DR. TANAPONG PANTASRI (NPI# 1386296150) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386296150 |
| Entity Type | Individual |
| Full Name | DR. TANAPONG PANTASRI |
| Other Name | DR. TANAPONG PANTASRI |
| Credential | PHARM.D |
| Practice Address |
7316 Roosevelt Ave Jackson Heights NY 11372-6336 |
| Practice Telephone | 9178326035 |
| Mailing Telephone | 9178326035 |
| Mailing Fax Number | 9178326426 |
| Enumeration Date | 2019-07-11 |
| Last Update Date | 2020-05-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 066612 | NY | Pharmacy Service Providers |
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
066612 | NY | Pharmacy Service Providers |
| Street Address |
7316 ROOSEVELT AVE |
| City | JACKSON HEIGHTS |
| State | NY |
| Zip Code | 11372-6336 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467855767 | Evelyn Gonzalez | Pharmacist | 7316 Roosevelt Ave, Jackson Heights, NY 11372-6336 | 2014-09-30 |
| 1790176048 | Citypharma Inc | Pharmacy | 7316 Roosevelt Ave, Jackson Heights, NY 11372-6336 | 2015-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063028967 | Adults Medical Care, P.C. | Internal Medicine | 89 04 Northern Blvd, Ground Floor, Jackson Heights, NY 11372 | 2020-09-17 |
| 1568077014 | Toshihide Kuroe | Student in an Organized Health Care Education/Training Program | 35-20 90th Street, Jackson Heights, Queens, New York, NY 11372 | 2020-09-11 |
| 1134732142 | Wendell Jamias Abad | Physical Therapy Assistant | 90-33 Elmhurst Ave., Jackson Heights, NY 11372 | 2020-08-28 |
| 1508489022 | Shereda Lawrence | Nurse Practitioner | 86-10 Roosevelt Ave, Jackson Heights, NY 11372 | 2020-05-19 |
| 1710513395 | Golden Age Home Care, Inc | Home Health | 71-16 35th Street, Jackson Heights, NY 11372 | 2020-03-16 |
| 1497210611 | Andree Michel Decastro | Counselor | 76-05 Roosevelt Ave, 2nd Fl, Flushing, NY 11372 | 2019-02-01 |
| 1598234031 | Bithi Roy | Social Worker | 37-08 91st St Jackson Heights, Suit 3a, Jackson Heights, NY 11372 | 2018-11-14 |
| 1225506496 | Michael Anavian | Counselor | 7410 35 Ave Suite 107w, Jackson Heights, NY 11372 | 2018-11-06 |
| 1982189171 | Jackson Pharmacy Inc. | Pharmacy | 7102, 37th Avenue, Jackson Heights, NY 11372 | 2018-10-03 |
| 1689155814 | Sostenes Batista Lima | Counselor | 35-25 86th St Apt 1f, Jackson Heights, NY 11372 | 2018-08-26 |
| Find all providers in zip 11372 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285241794 | Erika Modh | Pharmacist | 6220 11th Ave, Brooklyn, NY 11219-5204 | 2020-09-29 |
| 1457990657 | Hina Khawaja | Pharmacist | 24 E 24th St, Huntington Station, NY 11746-3702 | 2020-01-06 |
| 1508411810 | Michael Richard Izzo | Pharmacist | 104 Reservoir Rd, Little Falls, NY 13365-5924 | 2019-08-04 |
| 1306498100 | Cerris Chung | Pharmacist | 320 E 94th St # 3f, New York, NY 10128-5604 | 2019-07-11 |
| 1558922419 | Jennifer Sophia Orozco | Pharmacist | 1275 York Ave # 710, New York, NY 10065-6007 | 2019-06-21 |
| 1558846014 | Lisa Chu | Pharmacist | 14634 23rd Ave, Whitestone, NY 11357-3514 | 2018-10-01 |
| 1841772514 | Salvatore Oreste | Pharmacist | 32 Alder Dr, Kings Park, NY 11754-2202 | 2018-08-30 |
| 1184138885 | B&t Port Richmond Pharmacy Inc. | Pharmacist | 251 Port Richmond Ave, Staten Island, NY 10302-1704 | 2017-11-17 |
| 1922510072 | Robert O'connell | Pharmacist | 3840 211th St Fl 2, Bayside, NY 11361-1956 | 2017-10-30 |
| 1427577048 | Fawzieh Mourtada | Pharmacist | Rite Aid, 540 West 235th Street, Bronx, NY 10643 | 2017-09-14 |
| Find all providers with the same taxonomy | ||||
| City | JACKSON HEIGHTS |
| Zip Code | 11372 |
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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.