MR. DENNIS CLAYTON WITHERWAX (NPI# 1528187630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528187630 |
| Entity Type | Individual |
| Full Name | MR. DENNIS CLAYTON WITHERWAX |
| Credential | R.PH. |
| Practice Address |
1120 W La Palma Ave Suite 1 Anaheim CA 92801-2801 |
| Practice Telephone | 7147762800 |
| Practice Fax Number | 7147762118 |
| Mailing Telephone | 7147762800 |
| Mailing Fax Number | 7147762118 |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2015-03-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 3996 | NV | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | 25141 | CA | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | PHARMACY LICENSE | 03996 | 01 |
| CA | PHARMACY LICENSE | 25141 | 01 |
| Street Address |
1120 W LA PALMA AVE SUITE 1 |
| City | ANAHEIM |
| State | CA |
| Zip Code | 92801-2801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720070527 | Ravi Prakash Makam | Specialist | 1120 W La Palma Ave, Anaheim, CA 92801-2805 | 2005-08-17 |
| 1609151927 | John K Yee Md Incorporate | Obstetrics & Gynecology | 1120 W La Palma Ave, Suite 11, Anaheim, CA 92801-2801 | 2011-10-18 |
| 1922200229 | Melinh Thu Do | Dentist | 1120 W La Palma Ave, Ste.8, Anaheim, CA 92801-2801 | 2007-05-31 |
| 1821132655 | Makam Medical Corporation | Internal Medicine | 1120 W La Palma Ave, 14, Anaheim, CA 92801 | 2007-02-16 |
| 1477629038 | John K Yee | Obstetrics & Gynecology | 1120 W La Palma Ave, Suite 11, Anaheim, CA 92801-2801 | 2006-11-27 |
| 1447361324 | Samara Palacio Cardenas M.d. A Professional Corporation | Clinic/Center | 1120 W La Palma Ave, #15, Anaheim, CA 92801-2801 | 2006-08-31 |
| 1467560888 | George Fouad Youssef | Family Medicine | 1120 W La Palma Ave, Suite 10, Anaheim, CA 92801 | 2006-08-26 |
| 1689683757 | Stewart Stempniak | Physical Therapist | 1120 W La Palma Ave, 9, Anaheim, CA 92801-2801 | 2006-08-06 |
| 1497764567 | Deborah Stempniak | Physical Therapist | 1120 W La Palma Ave, 9, Anaheim, CA 92801-2801 | 2006-08-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376178996 | Megalink Staffing Services Corp. | Non-emergency Medical Transport (VAN) | 780 N. Euclid St., Suite 207, Anaheim, CA 92801 | 2020-03-04 |
| 1669988630 | Munoz Urgent Care Inc. | Clinic/Center | 1741 W Romneya Dr., Suite A, Anaheim, CA 92801 | 2017-12-28 |
| 1922523257 | Enrique Esparza Jr. | Peer Specialist | 501 North Brookhurst Street, Anahiem, CA 92801 | 2017-08-08 |
| 1336689405 | Lan P. Tran | Pharmacist | 2308 W Huntington Ave, Anaheim, CA 92801 | 2017-03-08 |
| 1982065447 | Giselle Magdaleno | Marriage & Family Therapist | 505 N Euclid St #300, Anaheim, CA 92801 | 2016-03-11 |
| 1346605433 | Esther Chong | Nurse Practitioner | 710 N. Euclid St., 400, Anaheim, CA 92801 | 2015-12-16 |
| 1629441183 | Caremore Health Plan | Nurse Practitioner | 1182 N. Euclid Street, Anaheim, CA 92801 | 2015-11-05 |
| 1205208451 | Uyen Diem Ngo | Pharmacist | 1188 N. Euclid St., Anaheim, CA 92801 | 2015-10-28 |
| 1962873729 | Herb and Acu | Acupuncturist | 1737 W. Romneya Dr., Anaheim, CA 92801 | 2015-10-19 |
| 1437535721 | Yessenia Alvarado | Marriage & Family Therapist | 505 N. Euclid Street, Suite 300, Anaheim, CA 92801 | 2015-08-10 |
| Find all providers in zip 92801 | ||||
| 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 |
|---|---|---|---|---|
| 1811502446 | Riana Jessica Abadilla Ramos | Pharmacist | 1850 S. West Street, Anaheim, CA 92802 | 2020-09-10 |
| 1265043988 | Alexander Delgado | Pharmacist | 2114 E North Redwood Dr, Anaheim, CA 92806-2901 | 2020-08-14 |
| 1396376000 | Son Thien Pham | Pharmacist | 2575 E Riles Cir, Anaheim, CA 92806-5610 | 2020-01-31 |
| 1760022503 | Sangyune Gabrielle Lee | Pharmacist | 2570 W Lincoln Ave Apt 5, Anaheim, CA 92801-6403 | 2020-01-09 |
| 1699312421 | Dana Proum | Pharmacist | 1105 E Katella Ave Unit 367, Anaheim, CA 92805-8706 | 2019-11-27 |
| 1699231316 | Vince Vu | Pharmacist | 9841 Cerritos Ave, Anaheim, CA 92804-5907 | 2019-02-18 |
| 1427526359 | Ensi Bolouhari | Pharmacist | 743 S Thrasher Way, Anaheim, CA 92807-4432 | 2018-11-08 |
| 1669940789 | Leonel Garcia Jr. | Pharmacist | 400 S Beechtree Ct, Anaheim, CA 92808-1642 | 2018-11-06 |
| 1417430539 | Michelle H.t Nguyen | Pharmacist | 421 N Brookhurst St Ste 123, Anaheim, CA 92801-5618 | 2018-09-13 |
| 1073093811 | Mallory Torres Dichoso | Pharmacist | 1913 W Embassy Ave, Anaheim, CA 92804-2521 | 2018-08-21 |
| Find all providers in ANAHEIM | ||||
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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.