DR. BENJAMIN BLODGETT (NPI# 1538444104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538444104 |
| Entity Type | Individual |
| Full Name | DR. BENJAMIN BLODGETT |
| Credential | PHARM.D. |
| Practice Address |
79795 Highway 111 La Quinta CA 92253-4756 |
| Practice Telephone | 7603420656 |
| Mailing Telephone | 7603420656 |
| Enumeration Date | 2011-10-14 |
| Last Update Date | 2011-10-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RPH 59073 | CA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831572296 | Benjamin Blodgett | Podiatrist | 370 Bmh Physicians Office Bldg, Maryville, TN 37804-5819 | 2015-07-02 |
| Street Address |
79795 HIGHWAY 111 |
| City | LA QUINTA |
| State | CA |
| Zip Code | 92253-4756 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164505202 | Costco Wholesale Corporation | Pharmacy | 79795 Highway 111, La Quinta, CA 92253-4756 | 2006-10-23 |
| 1831733294 | Frederick Blabagno Samra | Pharmacist | 79795 Highway 111, La Quinta, CA 92253-4756 | 2019-10-29 |
| 1992174247 | Edward A Mcmahon | Pharmacist | 79795 Highway 111, La Quinta, CA 92253-4756 | 2015-09-16 |
| 1407249634 | Costco Wholesale Corporation | Hearing Aid Equipment | 79795 Highway 111, La Quinta, CA 92253-4756 | 2015-03-12 |
| 1235528795 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 79795 Highway 111, La Quinta, CA 92253-4756 | 2015-01-21 |
| 1427317833 | Dennis Yukio Nakatani | Optometrist | 79795 Highway 111, La Quinta, CA 92253-4756 | 2012-05-07 |
| 1417222340 | Andrew Patrick Black | Pharmacist | 79795 Highway 111, La Quinta, CA 92253-4756 | 2012-03-10 |
| 1316231764 | Ariana Javaneh Ingstad | Optometrist | 79795 Highway 111, La Quinta, CA 92253-4756 | 2011-06-02 |
| 1750551321 | Dennis Y Nakatani Od Inc | Preferred Provider Organization | 79795 Highway 111, La Quinta, CA 92253-4756 | 2008-03-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073160677 | Mary-ellen O'neill | Technician | 81663 Brittlebuss. Ln., La Quinta, CA 92253 | 2019-08-20 |
| 1437621976 | Dental Corporation of Rodriguez Cruz Dds | Clinic/Center | 79440 Corporate Center Dr., #103, La Quinta, CA 92253 | 2018-12-21 |
| 1902383540 | Stephanie Le Asis | Optometrist | 47-474 Washington St., La Quinta, CA 92253 | 2018-07-26 |
| 1386139905 | Tarek Hussein | Dentist | 78595 Highway 111 Ste 300, La Quinta, CA 92253 | 2018-06-26 |
| 1083105431 | Sipan Keshishyan | Pharmacist | 44075 Jeffeson St, La Quinta, CA 92253 | 2018-05-22 |
| 1013432301 | Sasha Scofield | Physical Therapist | 78593 San Marino Ct, La Quinta, CA 92253 | 2017-08-07 |
| 1588102198 | Constant Care Inc | In Home Supportive Care | 51965 Avenida Obregon, La Quinta, CA 92253 | 2017-02-02 |
| 1457713877 | Vianey Rivera | Massage Therapist | 79440 Hwy 111 Suite 104, La Quinta, CA 92253 | 2016-03-24 |
| 1487032587 | Pediatric Physicians Group, Inc. | Pediatrics | 79-180 Corporate Centre Dr., Ste. 103, La Quinta, CA 92253 | 2015-05-11 |
| 1295158723 | Sneha Bhakta | Pharmacist | 79947 Parkway Esplanade N, La Quinta, CA 92253 | 2014-02-04 |
| Find all providers in zip 92253 | ||||
| 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 |
|---|---|---|---|---|
| 1083105431 | Sipan Keshishyan | Pharmacist | 44075 Jeffeson St, La Quinta, CA 92253 | 2018-05-22 |
| 1497116883 | Barry Bryant | Pharmacist | 44075 Jefferson St, La Quinta, CA 92253-4871 | 2016-03-11 |
| 1134591373 | Thomas Majors | Pharmacist | 77925 Desert Dr, La Quinta, CA 92253-7141 | 2015-10-27 |
| 1902284698 | Mervet Farag | Pharmacist | 50929 Washington St, La Quinta, CA 92253-2889 | 2015-05-13 |
| 1427440031 | Kenneth Michael Nepove | Pharmacist | 78820 Cabrillo Way, La Quinta, CA 92253-6260 | 2015-02-19 |
| 1295158723 | Sneha Bhakta | Pharmacist | 79947 Parkway Esplanade N, La Quinta, CA 92253 | 2014-02-04 |
| 1811292550 | Hugh E Irwin | Pharmacist | 78-630 Hwy 111, La Quinta, CA 92253 | 2011-01-11 |
| 1194035519 | Joseph Thomas Gualano | Pharmacist | 78-630 Highway 111, La Quinta, CA 92253 | 2010-10-19 |
| 1831733294 | Frederick Blabagno Samra | Pharmacist | 79795 Highway 111, La Quinta, CA 92253-4756 | 2019-10-29 |
| 1568932770 | Ly Khanh Nguyen | Pharmacist | 78935 Highway 111, La Quinta, CA 92253-2072 | 2018-11-30 |
| Find all providers in LA QUINTA | ||||
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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.