NADA VICIJAN (NPI# 1649285255) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649285255 |
| Entity Type | Organization |
| Organization Name | NADA VICIJAN |
| Other Organization Name | WEST MODESTO PHARMACY |
| Practice Address |
314 I St Modesto CA 95351-2826 |
| Practice Telephone | 2095290325 |
| Practice Fax Number | 2095290333 |
| Mailing Telephone | 2095290325 |
| Mailing Fax Number | 2095290333 |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2016-10-05 |
| Authorized Official Name | NADA VICIJAN (PHARMACIST) |
| Authorized Official Telephone | 2095290325 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
52073 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2152349 | 01 | |
| CA | 1649285255 | 05 |
| Other Name | Type Code |
|---|---|
| west modesto pharmacy | Other Name - Individual/Organization |
| Street Address |
314 I ST |
| City | MODESTO |
| State | CA |
| Zip Code | 95351-2826 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629486956 | Nada Vicijan | Pharmacist | 314 I St, Modesto, CA 95351-2826 | 2014-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700392487 | Western Dental Services, Inc. | Dentist | 1524 Richland Ave, Ceres, CA 95351 | 2017-12-18 |
| 1881039873 | Sabrina Arora-thissen | Family Medicine | 401 Paradise Rd. Ste, Modesto, CA 95351 | 2013-05-03 |
| 1407163561 | Maliza Cahee Oliver | Dentist | 1404 Mitchell Rd, Modesto, CA 95351 | 2010-09-09 |
| 1124345616 | Jason Lee Paul Wayrynen | Social Worker | 1219 N Carpenter Rd Ste 12, Modesto, CA 95351 | 2010-04-23 |
| 1841469640 | Edgar Hse-hwa Han | Physical Medicine & Rehabilitation | 1521 N. Carpenter Road, Suite D-1, Modesto, CA 95351 | 2008-02-26 |
| 1326259326 | Karen Ann Peterson | Nurse Practitioner | 1340 Mitchell Rd, Modesto, CA 95351 | 2007-05-24 |
| 1013139054 | Bounchanh Trysavath | Physician Assistant | 300 I St, Modesto, CA 95351 | 2007-05-02 |
| 1245363464 | Sharon Basaldua1 | Counselor | 813 Moon Lane, Modesto, CA 95351 | 2007-03-14 |
| 1710046834 | Phil Chen | Dentist | 1460 Mitchell Road, Suite B, Modesto, CA 95351 | 2006-12-06 |
| 1649366055 | Victor Y. Chen | Family Medicine | 401 Paradise Road, Suite E, Modesto, CA 95351 | 2006-10-04 |
| Find all providers in zip 95351 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851947410 | Malhi Pharmacy Inc | Pharmacy | 1620 Crows Landing Rd Ste H, Modesto, CA 95358-5602 | 2019-08-09 |
| 1861965410 | Familia Farmacia Inc | Pharmacy | 1757 Crows Landing Rd, Modesto, CA 95358-5608 | 2019-01-07 |
| 1396944872 | Raleys | Pharmacy | 3020 Floyd Ave, Modesto, CA 95355-9604 | 2007-07-13 |
| 1689752198 | Gil-jer, Inc | Pharmacy | 2400 Coffee Rd, Ste I, Modesto, CA 95355-2051 | 2006-11-01 |
| 1740374149 | Best Pharmacy Nguyen Giao | Pharmacy | 639 Paradise Rd, Suite 5, Modesto, CA 95351-3108 | 2006-10-03 |
| 1528178282 | Raleys | Pharmacy | 1611 E Hatch Rd, Modesto, CA 95351-5009 | 2006-08-30 |
| 1477663086 | Costco Wholesale Corporation | Pharmacy | 3801 Pelandale Ave, Modesto, CA 95356 | 2006-08-30 |
| 1952317513 | Walgreen Co | Pharmacy | 2101 E Hatch Rd, Modesto, CA 95351-4814 | 2006-08-01 |
| 1891717682 | Garfield Beach Cvs LLC | Pharmacy | 3405 Mchenry Ave, Modesto, CA 95350-1445 | 2006-07-24 |
| 1629012075 | Longs Drug Stores California LLC | Pharmacy | 2900 Standiford Ave, Modesto, CA 95350-0167 | 2006-06-16 |
| Find all providers in MODESTO | ||||
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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.