DR. HARLAN M HUSTED (NPI# 1376891812) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376891812 |
| Entity Type | Individual |
| Full Name | DR. HARLAN M HUSTED |
| Credential | PHARM.D |
| Practice Address |
2823 Fresno Street Community Regional Med Ctr - Inpatient Pharmacy Fresno CA 93715 |
| Mailing Address |
6737 N Milburn Ave Ste 160 Pmb 38 Fresno CA 93722-2141 |
| Practice Telephone | 5594596295 |
| Practice Fax Number | 5594597377 |
| Mailing Telephone | 5594340183 |
| Enumeration Date | 2012-08-15 |
| Last Update Date | 2012-08-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
57579 | CA | Pharmacy Service Providers |
| Street Address |
2823 FRESNO STREET COMMUNITY REGIONAL MED CTR - INPATIENT PHARMACY |
| City | FRESNO |
| State | CA |
| Zip Code | 93715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538271374 | Bridget Nester Petrillo | Nurse Anesthetist, Certified Registered | 2823 Fresno Street, Fresno, CA 93721-1365 | 2006-08-31 |
| 1841840931 | Kelsea Chun | Nurse Anesthetist, Certified Registered | 2823 Fresno Street, Anesthesia Department, Fresno, CA 93721 | 2019-09-19 |
| 1184050882 | Kamala Basaula | Registered Nurse | 2823 Fresno Street, Fresno, CA 93721-1365 | 2013-09-25 |
| 1881931897 | Jay Isaac Tipton | Nurse Anesthetist, Certified Registered | 2823 Fresno Street, Fresno, CA 93721-1365 | 2013-01-10 |
| 1275891368 | Ann W Vu | Pharmacist | 2823 Fresno Street, Fresno, CA 93721 | 2012-04-26 |
| 1548537780 | Ravinder Singh | Registered Nurse | 2823 Fresno Street, Fresno, CA 93721-1365 | 2011-11-16 |
| 1306120779 | Kevin Immarri Hickman | Nurse Anesthetist, Certified Registered | 2823 Fresno Street, Fresno, CA 93721-1365 | 2011-10-04 |
| 1821275942 | Karissa Anne Bouchie | Dietitian, Registered | 2823 Fresno Street, Community Regional Medical Center, Fresno, CA 93701 | 2008-01-31 |
| 1972784528 | Mary C Ghaffari | Pharmacist | 2823 Fresno Street, Crmc Pharmacy, Fresno, CA 93721-1324 | 2007-11-23 |
| 1811191687 | Floyd Bodden | Physician Assistant | 2823 Fresno Street, Fresno, CA 93721-1324 | 2007-06-13 |
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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 |
|---|---|---|---|---|
| 1346412590 | Neal S. Howard | Pharmacist | 4586 N College Ave, Fresno, CA 93704-3807 | 2008-03-27 |
| 1285035287 | Shahrzad Toosi | Pharmacist | 740 W Alluvial Ave, 101, Fresno, CA 93711-5509 | 2014-09-09 |
| 1114346590 | Mallory Cruz | Pharmacist | 290 N Wayte Ln, Fresno, CA 93701-2124 | 2014-04-14 |
| 1780976829 | Edward L Tow | Pharmacist | 4593 N Cedar Ave, Fresno, CA 93726-2540 | 2011-05-09 |
| 1104057652 | Anoli Vitthal Patel | Pharmacist | 2615 E Clinton Ave, Fresno, CA 93703-2223 | 2009-07-31 |
| 1750572343 | Marisa Mendez | Pharmacist | 2823 Fresno St, Fresno, CA 93721-1324 | 2007-08-07 |
| 1871695338 | Lisa Jean Adams | Pharmacist | 2615 E Clinton Ave, Fresno, CA 93703-2223 | 2006-09-03 |
| 1922069285 | Staci Arin Anderson | Pharmacist | 2615 E Clinton Ave, Fresno, CA 93703-2223 | 2006-03-28 |
| 1659356814 | Nancy Nkansah | Pharmacist | 155 N Fresno St, Suite 224, Fresno, CA 93701-2302 | 2005-12-09 |
| 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.