DEEPA PULICKAL (NPI# 1477954592) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477954592 |
| Entity Type | Individual |
| Full Name | DEEPA PULICKAL |
| Practice Address |
8400 Edgewater Dr Oakland CA 94621-1468 |
| Practice Telephone | 5104309723 |
| Mailing Telephone | 5104309723 |
| Enumeration Date | 2014-09-08 |
| Last Update Date | 2014-09-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RPH62407 | CA | Pharmacy Service Providers |
| Street Address |
8400 EDGEWATER DR |
| City | OAKLAND |
| State | CA |
| Zip Code | 94621-1468 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992722136 | Wal-mart Stores Inc | Durable Medical Equipment & Medical Supplies | 8400 Edgewater Dr, Oakland, CA 94621-1468 | 2006-07-16 |
| 1558732362 | Li Sheng Shi | Pharmacist | 8400 Edgewater Dr, Oakland, CA 94621 | 2015-10-20 |
| 1730598095 | Christopher Kwong | Pharmacist | 8400 Edgewater Dr, Oakland, CA 94621-1468 | 2014-08-11 |
| 1487835864 | Firstsight Vision Services, Inc. | Optometrist | 8400 Edgewater Dr, Oakland, CA 94621-1468 | 2007-11-14 |
| 1720177785 | Wal-mart Stores, Inc. | Technician/Technologist | 8400 Edgewater Dr, Oakland, CA 94621-1468 | 2006-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144734864 | Alameda Home Care & Hospice LLC | Home Health | 300 Pendleton Way Ste 328, Oakland, CA 94621 | 2017-11-17 |
| 1760931968 | Maria Martinez | Counselor | 8330 Birch St., Apt. A, Oakland, CA 94621 | 2016-09-28 |
| 1902231301 | East Bay Agencey for Children | Community/Behavioral Health | 1025 81st Ave, Oakland, CA 94621 | 2013-09-05 |
| 1710268016 | Srideep Chatterjee | Pharmacist | 8102 E 14 Th Street, Oakland, CA 94621 | 2011-08-31 |
| 1285953943 | Martin Pacheco | Counselor | 333 Hegenberger Road #600, Oakland, CA 94621 | 2010-05-20 |
| 1821234816 | Raul Mark Miranda Grageda | Physical Therapist | 7817 Oakport Street, Oakland, CA 94621 | 2008-12-23 |
| 1306032156 | Adrienne Claire Lopez Tiley | Counselor | 401 Roland Way Suite 100, Oakland, CA 94621 | 2007-09-14 |
| 1609067610 | Sandra Gaspar | Marriage & Family Therapist | 410 Roland Way. Suite 100, Oakland, CA 94621 | 2007-08-05 |
| 1053512608 | Ellis W. Jones | Counselor | 7501 International Blvd., Oakland, CA 94621 | 2007-05-30 |
| 1851507016 | Keith Reese | Social Worker | 1933-57 Th Avenue, Oakland, CA 94621 | 2007-05-15 |
| Find all providers in zip 94621 | ||||
| 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 |
|---|---|---|---|---|
| 1164020020 | Daniel Ninh | Pharmacist | 3093 Broadway Unit 523, Oakland, CA 94611-5894 | 2020-10-13 |
| 1992303226 | Sonia Maria Sui Ying Poon Harris | Pharmacist | 388 9th Street Ste 108, Oakland, CA 94607 | 2020-10-09 |
| 1780291880 | Jennifer He | Pharmacist | 747 52nd St Ste 125, Oakland, CA 94609-1809 | 2020-09-23 |
| 1447865944 | Nate Sandve | Pharmacist | 3226 Fruitvale Ave, Oakland, CA 94602-2115 | 2020-09-11 |
| 1356950869 | Loi Pham | Pharmacist | 600 International Blvd # 105, Oakland, CA 94606-2993 | 2020-07-30 |
| 1548878325 | Margaret P So | Pharmacist | 4379 Terrabella Pl, Oakland, CA 94619-3161 | 2020-07-17 |
| 1548829062 | Michael Nishioka | Pharmacist | 3236 Lakeshore Ave, Oakland, CA 94610-2720 | 2019-06-08 |
| 1124598339 | Lesly-anne Samedy | Pharmacist | 1000 43rd St Apt 25, Oakland, CA 94608-3789 | 2018-11-29 |
| 1235617788 | Cathy Yan-fang Liang | Pharmacist | 2877 Macarthur Blvd, Oakland, CA 94602-3229 | 2018-08-06 |
| 1194201038 | Mudashiru Tahir | Pharmacist | 950 66th Ave Apt 108, Oakland, CA 94621-3188 | 2018-07-13 |
| Find all providers in OAKLAND | ||||
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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.