AGATHA PENROSE (NPI# 1386045938) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386045938 |
| Entity Type | Individual |
| Full Name | AGATHA PENROSE |
| Practice Address |
911 Linden Ave Fairfield CA 94533-7048 |
| Practice Telephone | 7074510182 |
| Enumeration Date | 2014-09-12 |
| Last Update Date | 2014-09-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183700000X | Pharmacy Technician | 51346 | CA | Pharmacy Service Providers |
| Street Address |
911 LINDEN AVE |
| City | FAIRFIELD |
| State | CA |
| Zip Code | 94533-7048 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609487347 | Shayondelice Sledge | Case Manager/Care Coordinator | 3001 N. Texas St., #27, Fairfield, CA 94533 | 2020-08-16 |
| 1508401191 | Tiffany Ann Garcia | Social Worker | 1301 Roman Way, Martinez, CA 94533 | 2019-11-07 |
| 1609424175 | Andrew Stephens | Student in an Organized Health Care Education/Training Program | Dgmc, 101 Bodin Cir, Fairfield, CA 94533 | 2019-08-28 |
| 1821645383 | Michelle Marie Hackett | Marriage & Family Therapist | 1745 Enterprise Dr., Bldg. 2, Ste 1a, Fairfield, CA 94533 | 2019-08-20 |
| 1780154369 | Maria Leonila Ramos Corpuz | Behavior Technician | 744 Empire Street Suite 160, Fairfield, CA 94533 | 2018-11-27 |
| 1629575303 | Jeanne Ann Kiernan | Dentist | 690 Airman Dr, Apo, AA 94533 | 2018-04-10 |
| 1629596820 | Max Kardos | Student in an Organized Health Care Education/Training Program | 801 Empire St., Fairfield, CA 94533 | 2017-09-07 |
| 1780119867 | Justin Denhart Dickson | Student in an Organized Health Care Education/Training Program | 101 Bodin Cir Fairfield Ca 94533, David Grant Medical Center, Fpo, AA 94533 | 2017-04-26 |
| 1639613409 | Behrooz Shafiezadeh | Marriage & Family Therapist | Caminar, 601 Madison Street, Suite D, Fairfield, CA 94533 | 2016-12-13 |
| 1427500164 | Tanya Ayers | Counselor | 801 Empire Street, Fairfield, CA 94533 | 2016-10-28 |
| Find all providers in zip 94533 | ||||
| Taxonomy Code | 183700000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacy Technician |
| A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. |
| Notes: Source: Pharmacy Technician Certification Board, www.ptcb.org [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801311022 | Greg Volmer | Pharmacy Technician | 3050 Mack Rd Ste 330, Fairfield, OH 45014-5381 | 2017-08-09 |
| 1457752313 | Richel Sison | Pharmacy Technician | 1647 Vicksburg Dr, Fairfield, CA 94533-5166 | 2014-09-10 |
| 1326654989 | Thomas Peter Caruso Jr. | Pharmacy Technician | 180 Passaic Ave, Fairfield, NJ 07004-3516 | 2020-09-18 |
| 1437784436 | Etwina Sharon Pau | Pharmacy Technician | 300 Travis Blvd, Fairfield, CA 94533-3804 | 2020-03-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679181341 | Asma Abid Raja | Pharmacy Technician | 5351 Tenderfoot Dr, Fontana, CA 92336-1134 | 2020-07-20 |
| 1588287098 | Pia Mae Sangalang Moreno | Pharmacy Technician | 13128 Imperial Hwy, Santa Fe Springs, CA 90670-4817 | 2020-05-19 |
| 1144840547 | Siu Pang Lee | Pharmacy Technician | 970 Cayuga Ave, San Francisco, CA 94112-3222 | 2020-04-26 |
| 1326668062 | Maria Rangel | Pharmacy Technician | 1432 Michelle St, Coalinga, CA 93210-3235 | 2020-04-22 |
| 1063032894 | Anthony Tran | Pharmacy Technician | 747 52nd St Fl 3, Oakland, CA 94609-1809 | 2020-04-22 |
| 1265052054 | Daniel Babcock | Pharmacy Technician | 304 Myrtle St Unit 411, Glendale, CA 91203-3580 | 2020-04-21 |
| 1366062473 | Cadence Wong | Pharmacy Technician | 448 Kelton Ave Apt 3, Los Angeles, CA 90024-6701 | 2020-04-17 |
| 1780213140 | Jaime Eden | Pharmacy Technician | 106 Old Oak Ct, Oakley, CA 94561-2715 | 2020-04-07 |
| 1497381933 | Carol Yvonne Munoz | Pharmacy Technician | 225 S Ivy Ave # 1607, Monrovia, CA 91016-2835 | 2020-03-17 |
| 1093347775 | Ahmed Abdulkareem Abbas Alsarah | Pharmacy Technician | 1400 Richmond St, El Cerrito, CA 94530-2229 | 2020-02-10 |
| Find all providers with the same taxonomy | ||||
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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.