LIYA PETRUSHKOVA (NPI# 1598293110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598293110 |
| Entity Type | Individual |
| Full Name | LIYA PETRUSHKOVA |
| Credential | PHARM.D |
| Practice Address |
2314 Santa Clara Ave Alameda CA 94501-4522 |
| Mailing Address |
11945 Kling St Valley Village CA 91607-4083 |
| Practice Telephone | 5105234929 |
| Enumeration Date | 2017-05-25 |
| Last Update Date | 2017-05-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 75468 | CA | Pharmacy Service Providers |
| Street Address |
2314 SANTA CLARA AVE |
| City | ALAMEDA |
| State | CA |
| Zip Code | 94501-4522 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306880745 | Longs Drug Stores California LLC | Pharmacy | 2314 Santa Clara Ave, Alameda, CA 94501-4522 | 2006-06-16 |
| 1720452352 | Linda Wong | Pharmacist | 2314 Santa Clara Ave, Alameda, CA 94501-4522 | 2015-11-19 |
| 1003289778 | Michael Leong | Pharmacist | 2314 Santa Clara Ave, Alameda, CA 94501-4522 | 2015-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386259158 | Hailee Ann Heiselbetz | Behavior Technician | 1025 Atlantic Ave. Ste 101, Alameda, CA 94501 | 2020-09-09 |
| 1134745961 | Linda Nykin | Naturopath | 2002 Monterey Cir, Alameda, CA 94501 | 2020-06-17 |
| 1801427570 | Mirna Rodriguez Lopez | Behavior Technician | 1025 Atlantic Ave. Ste. 101, Alameda, CA 94501 | 2020-01-30 |
| 1356987010 | Guadalupe H Hernandez | Technician | 3650 Mount Diablo Blvd, Layayette, CA 94501 | 2019-11-18 |
| 1952951832 | Lily T Nguyen | Behavior Technician | 1025 Atlantic Ave, Suite 101, Alameda, CA 94501 | 2019-09-12 |
| 1326503004 | Mary Macpherson | Speech-Language Pathologist | 2308 Central Ave., Alameda, CA 94501 | 2019-02-06 |
| 1285103838 | Stephanie Owens | Behavioral Analyst | 2213 Clinton Ave #a, Alameda, CA 94501 | 2018-11-13 |
| 1508349390 | Cindy Cabrera | Behavioral Analyst | 1025 Atlantic Ave Suite 101, Alameda, CA 94501 | 2018-09-08 |
| 1629554928 | Anita Elizabeth Bower | Behavioral Analyst | 125 Atlantic Ave Suite 101, Alameda, CA 94501 | 2018-07-19 |
| 1659862571 | Mariana Rocio Pacas Mexicano | Behavioral Analyst | 1025 Atlantic Ave. Suite 101, Alameda, CA 94501 | 2018-05-26 |
| Find all providers in zip 94501 | ||||
| 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 |
|---|---|---|---|---|
| 1629535471 | Jerry Mcpherson | Pharmacist | 1539 Versailles Ave, Alameda, CA 94501-3044 | 2019-02-28 |
| 1568952950 | Jason Choy | Pharmacist | 1515a Lincoln Ave, Alameda, CA 94501-2408 | 2018-05-11 |
| 1023543923 | Elliott Gorelick | Pharmacist | 3235 Sterling Ave, Alameda, CA 94501-3127 | 2017-04-27 |
| 1780082891 | Lauren Honda I | Pharmacist | 2700 Fifth St, Alameda, CA 94501-6574 | 2014-12-05 |
| 1073910287 | Bryant Waishing Lee | Pharmacist | 319 Hollister Ave, Alameda, CA 94501-3188 | 2014-12-03 |
| 1821498965 | Zachary Woodward | Pharmacist | 1 Campbell Blvd, Coast Guard Island, Uscg Hswl Fo Alameda Clinic, Alameda, CA 94501-5100 | 2014-08-26 |
| 1184031114 | Ben Leong | Pharmacist | 639 Waterfall Isle, Alameda, CA 94501-5647 | 2014-07-22 |
| 1538572193 | Samantha Shue Lieu | Pharmacist | 3459 Hazel Ln, Alameda, CA 94502-7035 | 2014-06-11 |
| 1851725469 | Heather Quynh Vu | Pharmacist | 1509 Santa Clara Ave, Alameda, CA 94501-2433 | 2013-08-30 |
| 1902148075 | Rowena Romero | Pharmacist | 404 Sand Beach Rd, Alameda, CA 94501-5948 | 2013-03-26 |
| Find all providers in ALAMEDA | ||||
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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.