CA 93930 | 2019-09-26 |
| 1750780284 | Kayla Noon | Counselor | 200 Broadway St., Suite 70, King City, CA 93930 | 2014-08-20 |
| 1831323906 | Tawfiq Imam | Pharmacist | 540 Canal St, Rite Aid Pharmacy #5880, King City, CA 93930 | 2009-05-05 |
| 1588165351 | Mirella Mendoza | Nurse Practitioner | 122 E San Antonio Dr, King City, CA 93930 | 2018-02-26 |
| 1437510641 | Christina Sandoval | Counselor | 200 Broadway St, 70, King City, CA 93930 | 2016-03-15 |
| 1376920850 | Celia Trujillo | Counselor | 200 Broadway St, King City, CA 93930 | 2015-05-04 |
| 1497152078 | Nguyen Pham | Internal Medicine | 300 Canal St, King City, CA 93930 | 2014-11-26 |
| 1104171925 | Hassan Jadid | Internal Medicine | 300 Canal St, King City, CA 93930 | 2012-07-18 |
| 1821227422 | Jovanna M Velazquez | Technician, Other | 200 Broadway, Suite 88, King City, CA 93930 | 2009-07-06 |
| 1598961161 | Diane Lynn Hardy | Marriage & Family Therapist | 522 Broadway St, Suite D, King City, CA 93930 | 2007-06-21 |
| Find all providers in zip 93930 | ||||
| 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 |
|---|---|---|---|---|
| 1841841202 | Carl Jorgensen | Pharmacist | Riteaid, 540 Canal Street, King City, CA 93930 | 2019-09-26 |
| 1376821389 | Thuan Vo | Pharmacist | 540 Canal St, King City, CA 93930-3446 | 2011-07-25 |
| 1831323906 | Tawfiq Imam | Pharmacist | 540 Canal St, Rite Aid Pharmacy #5880, King City, CA 93930 | 2009-05-05 |
| 1043383946 | Anthony Dramov | Pharmacist | 15585 Sw 116th Ave, King City, OR 97224 | 2006-11-16 |
| 1780281006 | Ryan Rana | Pharmacist | 620 Broadway St Ste P, King City, CA 93930-3200 | 2020-10-09 |
| 1891343091 | Marie Samir Girguis | Pharmacist | 540 Canal St, King City, CA 93930-3446 | 2019-08-30 |
| 1366903338 | Vy Ha Bui | Pharmacist | 540 Canal St, King City, CA 93930-3446 | 2019-03-30 |
| 1255849196 | Rui George Dasilva | Pharmacist | 540 Canal St, King City, CA 93930-3446 | 2018-01-12 |
| 1891227864 | Vijay Diesh | Pharmacist | 300 Canal St, King City, CA 93930-3431 | 2017-03-29 |
| 1255704649 | Jeffrey Scott Schutzbach | Pharmacist | 15685 Sw 116th Ave, King City, OR 97224-2651 | 2015-11-06 |
| Find all providers in KING CITY | ||||
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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.