NISHANT DEO (NPI# 1669930350) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669930350 |
| Entity Type | Individual |
| Full Name | NISHANT DEO |
| Credential | PHARM.D |
| Practice Address |
7373 West Ln Stockton CA 95210-3377 |
| Mailing Address |
4020 Sand Harbour Ln Elk Grove CA 95758-4611 |
| Practice Telephone | 9163759901 |
| Mailing Telephone | 9163759901 |
| Enumeration Date | 2019-03-12 |
| Last Update Date | 2019-03-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P2201X |
Pharmacist Specialization: Ambulatory Care |
75822 | CA | Pharmacy Service Providers |
| Street Address |
7373 WEST LN |
| City | STOCKTON |
| State | CA |
| Zip Code | 95210-3377 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194720144 | Blaine Christopher Van Ausdeln | Nurse Practitioner | 7373 West Ln, Stockton, CA 95210-3377 | 2005-06-16 |
| 1093314296 | Kim Aristizabal | Respiratory Therapist, Certified | 7373 West Ln, Stockton, CA 95210-3377 | 2020-10-20 |
| 1124632781 | Jovana Danielle Mercado | Pharmacist | 7373 West Ln, Stockton, CA 95210-3377 | 2020-09-01 |
| 1396356473 | Sophia Han | Physical Therapist | 7373 West Ln, Stockton, CA 95210-3377 | 2020-08-12 |
| 1639797962 | Jill Epperson | Respiratory Therapist, Registered | 7373 West Ln, Stockton, CA 95210-3377 | 2020-07-13 |
| 1508407453 | Emilee Kay Hansen | Marriage & Family Therapist | 7373 West Ln, Stockton, CA 95210-3377 | 2019-10-02 |
| 1972155968 | Kathy Quach | Pharmacist | 7373 West Ln, Stockton, CA 95210-3377 | 2019-07-10 |
| 1366909376 | Bridgett Denise Smith | Respiratory Therapist, Registered | 7373 West Ln, Stockton, CA 95210-3377 | 2019-02-26 |
| 1124501994 | Kathryn E Deamer | Physical Therapist | 7373 West Ln, Stockton, CA 95210-3377 | 2018-09-07 |
| 1669953030 | Brianna Rose Ligotski | Physical Therapist | 7373 West Ln, Stockton, CA 95210-3377 | 2018-08-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063021970 | Leslie Jazmin Marin | Student in an Organized Health Care Education/Training Program | 7109 Danny Dr, Stockton, Stockton, CA 95210 | 2020-07-27 |
| 1043866692 | Alexis Thomasson | Behavior Technician | 7109 Danny Drive, Stockton, CA 95210 | 2019-08-09 |
| 1821651324 | Maria Guadalupe Toledo | Lactation Consultant, Non-RN | 7912 Hammer Lane, Stockton, CA 95210 | 2019-04-19 |
| 1508226440 | Active Life Adult Day Care, Inc. | Clinic/Center | 7209 Tam O'shanter Dr., Stockton, CA 95210 | 2016-03-04 |
| 1548631260 | Rachel Standley | Substance Abuse Rehabilitation Facility | 8017 El Cajon St, Stockton, CA 95210 | 2015-10-08 |
| 1225435308 | Active Life Medical Produtcs Inc | Durable Medical Equipment & Medical Supplies | 611 W Grider Way, Stockton, CA 95210 | 2014-12-04 |
| 1942633318 | Kimberly Ruiz Dizon | Physician Assistant | 1530 E Hammer Ln, Stockton, CA 95210 | 2013-08-20 |
| 1285920983 | Supplemental Health Care | Preferred Provider Organization | 8425 Kiltie Wy, Stockton, CA 95210 | 2011-06-22 |
| 1770807901 | Stockton Medical Weight Loss Center Inc | Internal Medicine | 1801 E. March Lane, Suite 400d, Stockton, CA 95210 | 2010-03-17 |
| 1699911412 | Pratap Krishna Anne | Pharmacist | 1801 E.march Ln, Suite:b280, Bjrx, Stockton, CA 95210 | 2008-12-29 |
| Find all providers in zip 95210 | ||||
| Taxonomy Code | 1835P2201X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Ambulatory Care |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in the provision of integrated, accessible health care services by pharmacists and is accountable for addressing medication needs, developing sustained partnerships with patients, and practicing in the context of family and community. |
| Notes: Source: Board of Pharmacy Specialties, www.bpsweb.org [7/1/2015: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124632781 | Jovana Danielle Mercado | Pharmacist | 7373 West Ln, Stockton, CA 95210-3377 | 2020-09-01 |
| 1972155968 | Kathy Quach | Pharmacist | 7373 West Ln, Stockton, CA 95210-3377 | 2019-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619580909 | Maureen Elizabeth Shelley | Pharmacist | 1212 Pico St Rm 141, San Fernando, CA 91340-3503 | 2020-08-26 |
| 1295351419 | Alice Khalil | Pharmacist | 7555 Van Nuys Blvd # 1071, Van Nuys, CA 91405-1949 | 2020-06-23 |
| 1235752304 | Hang-thu Thi Nguyen | Pharmacist | 4131 Geary Blvd Ste B10, San Francisco, CA 94118-3101 | 2020-05-24 |
| 1861013609 | Karine Wong | Pharmacist | 8264 Noelle Dr, Huntington Beach, CA 92646-6928 | 2020-05-04 |
| 1023656683 | Kenny Tavoc | Pharmacist | 275 N El Cielo Rd Ste C325, Palm Springs, CA 92262-6972 | 2019-12-13 |
| 1124665294 | Paula Kyonghwa Kang | Pharmacist | 23444 Coyote Springs Dr, Diamond Bar, CA 91765-2652 | 2019-12-06 |
| 1194373985 | Louis Ho | Pharmacist | 1225 Wilshire Blvd Ste 201, Los Angeles, CA 90017-1901 | 2019-08-27 |
| 1669026076 | Alan Nguyen | Pharmacist | 1190 Veterans, Cypress Building, Medical Station E, Redwood City, CA 94603-9460 | 2019-07-25 |
| 1174175871 | Patrick Febre | Pharmacist | 3651 Business Dr Ste 100, Sacramento, CA 95820-2176 | 2019-07-12 |
| 1659835866 | Patti Chung | Pharmacist | 200 Medical Plaza Ste 426, Los Angeles, CA 90095-0001 | 2019-01-23 |
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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.