SIAMAK MOLLAEI (NPI# 1659996031) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659996031 |
| Entity Type | Individual |
| Full Name | SIAMAK MOLLAEI |
| Credential | PHARM.D |
| Practice Address |
Bureau of Indian Affair Route 125 Pinehill NM 87357 |
| Practice Telephone | 5057753933 |
| Mailing Telephone | 5057753933 |
| Enumeration Date | 2020-06-11 |
| Last Update Date | 2020-06-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | S023980 | AZ | Pharmacy Service Providers |
| Street Address |
BUREAU OF INDIAN AFFAIR ROUTE 125 |
| City | PINEHILL |
| State | NM |
| Zip Code | 87357 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205450939 | Aislinn B Grover | Dental Hygienist | Indian Service Rte 140 & Indian Service Route 125, Pinehill, NM 87357 | 2020-05-28 |
| 1285286419 | Myeshia La'tway Carroll | Nurse Practitioner | Indian Service Rte 140 & Indian Service Rte 125, Pine Hill, NM 87357 | 2019-07-09 |
| 1659735140 | Jennifer John Charley | Counselor | 15 Behavioral Health Rd, Pinehill, NM 87357 | 2016-04-11 |
| 1639421001 | Vicki Andrea Winter | Pharmacist | Bia Route 140, Pinehill, NM 87357 | 2012-10-10 |
| 1043535388 | Pearl A Alonzo | Registered Nurse | Bia 125, Pine Hill Health Center, Pine Hill, NM 87357 | 2010-03-30 |
| 1306047527 | Michael John Nolan | Physician Assistant | 310 Pine Hill, Pine Hill, NM 87357 | 2007-05-29 |
| 1649488255 | Ivan John Christov Nicolov | Family Medicine | Bia Rte 125, Pine Hill, NM 87357 | 2007-05-18 |
| 1316066244 | Jill Sanders | Pharmacist | 125 Bia Route, Pine Hill Health Center, Pine Hill, NM 87357 | 2007-03-29 |
| 1073671194 | Pine Hill Health Center | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | Bia Rt 125, Pine Hill, NM 87357 | 2006-12-04 |
| 1720175581 | Kristi Michelle Turney | Pharmacist | Pine Hill Health Center, Bia Route 125, Pine Hill, NM 87357 | 2006-10-05 |
| Find all providers in zip 87357 | ||||
| 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 |
|---|---|---|---|---|
| 1639421001 | Vicki Andrea Winter | Pharmacist | Bia Route 140, Pinehill, NM 87357 | 2012-10-10 |
| 1679888143 | Tamarah Lynn Boysel | Pharmacist | Bia Route 125, Pinehill, NM 87357-0310 | 2010-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821697715 | Matthew Liaw | Pharmacist | Highway 57 & Route 9, Crownpoint, NM 87313 | 2020-10-21 |
| 1245838689 | Jett Nymann Delacruz Paraoan | Pharmacist | Us-491, Shiprock, NM 87420-8742 | 2020-10-16 |
| 1083212534 | Keishla Marie Cortes Vera | Pharmacist | 7400 San Pedro Dr Ne Apt 1015, Albuquerque, NM 87109-4688 | 2020-10-15 |
| 1336746205 | Evan Laub | Pharmacist | 2950 Central Ave. Sw, Albuquerque, NM 87106 | 2020-10-05 |
| 1689280125 | Perry Pedersen | Pharmacist | 13251 Chaco Canyon Ln Ne, Albuquerque, NM 87111-7117 | 2020-09-21 |
| 1891300174 | Veronica Chacon | Pharmacist | 8000 Montgomery Blvd Ne Apt 416, Albuquerque, NM 87109-1631 | 2020-09-13 |
| 1740895648 | Dallon Knight | Pharmacist | 1115 Nm-528 Se, Rio Rancho, NM 87124 | 2020-09-09 |
| 1962015883 | Uma Newton | Pharmacist | 2401 Indian Wells Rd, Alamogordo, NM 88310-4656 | 2020-08-29 |
| 1417569161 | Yountae Kim | Pharmacist | 780 Nicklaus Dr Se, Rio Rancho, NM 87124-3432 | 2020-08-22 |
| 1588275135 | Roopali Sharma | Pharmacist | 1501 San Pedro Dr Se Bldg 41, Albuquerque, NM 87108-5180 | 2020-08-16 |
| Find all providers with the same taxonomy | ||||
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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.