GREVELYN KRISTINE MANTOHAC (NPI# 1699329540) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699329540 |
| Entity Type | Individual |
| Full Name | GREVELYN KRISTINE MANTOHAC |
| Practice Address |
4490 E 14th St Brownsville TX 78521-3240 |
| Practice Telephone | 9565423891 |
| Mailing Telephone | 9565423891 |
| Enumeration Date | 2019-07-30 |
| Last Update Date | 2019-07-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | S023942 | AZ | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | 63390 | TX | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | RP00008935 | NM | Pharmacy Service Providers |
| Street Address |
4490 E 14TH ST |
| City | BROWNSVILLE |
| State | TX |
| Zip Code | 78521-3240 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003821026 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 4490 E 14th St, Brownsville, TX 78521-3240 | 2006-07-29 |
| 1669743258 | Maria Plenita Dignos Gunhuran | Pharmacist | 4490 E 14th St, Brownsville, TX 78521 | 2012-01-13 |
| 1215208863 | Erik Felix | Pharmacist | 4490 E 14th St, Brownsville, TX 78521-3240 | 2012-01-12 |
| 1598035636 | Jon Michael Edwards | Pharmacist | 4490 E 14th St, Brownsville, TX 78521-3240 | 2012-01-06 |
| 1306173349 | Alycen Brenna Lacombe | Pharmacist | 4490 E 14th St, Brownsville, TX 78521-3240 | 2009-11-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942811401 | D&r Medical Supplies | Durable Medical Equipment & Medical Supplies | 1805 Ruben M. Torrez Ste. C1, Brownsville, TX 78521 | 2020-08-10 |
| 1467085829 | Ariel Ann Cruz | Pharmacist | 2950 Souhmost Rd, Brownsville, TX 78521 | 2020-02-13 |
| 1659901908 | Luis Villarreal | Music Therapist | 1786 Coffee Rd, Brownsville, TX 78521 | 2020-01-24 |
| 1356999361 | Ambrose Eternity Home Services, LLC. | Technician | 3505 Boca Chica Blvd., Ste. 205, Brownsville, TX 78521 | 2019-09-03 |
| 1578128641 | South Texas Lymphedema Care LLC | Occupational Therapist | 35 Casa De Palmas, Brownsville, TX 78521 | 2019-05-04 |
| 1649752262 | Cristina Morales | Specialist/Technologist | 4430 E. 14th St. Unit E, Brownsville, TX 78521 | 2018-08-30 |
| 1831679182 | Josue Peralez | Occupational Therapy Assistant | 4430 E 14th St Unit E Brownsville, Tx 78521, Brownsville, TX 78521 | 2018-08-16 |
| 1386138170 | Chang Joo Lee | Dentist | 2950 Southmost Blvd, Suite 103, Brownsville, TX 78521 | 2018-06-15 |
| 1053822676 | Brownsville Adult and Pediatric Clinic | Nurse Practitioner | 3510 Southmost Road, Suite C, Brownsville, TX 78521 | 2017-10-23 |
| 1174041032 | Stephanie Hernandez | Specialist/Technologist | 532 Fresa, Brownsville, TX 78521 | 2017-08-31 |
| Find all providers in zip 78521 | ||||
| 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 |
|---|---|---|---|---|
| 1316547573 | Rachel Rodriguez | Pharmacist | 3570 W Alton Gloor Blvd, Brownsville, TX 78520-4679 | 2020-10-27 |
| 1700492485 | Paula Jo Fraser | Pharmacist | 1755 W Price Rd Ste C, Brownsville, TX 78520-4235 | 2020-09-18 |
| 1467085829 | Ariel Ann Cruz | Pharmacist | 2950 Souhmost Rd, Brownsville, TX 78521 | 2020-02-13 |
| 1346899309 | Robert J De Lachica Sr. | Pharmacist | 1134 E Los Ebanos Blvd Ste A, Brownsville, TX 78520-4230 | 2019-09-11 |
| 1992138861 | Samuel Warnell | Pharmacist | 166 Lewis Rd, Brownsville, KY 42210-9427 | 2013-08-15 |
| 1902241748 | Ahmad Khalil | Pharmacist | 133 Shoreline Dr, Brownsville, TX 78521-4332 | 2013-05-07 |
| 1669744389 | Alfonso E Maldonado | Pharmacist | 1525 North Central Blvd, Brownsville, TX 78520 | 2012-01-27 |
| 1093085631 | Robert A Rios | Pharmacist | 5176 Sugar Mill Rd, Brownsville, TX 78526-3803 | 2012-01-11 |
| 1689951949 | Steven Alan Vansandt | Pharmacist | 213 E Bishop Way, Brownsville, OR 97327-2033 | 2011-11-14 |
| 1598052763 | Sandra Dabelema Iheme | Pharmacist | 861 Old Alice Rd Ste 109, Brownsville, TX 78520-8551 | 2011-07-07 |
| Find all providers in BROWNSVILLE | ||||
| City | BROWNSVILLE |
| Zip Code | 78521 |
Please comment or provide details below to improve the information on GREVELYN KRISTINE MANTOHAC.
| 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.