TABITHA MARIE HICKMON-MITCHELL (NPI# 1679030431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1679030431 |
Entity Type | Individual |
Full Name | TABITHA MARIE HICKMON-MITCHELL |
Credential | PHARM D, RPH |
Practice Address |
602 Dogwood Ct N Oceanside CA 92058-6665 |
Practice Telephone | 3527279265 |
Enumeration Date | 2019-02-27 |
Last Update Date | 2019-02-27 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 183500000X | Pharmacist | RPH80308 | CA | Pharmacy Service Providers |
Street Address |
602 DOGWOOD CT N |
City | OCEANSIDE |
State | CA |
Zip Code | 92058-6665 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508463555 | Michael William Baker | Dental Hygienist | 14th St., Oceanside, CA 92058 | 2020-10-02 |
1548877004 | Juliaisa Gisselle Caldero | Dental Assistant | Bldg 13128, Oceanside, CA 92058 | 2020-09-29 |
1932715836 | Leilani Viveros | Behavior Technician | 251 Airprort Road, Oceanside, CA 92058 | 2020-09-17 |
1043835952 | Emma Caitlin Johnson | Dentist | 92055 14th St, Bldg 13128, Oceanside, CA 92058 | 2020-06-16 |
1073135836 | Roxana Ivette Rodriguez | Military Health Care Provider | 22190 Marine Dr, Oceanside, CA 92058 | 2020-05-14 |
1699307744 | Rachael Bousman | Specialist/Technologist | 13129 14th St, Area 13, Camp Pendleton, CA 92058 | 2020-02-06 |
1811528359 | Misaael Valdes | Military Health Care Provider | Building, B St, Oceanside, CA 92058 | 2020-02-03 |
1497385736 | Phong Thanh Tran | Dental Hygienist | 599 A Ave #501, Oceanside, CA 92058 | 2020-01-24 |
1245796366 | Christian Thompson | Physician Assistant | 1st Med Bn, Camp Pendleton, Oceanside, CA 92058 | 2019-02-13 |
1104308568 | Caila Martin | Behavior Technician | 293 Douglas Dr Apt. 272, Oceanside, CA 92058 | 2018-09-02 |
Find all providers in zip 92058 |
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 |
---|---|---|---|---|
1952819385 | Golsar Mirabolfathi | Pharmacist | 1107 Avenida Frontera, Oceanside, CA 92057-7732 | 2018-01-19 |
1952840423 | Stephanie Cheung | Pharmacist | 4002 Vista Way Fl 1, Oceanside, CA 92056-4506 | 2017-02-16 |
1871982751 | Wael Wassef | Pharmacist | 4755 Oceanside Blvd Ste 130, Oceanside, CA 92056 | 2015-01-15 |
1821340993 | Steven Brown | Pharmacist | 1103 Greenway Rd, Oceanside, CA 92057-1919 | 2012-10-12 |
1275817843 | Diana Lynn Paxton | Pharmacist | 3752 Mission Avenue, Oceanside, CA 92054 | 2011-09-30 |
1205115730 | Rezk Felobos | Pharmacist | 4329 Arbor Cove Cir, Oceanside, CA 92058-6955 | 2011-08-15 |
1821398884 | Tarun S Wadhwa | Pharmacist | 3601 Vista Way Ste 103, Oceanside, CA 92056 | 2010-10-25 |
1922328905 | Janis Shizue Mcfaul | Pharmacist | 1201 S Coast Hwy, Oceanside, CA 92054-5119 | 2010-06-02 |
1295050656 | Sandra Gigliotti | Pharmacist | 86 Thompson Ave, Oceanside, NY 11572-5016 | 2010-03-29 |
1437474962 | Ina S Sim | Pharmacist | 77 Alhambra Dr, Oceanside, NY 11572-5425 | 2010-03-27 |
Find all providers in OCEANSIDE |
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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.