MR. DALE J TIMOTHY (NPI# 1487741278) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487741278 |
| Entity Type | Individual |
| Full Name | MR. DALE J TIMOTHY |
| Credential | RPH |
| Practice Address |
10800 Magnolia Avenue Riverside CA 92505 |
| Mailing Address |
25838 Kellogg Street Loma Linda CA 92354 |
| Practice Telephone | 9513533623 |
| Mailing Telephone | 9097962934 |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 33486 | CA | Pharmacy Service Providers |
| Street Address |
10800 MAGNOLIA AVENUE |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215216528 | Serjik Abrahamian | Family Medicine | 10800 Magnolia Avenue, Kaiser Permanente - Family Medicine Dept, Riverside, CA 92505 | 2011-08-04 |
| 1922333004 | Amy Leanne Park | Optometrist | 10800 Magnolia Avenue, Riverside, CA 92505 | 2009-10-07 |
| 1558540773 | Felicia Schwab-doyle | Dermatology | 10800 Magnolia Avenue, Riverside, CA 92505 | 2007-10-25 |
| 1417016544 | Mary Lien | Dermatology | 10800 Magnolia Avenue, Riverside, CA 92505 | 2006-12-06 |
| 1649369794 | Jean Ann Rich | Pharmacist | 10800 Magnolia Avenue, Riverside, CA 92505 | 2006-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205458460 | Mark Anthony Vargas | Behavioral Analyst | 94193 Flat Rock Dr Ste 220, Riverside, CA 92505 | 2020-05-11 |
| 1568099976 | Victoria Lee | Student in an Organized Health Care Education/Training Program | Riverside Family Medicine Residency, 10800 Magnolia Avenue, Riverside, CA 92505 | 2020-03-25 |
| 1588222087 | A Homecare Services, Inc | In Home Supportive Care | 4193 Flat Rock Road, Building 200 Suite 206, Riverside, CA 92505 | 2019-05-31 |
| 1609302397 | Tap Pharmacy, Inc. | Pharmacy | 4270 Riverwalk Pkwy Ste 102, Riverside, CA 92505 | 2017-05-02 |
| 1467998658 | Onofre Gascon | Behavior Technician | 11711 Collett Ave, #1614, Riverside, CA 92505 | 2017-01-11 |
| 1780038505 | Nash David Martinez | Emergency Medicine | 10800 Magnolia Ave Dept of Emergency Medicine, Kaiser Permanente Hospital, Riverside, CA 92505 | 2016-04-18 |
| 1447639901 | Jose Joel Manalese Dds Inc | Dentist | 3950 Pierce St., Suite L., Riverside, CA 92505 | 2015-05-29 |
| 1821493230 | Jean Huynh | Physician Assistant | 11725 State Ave., Suite 100, Riverside, CA 92505 | 2014-10-28 |
| 1003160649 | Elaf Farahat | Dietitian, Registered | 10800 Magnolia Avenue., Riverside, CA 92505 | 2012-11-05 |
| 1730458217 | Tammy Lynn Gilmore | Non-emergency Medical Transport (VAN) | 10770 Hole Avenue, 106, Riverside, CA 92505 | 2011-12-29 |
| Find all providers in zip 92505 | ||||
| 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 |
|---|---|---|---|---|
| 1770191611 | Andrea Dawn Mccartney | Pharmacist | 3056 River Crossing Ct Ste A, Riverside, IA 52327-4733 | 2020-07-16 |
| 1558989194 | Joy C Tinnes | Pharmacist | 3056 River Crossing Ct, Riverside, IA 52327-4733 | 2020-07-09 |
| 1740816701 | Joo Hye Lee | Pharmacist | 12010 Cortona Pl, Riverside, CA 92503-9736 | 2020-03-20 |
| 1154960037 | Minh Anh Nguyen | Pharmacist | 5360 Van Buren Blvd Apt 122, Riverside, CA 92503-2610 | 2019-12-25 |
| 1083250385 | Niyati Butala | Pharmacist | 9990 County Farm Rd Ste 2, Riverside, CA 92503-3542 | 2019-11-21 |
| 1760038988 | Li-wun Chu | Pharmacist | 8207 Arlington Ave Ste A, Riverside, CA 92503-0429 | 2019-08-13 |
| 1609421858 | Michael Aja | Pharmacist | 10550 Orchard View Ln, Riverside, CA 92503-6604 | 2019-08-05 |
| 1215597083 | Huyen Le Pham | Pharmacist | 2259 Keepsake Ct, Riverside, CA 92503-0637 | 2019-06-14 |
| 1588229447 | Glenn Jabaay | Pharmacist | 51 E Burlington St Ste C, Riverside, IL 60546-2124 | 2019-05-07 |
| 1538622782 | Sung Jin | Pharmacist | 4234 Riverwalk Pkwy Ste 130, Riverside, CA 92505-3304 | 2019-04-12 |
| Find all providers in RIVERSIDE | ||||
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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.