LAVENDER BOTONES (NPI# 1467735605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467735605 |
| Entity Type | Individual |
| Full Name | LAVENDER BOTONES |
| Practice Address |
1141 W Avenue L Lancaster CA 93534-7077 |
| Practice Telephone | 6618024469 |
| Practice Fax Number | 6618024490 |
| Mailing Telephone | 6618024469 |
| Mailing Fax Number | 6618024490 |
| Enumeration Date | 2011-09-23 |
| Last Update Date | 2011-09-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PHY46261 | CA | Pharmacy Service Providers |
| Street Address |
1141 W AVENUE L |
| City | LANCASTER |
| State | CA |
| Zip Code | 93534-7077 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295845808 | Costco Wholesale Corporation | Pharmacy | 1141 W Avenue L, Lancaster, CA 93534 | 2006-08-30 |
| 1942684790 | Darin Bechthold | Pharmacist | 1141 W Avenue L, Lancaster, CA 93534-7077 | 2015-07-10 |
| 1992198162 | Costco Wholesale Corporation | Hearing Aid Equipment | 1141 W Avenue L, Lancaster, CA 93534-7077 | 2015-03-12 |
| 1972993186 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 1141 W Avenue L, Lancaster, CA 93534-7077 | 2015-01-26 |
| 1003166190 | Thinh Dinh Hoang | Pharmacist | 1141 W Avenue L, Lancaster, CA 93534-7077 | 2012-09-15 |
| 1043578552 | Judy Ann Cabugao Armas | Pharmacist | 1141 W Avenue L, Lancaster, CA 93534-7077 | 2012-05-03 |
| 1700071834 | Melanie Kim Jedrusiak | Optometrist | 1141 W Avenue L, Lancaster, CA 93534-7077 | 2007-09-11 |
| 1467661355 | Tarek Mohana | Optometrist | 1141 W Avenue L, Lancaster, CA 93534-7077 | 2007-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194346098 | Lori Ann Barlow Washington | Counselor | 921 W J Street, Lancaster, CA 93534 | 2020-05-01 |
| 1629698253 | Gisela Regalado Paredes | Surgery | Antelope Valley Hospital, 1600 West Ave J, Lancaster, CA 93534 | 2020-04-23 |
| 1124668470 | Latonya Jean Allen | Case Manager/Care Coordinator | 44443 10th St. West, Lancaster, CA 93534 | 2020-01-14 |
| 1629629746 | Korinna Fite | Occupational Therapy Assistant | 43860 10th St. W., Lancaster, CA 93534 | 2019-09-20 |
| 1114576105 | Victor Nemr Hass Md | Anesthesiology | Embassy Surgery Center, 42135 10th Street West 325, Lancaster, CA 93534 | 2019-09-11 |
| 1609421007 | Jaime A Mort | Nurse Practitioner | 43112 N 15st W, Lancaster, CA 93534 | 2019-08-03 |
| 1013560747 | Allyson Lods | Dietitian, Registered | 43115 15th Street West, Lancaster, CA 93534 | 2019-07-22 |
| 1144884123 | Nicole Breanne Palman | Speech-Language Pathologist | 43860 10th St. West, 1st Floor, Lancaster, CA 93534 | 2019-04-25 |
| 1841761475 | Vanessa Gonzalez | Case Manager/Care Coordinator | 44226 10th St West, Lancaster, CA 93534 | 2018-12-07 |
| 1760969265 | Marilyn Joy Pollack | Physical Therapy Assistant | 1306 W Avenue J Ste 2, Lancaster, CA 93534 | 2018-07-26 |
| Find all providers in zip 93534 | ||||
| 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 |
|---|---|---|---|---|
| 1790385359 | David Francis Ondrusek | Pharmacist | 109 Wood Lot Ln, Lancaster, PA 17601-1769 | 2020-10-31 |
| 1275133225 | Dustin Anderson | Pharmacist | 3829 Nicholas Dr Ne, Lancaster, OH 43130-8601 | 2020-10-29 |
| 1295342517 | Brandi Breunta Guinyard | Pharmacist | 805 Highway 9, Lancaster, SC 29720 | 2020-09-30 |
| 1427692839 | Anthony Pagano | Pharmacist | 1869 Great Falls Hwy, Lancaster, SC 29720-7172 | 2019-10-30 |
| 1982268843 | Blanche Nichole Breznak | Pharmacist | 201 East Chestnut St, Lancaster, PA 17602 | 2019-04-25 |
| 1194297028 | Tiffani Vien Tran | Pharmacist | 825 E Chestnut St, Lancaster, PA 17602-3127 | 2018-12-17 |
| 1285104851 | Stephanie Benedict | Pharmacist | 1603 Lincoln Highway East, Lancaster, PA 17602 | 2018-11-27 |
| 1750862355 | Marie A Gallo | Pharmacist | 21 Church Rd, Lancaster, PA 17603-9663 | 2018-08-22 |
| 1275013245 | Jared Thomas Moore | Pharmacist | 218 Central Ave Apt 3, Lancaster, NY 14086-1822 | 2018-08-18 |
| 1467966705 | Karen Hyun Kim | Pharmacist | 1825 W Avenue J Ste 115, Lancaster, CA 93534-2704 | 2017-11-23 |
| Find all providers in LANCASTER | ||||
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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.