MR. GEORGE EDWARD BENEDETTO JR. (NPI# 1609316009) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609316009 |
| Entity Type | Individual |
| Full Name | MR. GEORGE EDWARD BENEDETTO JR. |
| Credential | RPH |
| Practice Address |
1 Orchard Ste 145 Lake Forest CA 92630-8314 |
| Practice Telephone | 8586997006 |
| Mailing Telephone | 8586997006 |
| Enumeration Date | 2017-03-03 |
| Last Update Date | 2017-03-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RPH30028 | CA | Pharmacy Service Providers |
| Street Address |
1 ORCHARD STE 145 |
| City | LAKE FOREST |
| State | CA |
| Zip Code | 92630-8314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194370338 | Ashlee Nicole-morton Sourapas | Midwife | 22672 Lambert Street, Suite 611, Lake Forest, CA 92630 | 2019-08-05 |
| 1134784879 | Scott Mach Enterprises | Custodial Care Facility | 23235 Cavanaugh Road, Lake Forest, CA 92630 | 2019-05-08 |
| 1992368930 | James Daniel Ticorat | Pharmacist | 25051 Calle Arenal, Lake Forest, CA 92630 | 2019-04-16 |
| 1770058349 | Tara L Anderson | Physician Assistant | 22365 El Toro Rd Unit 310, Lake Forest, CA 92630 | 2018-10-10 |
| 1659846855 | Song W. Jung. Dds. Inc | Dentist | 23361 El Toro Rd, Ste 105, Lake Forest, CA 92630 | 2018-10-04 |
| 1326520867 | Katherine Marie Billings | Speech-Language Pathologist | 25454 Navajo, Lake Forest, CA 92630 | 2018-08-31 |
| 1205339611 | Orange County Physiotherapy Services, P.C. | Physical Therapist | 22821 Aspan St., #100, Lake Forest, CA 92630 | 2018-03-12 |
| 1295245587 | Tara Rasta | Chiropractor | 22672 Lambert St Suite 620, Olsen Chiropractic, Lake Forest, CA 92630 | 2017-10-02 |
| 1750800132 | Jessica Aguilar | Marriage & Family Therapist | 21153 Calle De Paseo, Lake Forest, CA 92630 | 2017-09-16 |
| 1275072589 | Anhtu Wu | Pharmacist | 23182 Vista Way, Lake Forest, CA 92630 | 2017-02-20 |
| Find all providers in zip 92630 | ||||
| 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 |
|---|---|---|---|---|
| 1992368930 | James Daniel Ticorat | Pharmacist | 25051 Calle Arenal, Lake Forest, CA 92630 | 2019-04-16 |
| 1275072589 | Anhtu Wu | Pharmacist | 23182 Vista Way, Lake Forest, CA 92630 | 2017-02-20 |
| 1811360290 | Nazanin Kazerooni | Pharmacist | 26571 Normandale Dr Apt 29b, Lake Forest, CA 92630-7968 | 2015-11-05 |
| 1568872679 | Tariq Siddiqi | Pharmacist | 22245 Perth Way, Lake Forest, CA 92630-5946 | 2014-04-29 |
| 1205189214 | Sae Hwang | Pharmacist | 892 N. Western Ave, Lake Forest, IL 60045 | 2012-10-16 |
| 1720352263 | Jennifer L Huang | Pharmacist | 1 Orchard, #215, Lake Forest, CA 92630-8337 | 2012-03-01 |
| 1134448871 | Sheila Namjoonik | Pharmacist | 22351 El Toro Rd, Lake Forest, CA 92630-5053 | 2010-05-20 |
| 1083832893 | Christine Maria Ciolko | Pharmacist | 1149 Harlan Ct, Lake Forest, IL 60045-3854 | 2007-04-24 |
| 1356461669 | Ian Tadashi Campbell | Pharmacist | 80 Empire Dr, Lake Forest, CA 92630-2244 | 2007-03-30 |
| 1992316046 | Jim Home | Pharmacist | 296 E Deerpath, Lake Forest, IL 60045-1940 | 2020-08-12 |
| Find all providers in LAKE FOREST | ||||
| City | LAKE FOREST |
| Zip Code | 92630 |
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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.