CHRISTOPHER COLGAN (NPI# 1508266180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508266180 |
| Entity Type | Individual |
| Full Name | CHRISTOPHER COLGAN |
| Practice Address |
1555 40th St Emeryville CA 94608-3515 |
| Mailing Address |
1541 Bancroft Way Berkeley CA 94703-1645 |
| Practice Telephone | 5102850569 |
| Mailing Telephone | 8608858667 |
| Enumeration Date | 2014-09-02 |
| Last Update Date | 2020-02-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 82074 | CA | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | 11980 | CT | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | 35740 | SC | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CA PHARMACIST LICENSE | 82074 | 01 |
| SC | SC LICENSE PHARMACY | 35740 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770921595 | Christopher R Colgan | Student in an Organized Health Care Education/Training Program | 10 Madison Ct, Fall River, MA 02720-5912 | 2013-06-14 |
| Street Address |
1555 40TH ST |
| City | EMERYVILLE |
| State | CA |
| Zip Code | 94608-3515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447554308 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 1555 40th St, Emeryville, CA 94608-3515 | 2011-01-06 |
| 1386290484 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 1555 40th St, Emeryville, CA 94608-3515 | 2019-08-14 |
| 1417207077 | Ella H Ames | Pharmacist | 1555 40th St, Emeryville, CA 94608 | 2012-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396363610 | Francine Marie Madrid-bizari | Midwife | 5854 Fremont St, Oakland, CA 94608 | 2020-07-13 |
| 1457853921 | Jimmy Yan | Behavior Technician | 5900 Hollis Street Suite X, Emeryville, CA 94608 | 2018-03-01 |
| 1609395961 | Bay Wellness | Durable Medical Equipment & Medical Supplies | 5715 Market St Ste #d, Oakland, CA 94608 | 2017-09-18 |
| 1871023630 | Philip Staley | Registered Nurse | 1890 Alcatraz Avenue, Berkeley, CA 94608 | 2017-06-14 |
| 1114379120 | Leah Jane Tapscott | Registered Nurse | 6121 Hollis St Ste 900, Emeryville, CA 94608 | 2016-07-01 |
| 1295122273 | Paramjit S Virk | Nurse Practitioner | 888 Stanford Ave., Oakland, CA 94608 | 2015-04-17 |
| 1295123453 | Sports Injury Medical Group | Preferred Provider Organization | 5900 Hollis St., Suite K, Emeryville, CA 94608 | 2014-12-22 |
| 1144630583 | Adeline Lopez | Social Worker | 925 Brockhurst St., Oakland, CA 94608 | 2014-05-07 |
| 1710201603 | Rachna Gurjeet Wadia | Pediatrics | 6121 Hollis St. Suite #2, Emeryville, CALIFORNIA 94608 | 2010-03-21 |
| 1184872285 | I 5 Medical Group, Inc. | Clinic/Center | 5915 B Hollis Street, Emeryville, CA 94608 | 2008-09-03 |
| Find all providers in zip 94608 | ||||
| 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 |
|---|---|---|---|---|
| 1184924680 | Victoria Hsie | Pharmacist | 6363 Christie Ave Apt 2124, Emeryville, CA 94608-1946 | 2010-10-30 |
| 1033373584 | Kim P Vu | Pharmacist | 7 Captain Dr Apt C210, Emeryville, CA 94608-1749 | 2008-07-14 |
| 1396120796 | Jennifer Du | Pharmacist | 1900 Powell St, Ste 140, Emeryville, CA 94608-1811 | 2015-07-27 |
| 1508207671 | Victoria Lee He | Pharmacist | 5800 Hollis St, Pharmacy, Emeryville, CA 94608-2016 | 2013-07-17 |
| 1417207077 | Ella H Ames | Pharmacist | 1555 40th St, Emeryville, CA 94608 | 2012-09-11 |
| 1568623916 | Paul Young-min Choi | Pharmacist | 1900 Powell St, Suite 140, Emeryville, CA 94608-1811 | 2008-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356942023 | Kevin Thach Le | Pharmacist | 610 San Gabriel Ave Apt B, Albany, CA 94706-1469 | 2020-11-08 |
| 1902407836 | Christina Tochau Nguyen | Pharmacist | 5219 Rainwood St, Simi Valley, CA 93063-5019 | 2020-11-06 |
| 1487255626 | Olakitan Adegbesan | Pharmacist | 1525 254th St, Harbor City, CA 90710-2716 | 2020-11-04 |
| 1043811516 | Anthony Luu | Pharmacist | 22231 Hazel Crst, Mission Viejo, CA 92692-1086 | 2020-11-02 |
| 1780284315 | Sally Berresse | Pharmacist | 21921 Long Trot Dr, Escondido, CA 92029-5936 | 2020-11-01 |
| 1306446935 | Ryan Tran | Pharmacist | 81875 Avenue 48 Apt 171, Indio, CA 92201-6720 | 2020-11-01 |
| 1003416686 | Marleyna Daughters | Pharmacist | 25 Saint Paul Ln, Laguna Niguel, CA 92677-9374 | 2020-10-31 |
| 1740880772 | Lori Ann Vrabel | Pharmacist | 17 Del Rio Ct, Saint Helena, CA 94574-1246 | 2020-10-28 |
| 1508466806 | Denise Yeung | Pharmacist | 2571 Evergreen Dr, San Bruno, CA 94066-1715 | 2020-10-27 |
| 1588264915 | Christina Thanh Nguyen | Pharmacist | 1810 W Moore Ave, Santa Ana, CA 92704-6131 | 2020-10-26 |
| Find all providers with the same taxonomy | ||||
| City | EMERYVILLE |
| Zip Code | 94608 |
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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.