MR. RANDY GUNDERSON (NPI# 1679944961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679944961 |
| Entity Type | Individual |
| Full Name | MR. RANDY GUNDERSON |
| Credential | RPH |
| Practice Address |
4502 E Avenue S Palmdale CA 93552-4480 |
| Practice Telephone | 6615337710 |
| Practice Fax Number | 6615337711 |
| Mailing Telephone | 6615337710 |
| Mailing Fax Number | 6615337711 |
| Enumeration Date | 2015-10-13 |
| Last Update Date | 2015-10-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RPH36235 | CA | Pharmacy Service Providers |
| Street Address |
4502 E AVENUE S |
| City | PALMDALE |
| State | CA |
| Zip Code | 93552-4480 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205826104 | Adriana M. Valdovinos | Internal Medicine | 4502 E Avenue S, Palmdale, CA 93552-4480 | 2005-10-24 |
| 1023653409 | Theresa M Hennessey | Social Worker | 4502 E Avenue S, Palmdale, CA 93552-4480 | 2019-11-09 |
| 1619476272 | Elaine Stephanie Tan | Pharmacist | 4502 E Avenue S, Palmdale, CA 93552-4480 | 2018-02-08 |
| 1437520459 | Kevin K Kim | Pharmacist | 4502 E Avenue S, Palmdale, CA 93552-4480 | 2015-10-16 |
| 1821469404 | Consuelo Padlan | Pharmacist | 4502 E Avenue S, Palmdale, CA 93552-4480 | 2015-10-08 |
| 1861882987 | Adriana M Valdovinos, Md | Clinic/Center | 4502 E Avenue S, Palmdale, CA 93552-4480 | 2015-01-27 |
| 1669603494 | Jennifer Elizabeth Palmer | Social Worker | 4502 E Avenue S, Palmdale, CA 93552-4480 | 2009-07-28 |
| 1083844260 | Roxana Melissa Hernandez | Dietitian, Registered | 4502 E Avenue S, Palmdale, CA 93552-4480 | 2009-07-22 |
| 1114117991 | Jennifer J. Choi | Family Medicine | 4502 E Avenue S, Palmdale, CA 93552-4480 | 2007-07-27 |
| 1548466147 | Marsha Field Aligo | Speech-Language Pathologist | 4502 E Avenue S, Palmdale, CA 93552-4480 | 2007-06-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164944732 | Juana Duran Ramos | Registered Nurse | 38350 40th St E., #100, Palmdale, CA 93552 | 2017-07-14 |
| 1801318282 | Fatima Cecile Smith | Registered Nurse | 38350 40th Street East, Palmdale, CA 93552 | 2017-07-07 |
| 1326423575 | Trieu & Kang Professional Dental Corp | Dentist | 38024 47th Street, Suite H, Palmdale, CA 93552 | 2015-07-29 |
| 1043623358 | James Juan Chang | Pharmacist | 37850 47th St E, Palmdale, CA 93552 | 2014-06-04 |
| 1164718128 | Ana Victoria Gomez | Driver | 38021 Lido Dr., Palmdale, CA 93552 | 2011-06-28 |
| 1700115342 | Song Kyun Kim | Dentist | 4635 E Avenue S, Ste C102-103, Palmdale, CA 93552 | 2009-12-10 |
| 1760512180 | Kelly A Graham Flores | Marriage & Family Therapist | 36003 40th St E, Pamdale, CA 93552 | 2007-03-06 |
| 1093246100 | Sona Galstian | Dentist | 38209 47th St E Ste E, Palmdale, CA 93552 | 2017-03-21 |
| 1528580248 | Ewuraba Abban | Registered Nurse | 38350 40th St E Ste 110, Palmdale, CA 93552-3075 | 2017-07-13 |
| 1922452382 | Emel Kasgarli | Clinic/Center | 38350 40th St E Ste 100, Palmdale, CA 93552-3075 | 2016-04-21 |
| Find all providers in zip 93552 | ||||
| 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 |
|---|---|---|---|---|
| 1386129690 | Michelle Hormozian | Pharmacist | 39820 Chimes Ct, Palmdale, CA 93551-5284 | 2018-10-02 |
| 1932688678 | Morgan Chou | Pharmacist | 38012 47th St E, Palmdale, CA 93552-3117 | 2018-08-13 |
| 1083063473 | Ivan Law | Pharmacist | 540 W Palmdale Blvd # A, Palmdale, CA 93551-4232 | 2016-06-07 |
| 1285002055 | Karim Eissa | Pharmacist | 38459 5th St W Apt Q276, Palmdale, CA 93551-4554 | 2015-09-09 |
| 1043623358 | James Juan Chang | Pharmacist | 37850 47th St E, Palmdale, CA 93552 | 2014-06-04 |
| 1760895247 | Ehab Yousseif | Pharmacist | 40742 Oakmont Ct, Palmdale, CA 93551-5641 | 2014-06-03 |
| 1548518897 | Christina Abd Almasih | Pharmacist | 37834 Tamara Pl, Palmdale, CA 93550-2461 | 2012-08-16 |
| 1023387891 | Neal Nishimoto | Pharmacist | 38580 Lynx Way, Palmdale, CA 93551-5044 | 2011-12-22 |
| 1487930426 | Laura Anne Guerrero | Pharmacist | 2616 E Palmdale Blvd, Palmdale, CA 93550-4914 | 2011-10-21 |
| 1568755643 | Jim Alex Salamon | Pharmacist | 2419 East Avenue S, Rite Aid, Palmdale, CA 93550 | 2011-05-23 |
| Find all providers in PALMDALE | ||||
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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.