SAMANTHA MAE CHAN (NPI# 1548787393) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548787393 |
| Entity Type | Individual |
| Full Name | SAMANTHA MAE CHAN |
| Credential | PHARMD |
| Practice Address |
11001 S Eastern Ave Henderson NV 89052-2954 |
| Mailing Address |
3179 Cambridgeshire St Las Vegas NV 89146-6222 |
| Practice Telephone | 7029488355 |
| Enumeration Date | 2017-08-23 |
| Last Update Date | 2017-08-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 19648 | NV | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386121697 | Samantha Sanh Chan | Nurse Practitioner | 1525 W San Lorenzo Ave, Santa Ana, CA 92704-6225 | 2018-07-20 |
| 1366938276 | Samantha Chan | Pharmacist | 14461 Ontario Cir, Westminster, CA 92683-5177 | 2018-07-03 |
| 1629680087 | Samantha Chan | Nurse Practitioner | 14330 Culver Dr, Irvine, CA 92604-0303 | 2020-08-18 |
| Street Address |
11001 S EASTERN AVE |
| City | HENDERSON |
| State | NV |
| Zip Code | 89052-2954 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700891777 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 11001 S Eastern Ave, Henderson, NV 89052-2954 | 2006-07-29 |
| 1841801115 | Jianne Carla P. Ganchero | Pharmacist | 11001 S Eastern Ave, Henderson, NV 89052-2954 | 2020-08-11 |
| 1154793909 | Leonid Markov | Pharmacist | 11001 S Eastern Ave, Henderson, NV 89052-2954 | 2015-10-20 |
| 1649662479 | Rachel Pena | Pharmacist | 11001 S Eastern Ave, Henderson, NV 89052-2954 | 2015-03-03 |
| 1306122668 | Philip Steven Rosenthal | Pharmacist | 11001 S Eastern Ave, Henderson, NV 89052-2954 | 2011-10-31 |
| 1194000893 | Mandi Hoyes | Pharmacist | 11001 S Eastern Ave, Henderson, NV 89052-2954 | 2011-10-13 |
| 1457636342 | Thuy Thanh Tran Dac | Pharmacist | 11001 S Eastern Ave, Henderson, NV 89052-2954 | 2011-10-12 |
| 1427332535 | Jill Marquardt | Pharmacist | 11001 S Eastern Ave, Henderson, NV 89052-2954 | 2011-10-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740889112 | Nathan Michael Nasternak | Physical Therapist | 750 Coronado Center Drive, Suite 140, 2212, Henderson, NV 89052 | 2020-10-18 |
| 1558987180 | Braxton Chad Storm | Counselor | 2990 W. Sundridge Heights Pkwy, Suite #140, Henderson, NV 89052 | 2020-06-19 |
| 1558996546 | The Eye Doctor At St. Rose LLC | Eyewear Supplier (Equipment, not the service) | 2645 St. Rose Parkway, Suite C-110, Henderson, NV 89052 | 2020-03-10 |
| 1770138521 | Quinn Dentists of St. Rose, PC | Dentist | 3519 St Rose Parkway, Ste 110, Henderson, NV 89052 | 2019-08-08 |
| 1346802568 | Rickie Kwong Chin Jr. | Optometrist | 695 S. Green Valley Pkwy, Henderson, NV 89052 | 2019-07-08 |
| 1134695646 | Nu Smiles, LLC | Clinic/Center | 2810 W. Horizon Ridge Parkway, Suite #110, Henderson, NV 89052 | 2018-10-23 |
| 1003393497 | Katherine Lee Villarreal | Physical Therapist | 2930 W Horizon Pkwy, Suite 205, Henderson, NV 89052 | 2018-07-27 |
| 1790281889 | Vicki Lorraine Schmidt | Nurse Practitioner | 2900 W. Horizon Ridge Pkwy, Suite 101, Henderson, NV 89052 | 2018-04-05 |
| 1326566969 | Shelby Schiller | Social Worker | 3051 W Horizon Ridge Pkwy Ste 104a, Henderson, NV 89052 | 2017-09-04 |
| 1639696826 | Pca Ventures, LLC | Technician | 2656 Soda Butte Court, Henderson, NV 89052 | 2017-08-28 |
| Find all providers in zip 89052 | ||||
| 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 |
|---|---|---|---|---|
| 1477154870 | Brian E Russell | Pharmacist | 1195 Barrett Blvd Unit 2, Henderson, KY 42420-7508 | 2020-11-03 |
| 1770048860 | Akvile Garcia | Pharmacist | 101 E Lake Mead Pkwy Ste 100, Henderson, NV 89015-5532 | 2019-02-04 |
| 1841799228 | Bijal Rakesh Patel | Pharmacist | 303 Queensbridge Way, Henderson, NV 89074-5048 | 2018-02-12 |
| 1871029967 | Clare-lanie Macaraeg | Pharmacist | 824 Sleepy Moon Ave, Henderson, NV 89012-2625 | 2017-05-10 |
| 1124553276 | Roland Werner | Pharmacist | 15 Cactus Garden Dr, Henderson, NV 89014-2339 | 2017-04-26 |
| 1841732013 | Anna Jane Ramirez Bautista | Pharmacist | 1679 Sonoran Bluff Ave, Henderson, NV 89014-2678 | 2016-11-04 |
| 1831541143 | Omid Yadegar | Pharmacist | 2970 Saint Rose Pkwy, Ste 120, Henderson, NV 89052-4449 | 2016-07-11 |
| 1679925994 | Tamara Angeles | Pharmacist | 2970 Saint Rose Pkwy Ste 120, Henderson, NV 89052-4450 | 2016-07-11 |
| 1710349782 | Sally-anne Waihenya | Pharmacist | 2719 Mallard Landing Ave, Henderson, NV 89074-1910 | 2016-03-28 |
| 1205297199 | Michael C Berger | Pharmacist | 7800 Wathen Ln, Henderson, KY 42420-9154 | 2016-03-18 |
| Find all providers in HENDERSON | ||||
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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.