DAVID LOTH (NPI# 1487108015) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487108015 |
| Entity Type | Organization |
| Organization Name | DAVID LOTH |
| Other Organization Name | PARK WOODS PHARMACY |
| Practice Address |
1782 W Hammer Ln Stockton CA 95209-2922 |
| Practice Telephone | 6699996870 |
| Mailing Telephone | 6699996870 |
| Enumeration Date | 2016-08-11 |
| Last Update Date | 2016-09-21 |
| Authorized Official Name | DAVID LOTH (OWNER) |
| Authorized Official Telephone | 6699996870 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHY54414 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2163597 | 01 |
| Other Name | Type Code |
|---|---|
| Park Woods Pharmacy | Doing Business As Name - Organization |
| Street Address |
1782 W HAMMER LN |
| City | STOCKTON |
| State | CA |
| Zip Code | 95209-2922 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699755397 | Pacific Urgent Care Inc | Clinic/Center | 1782 W Hammer Ln, Stockton, CA 95209-2922 | 2006-01-19 |
| 1194195875 | Christopher Wayne Morales-phan | Physician Assistant | 1782 W Hammer Ln, Stockton, CA 95209-2922 | 2015-10-07 |
| 1760873996 | Deema Ahmad | Nurse Practitioner | 1782 W Hammer Ln, Stockton, CA 95209-2922 | 2015-02-10 |
| 1841572542 | David Loth | Pharmacist | 1782 W Hammer Ln, Stockton, CA 95209-2922 | 2011-09-19 |
| 1548314735 | Jason Ochoa | Physician Assistant | 1782 W Hammer Ln, Stockton, CA 95209-2922 | 2007-01-23 |
| 1437173689 | Rachel Sanchez | Physician Assistant | 1782 W Hammer Ln, Stockton, CA 95209-2922 | 2006-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104272954 | William Luther Bennett | Pharmacist | 1131 Sunnyoak Way, Stockton, CA 95209 | 2016-05-11 |
| 1548686769 | Roland Rillamas Lagpacan | Pharmacist | 3131 West Hammer Lane, Stockton, CA 95209 | 2014-03-12 |
| 1346599677 | Luis Leyva Garcia | Marriage & Family Therapist | 1755 West Hammer Lane, Stockton, CA 95209 | 2012-08-31 |
| 1942506233 | Donna Lynn Peterson | Dentist | 9409 Thornton Rd, Stockton, CA 95209 | 2011-02-03 |
| 1386969798 | Miusotic Zaragoza | Social Worker | 1755 W. Hammer Lane Suite 8, Latino Behavioral Health, Stockton, CA 95209 | 2010-03-30 |
| 1497988844 | Marissa Elizabeth Preciado | Counselor | 10147 River Falls Cir, Stockton, CA 95209 | 2009-09-02 |
| 1316190796 | Sutter Gould Medical Foundation | Clinic/Center | 8011 Don Ave, Stockton, CA 95209 | 2008-10-29 |
| 1881845790 | Gary Earl Fiscus | Dentist | 4565 Quail Lakes Drive, Suite A-2, Stockton, CA 95209 | 2008-10-09 |
| 1326225665 | Shirley's Care Home Inc | Intermediate Care Facility, Mentally Retarded | 2330 Shropshire Dr, Stockton, CA 95209 | 2008-01-29 |
| 1134272727 | Joanie Mc Culloch | Homeopath | 8807 Thornton Rd, Ste. P, Stockton, CA 95209 | 2007-01-19 |
| Find all providers in zip 95209 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700409992 | Tin Enterprise LLC | Pharmacy | 678 N Wilson Way Ste 14, Stockton, CA 95205-4200 | 2020-05-21 |
| 1225592058 | West Lane Clinic Rx LLC | Pharmacy | 4873 West Ln Ste B, Stockton, CA 95210-4548 | 2019-01-25 |
| 1285173104 | Bruce and Lee Inc | Pharmacy | 73 W March Lane Ste D, Stockton, CA 95207-5726 | 2017-02-13 |
| 1588802748 | Woods Supermarket Inc | Pharmacy | 1109 South St, Stockton, MO 65785-9456 | 2009-01-27 |
| 1265580864 | Kaiser Foundation Health Plan Inc | Pharmacy | 7373 West Ln Fl 1, Stockton, CA 95210-3377 | 2007-01-08 |
| 1760530406 | Kaiser Foundation Health Plan Inc | Pharmacy | 7373 West Ln Fl 2, Stockton, CA 95210-3377 | 2007-01-08 |
| 1225120314 | Fremont Center Pharmacy | Pharmacy | 2525 E Fremont St, Stockton, CA 95205-3906 | 2006-09-28 |
| 1417052937 | Douglas Earl Bennett | Pharmacy | 2005 E Mariposa Rd, Stockton, CA 95205-7735 | 2006-09-13 |
| 1326150319 | Califormacy Inc | Pharmacy | 3526 Manthey Rd, Ste H, Stockton, CA 95206-5301 | 2006-08-31 |
| 1396855904 | Costco Wholesale Corporation | Pharmacy | 1616 E Hammer Ln, Stockton, CA 95210 | 2006-08-30 |
| Find all providers in STOCKTON | ||||
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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.