NATALYA POHORYELOVA (NPI# 1619409745) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619409745 |
| Entity Type | Individual |
| Full Name | NATALYA POHORYELOVA |
| Practice Address |
2185 W Grant Line Rd Tracy CA 95377-7309 |
| Practice Telephone | 2098396210 |
| Enumeration Date | 2017-03-29 |
| Last Update Date | 2017-03-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RPH 57073 | CA | Pharmacy Service Providers |
| Street Address |
2185 W GRANT LINE RD |
| City | TRACY |
| State | CA |
| Zip Code | 95377-7309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801870035 | Konrad Boyd Thomas | Obstetrics & Gynecology | 2185 W Grant Line Rd, 2nd Floor, Tracy, CA 95377-7309 | 2005-12-01 |
| 1972013597 | Diane Marie Kennedy | Nurse Practitioner | 2185 W Grant Line Rd, Tracy, CA 95377-7309 | 2017-10-10 |
| 1124552419 | Stacy Quach | Pharmacist | 2185 W Grant Line Rd, Tracy, CA 95377-7309 | 2017-04-13 |
| 1528592748 | Terry K Chow | Pharmacist | 2185 W Grant Line Rd, Tracy, CA 95377-7309 | 2017-04-13 |
| 1114451564 | Ngoc Son Dang | Pharmacist | 2185 W Grant Line Rd, Tracy, CA 95377-7309 | 2017-04-12 |
| 1659824399 | Eric Grady | Psychologist | 2185 W Grant Line Rd, Tracy, CA 95377-7309 | 2016-07-29 |
| 1235508656 | Nicole Leona Preiss | Psychologist | 2185 W Grant Line Rd, Psychiatry, Tracy, CA 95377-7309 | 2015-09-15 |
| 1477933760 | Jennifer Rae Hulin Segura | Social Worker | 2185 W Grant Line Rd, Tracy, CA 95377-7309 | 2015-06-02 |
| 1992104715 | Breanne Benedict | Psychologist | 2185 W Grant Line Rd, Tracy, CA 95377-7309 | 2014-08-18 |
| 1821408519 | Chuanzhong Ye | Psychiatry & Neurology | 2185 W Grant Line Rd, Tracy, CA 95377-7309 | 2014-05-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639787070 | Mehak Bhardwaj | Behavior Technician | 2434 Saffron Ct, Tracy, CA 95377 | 2020-07-22 |
| 1427510809 | Xiaorui Yang | Behavior Technician | 1951 W Middlefield Dr Apt 224, Tracy, CA 95377 | 2019-04-03 |
| 1962936328 | Duc Nguyen | Pharmacist | 2941 W. Lowell Ave, Apt# 21, Tracy, CA 95377 | 2017-04-12 |
| 1053735043 | Luke Rond | Emergency Medicine | 763 Quail Run Cir, Tracy, CA 95377 | 2014-02-11 |
| 1578862553 | Nhan Duong | Pharmacist | 3250 W. Grant Line Road, Tracy, CA 95377 | 2011-03-16 |
| 1952570582 | Tech Diamond Health Care | Home Health | 2098 Babcock Lane, Tracy, CA 95377 | 2008-02-28 |
| 1316058795 | Wandisan and Rosete Medical Group Professional Corporation | Internal Medicine | 4600 S Tracy Blvd #107, Tracy, CA 95377 | 2006-08-31 |
| 1801838610 | Rollie Duyao Rosete | Internal Medicine | 4600 S Tracy Blvd, #107, Tracy, CA 95377 | 2006-06-13 |
| 1649274663 | Wivina Talabis Urbano | Pediatrics | 4600 South Tracy Blvd, Suite 110, Tracy, CA 95377 | 2005-06-08 |
| 1770586448 | Mitchell Edward Blum | Otolaryngology | 2160 W. Grantline Rd, Suite 250, Tracy, CA 95377 | 2005-05-24 |
| Find all providers in zip 95377 | ||||
| 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 |
|---|---|---|---|---|
| 1790383503 | Jessica Ocegueda | Pharmacist | 326 W 21st St, Tracy, CA 95376-2520 | 2020-10-14 |
| 1740756089 | Taranpreet Takhar | Pharmacist | 8538 Waterwell Way, Tracy, CA 95304-8113 | 2018-10-14 |
| 1619401361 | Brian Win | Pharmacist | 632 Morton Way, Tracy, CA 95377-8555 | 2017-04-19 |
| 1962936328 | Duc Nguyen | Pharmacist | 2941 W. Lowell Ave, Apt# 21, Tracy, CA 95377 | 2017-04-12 |
| 1104360411 | Ravneet Kaur | Pharmacist | 515 S Derone Ln, Tracy, CA 95376-8115 | 2016-12-06 |
| 1992182935 | Lalaine Raquipiso | Pharmacist | 2064 Foxclove Dr, Tracy, CA 95376-6760 | 2015-04-29 |
| 1396153474 | Reny Matthew | Pharmacist | 3010 W Grantline Road, Tracy, CA 95304 | 2014-08-01 |
| 1083025746 | Dharani Narne | Pharmacist | 2550 S Tracy Blvd, Tracy, CA 95376-9102 | 2014-05-15 |
| 1073955902 | Dean A Lichty | Pharmacist | 48 Owanla Lane, Tracy, MN 56175 | 2013-07-19 |
| 1750659942 | Bryant Pham | Pharmacist | 2160 W Grant Line Rd Ste 205, Tracy, CA 95377-7333 | 2011-12-02 |
| Find all providers in TRACY | ||||
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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.