SANDY SHEA (NPI# 1669772174) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669772174 |
| Entity Type | Individual |
| Full Name | SANDY SHEA |
| Credential | PHARM.D. |
| Practice Address |
6170 Hamner Ave Mira Loma CA 91752-3121 |
| Practice Telephone | 9513601911 |
| Practice Fax Number | 9513601940 |
| Mailing Telephone | 9513601911 |
| Mailing Fax Number | 9513601940 |
| Enumeration Date | 2010-10-31 |
| Last Update Date | 2019-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 61833 | CA | Pharmacy Service Providers |
| Street Address |
6170 HAMNER AVE |
| City | MIRA LOMA |
| State | CA |
| Zip Code | 91752-3121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083643027 | Vons Companies Inc | Durable Medical Equipment & Medical Supplies | 6170 Hamner Ave, Mira Loma, CA 91752-3121 | 2006-07-02 |
| 1982980967 | Phuongtam Ngoc Nguyen | Pharmacist | 6170 Hamner Ave, Mira Loma, CA 91752-3121 | 2011-10-22 |
| 1881994937 | Amit Patel | Pharmacist | 6170 Hamner Ave, Mira Loma, CA 91752-3121 | 2010-10-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124673462 | National Vision Inc | Optometrist | 12585 Cantu Galleano Ranch Road, Suite 120, Eastvale, CA 91752 | 2019-08-05 |
| 1720645328 | Creative Child and Family Services, Inc. | Family Medicine | 7049 Ohio River Dr, Eastvale, CA 91752 | 2019-05-20 |
| 1124681150 | Sleep Dme Management, Inc. | Home Health Aide | 12523 Limonite Avenie, #440-341, Mira Loma, CA 91752 | 2019-04-16 |
| 1255835179 | Costco Wholesale Corporation | Hearing Aid Equipment | 5030 Hamner Ave., Eastvale, CA 91752 | 2018-03-23 |
| 1487171963 | Devin Davis | Behavioral Analyst | 6632 Leanne St., Mira Loma, CA 91752 | 2017-08-25 |
| 1063946226 | Help Me Rhonda | Point of Service | 5919 Sunny Circle, Mira Loma, CA 91752 | 2017-04-14 |
| 1477930949 | Avinash Mirle Chandrashekar | Speech-Language Pathologist | 5725 Darbreak Dr, Apt C, Eastvale, CA 91752 | 2015-05-04 |
| 1336371061 | Prior Board & Care | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6121 Jupiter Dr., Mira Loma, CA 91752 | 2009-08-13 |
| 1245497288 | Elizabeth E Williamson | Dentist | 12571 Limonite Avenue, Suite 230, Mira Loma, CA 91752 | 2008-05-19 |
| 1003099425 | Dhama and Rodgers Dental Corporation | Dentist | 6445 Pat's Ranch Road, Ste G, Mira Loma, CA 91752 | 2007-12-07 |
| Find all providers in zip 91752 | ||||
| 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 |
|---|---|---|---|---|
| 1184035354 | Ernest Anetey Abbey | Pharmacist | 12583 Montellano Ln, Mira Loma, CA 91752-7320 | 2014-05-09 |
| 1255636833 | Tuong Quang Le | Pharmacist | 6461 Golden Club Dr, Mira Loma, CA 91752-4355 | 2011-01-13 |
| 1124433081 | Abigail Akrong | Pharmacist | 12583 Montellano Ln, Mira Loma, CA 91752-7320 | 2014-06-29 |
| 1093092520 | Mamta Shah | Pharmacist | 12471 Limonite Ave, T1961, Mira Loma, CA 91752-2457 | 2011-11-11 |
| 1982980967 | Phuongtam Ngoc Nguyen | Pharmacist | 6170 Hamner Ave, Mira Loma, CA 91752-3121 | 2011-10-22 |
| 1881994937 | Amit Patel | Pharmacist | 6170 Hamner Ave, Mira Loma, CA 91752-3121 | 2010-10-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356942023 | Kevin Thach Le | Pharmacist | 610 San Gabriel Ave Apt B, Albany, CA 94706-1469 | 2020-11-08 |
| 1902407836 | Christina Tochau Nguyen | Pharmacist | 5219 Rainwood St, Simi Valley, CA 93063-5019 | 2020-11-06 |
| 1487255626 | Olakitan Adegbesan | Pharmacist | 1525 254th St, Harbor City, CA 90710-2716 | 2020-11-04 |
| 1043811516 | Anthony Luu | Pharmacist | 22231 Hazel Crst, Mission Viejo, CA 92692-1086 | 2020-11-02 |
| 1780284315 | Sally Berresse | Pharmacist | 21921 Long Trot Dr, Escondido, CA 92029-5936 | 2020-11-01 |
| 1306446935 | Ryan Tran | Pharmacist | 81875 Avenue 48 Apt 171, Indio, CA 92201-6720 | 2020-11-01 |
| 1003416686 | Marleyna Daughters | Pharmacist | 25 Saint Paul Ln, Laguna Niguel, CA 92677-9374 | 2020-10-31 |
| 1740880772 | Lori Ann Vrabel | Pharmacist | 17 Del Rio Ct, Saint Helena, CA 94574-1246 | 2020-10-28 |
| 1508466806 | Denise Yeung | Pharmacist | 2571 Evergreen Dr, San Bruno, CA 94066-1715 | 2020-10-27 |
| 1588264915 | Christina Thanh Nguyen | Pharmacist | 1810 W Moore Ave, Santa Ana, CA 92704-6131 | 2020-10-26 |
| 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.