DR. MOJDEH KHOSRAVAN (NPI# 1699339838) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699339838 |
| Entity Type | Individual |
| Full Name | DR. MOJDEH KHOSRAVAN |
| Credential | PHARMD |
| Practice Address |
1080 Sperry Ave Patterson CA 95363-9267 |
| Practice Telephone | 2098925584 |
| Enumeration Date | 2019-04-23 |
| Last Update Date | 2019-04-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 78469 | CA | Pharmacy Service Providers |
| Street Address |
1080 SPERRY AVE |
| City | PATTERSON |
| State | CA |
| Zip Code | 95363-9267 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902849177 | Longs Drug Stores California LLC | Durable Medical Equipment & Medical Supplies | 1080 Sperry Ave, Patterson, CA 95363 | 2006-06-14 |
| 1952918211 | Gulalai Wardak | Pharmacist | 1080 Sperry Ave, Patterson, CA 95363-9267 | 2020-09-30 |
| 1720516701 | Heather Enos | Pharmacist | 1080 Sperry Ave, Patterson, CA 95363-9267 | 2017-06-02 |
| 1407383409 | Ramanpreet Kaur | Pharmacist | 1080 Sperry Ave, Patterson, CA 95363-9267 | 2017-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871090472 | Quadmed Medical Clinics of California, Inc. | Clinic/Center | 2065 Keystone Pacific Parkway, Patterson, CA 95363 | 2018-04-10 |
| 1295287613 | Chandni Mukesh Patel | Registered Nurse | 200 C Patterson, Patterson, CA 95363 | 2016-11-02 |
| 1700251279 | Carousel Onia | Registered Nurse | 1372 Samantha Creek Drive, Patterson, CA 95363 | 2015-12-09 |
| 1740534726 | Wal-mart Stores Inc | Technician/Technologist | 1030 Sperry Ave, Patterson, CA 95363 | 2012-10-30 |
| 1770725483 | Thomas Earl Klein | Dentist | 101 S El Circulo Ave, Patterson, CA 95363 | 2009-03-26 |
| 1740450808 | Gary Eric F Sanchez | Dentist | 1040 W. Las Palmas Ave., Suite C, Patterson, CA 95363 | 2008-03-05 |
| 1538381967 | Patterson Joint Unified Sd | Local Education Agency (LEA) | 510 Keystone Blvd, Patterson, CA 95363 | 2007-05-03 |
| 1538389234 | Modesto Advanced Diagnostic Imaging Medical Center | Radiology | 1108 Ward Avenue, Building A, Suite 1, Patterson, CA 95363 | 2007-04-26 |
| 1982126397 | Neha Garg | Internal Medicine | 200 C St, Patterson, CA 95363 | 2017-07-07 |
| 1902236169 | Patterson Urgent Care Inc | Family Medicine | 1010 Sperry Ave Ste D, Patterson, CA 95363 | 2013-11-25 |
| Find all providers in zip 95363 | ||||
| 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 |
|---|---|---|---|---|
| 1376966317 | Brandy Marie Scott | Pharmacist | 3436 Hopewell Rd, Patterson, GA 31557-2424 | 2014-01-28 |
| 1134377484 | Barry Robichaux | Pharmacist | 516 Church Street, Patterson, LA 70392 | 2008-08-28 |
| 1942470307 | Rachele Palmentiero | Pharmacist | 3113 Rte 22, Patterson, NY 12563-2342 | 2008-03-01 |
| 1952918211 | Gulalai Wardak | Pharmacist | 1080 Sperry Ave, Patterson, CA 95363-9267 | 2020-09-30 |
| 1598272734 | Steven A Moeller | Pharmacist | 1030 Sperry Ave, Patterson, CA 95363-9267 | 2018-01-09 |
| 1720516701 | Heather Enos | Pharmacist | 1080 Sperry Ave, Patterson, CA 95363-9267 | 2017-06-02 |
| 1407383409 | Ramanpreet Kaur | Pharmacist | 1080 Sperry Ave, Patterson, CA 95363-9267 | 2017-05-22 |
| 1326456559 | Pamela Mccullough | Pharmacist | 1030 Sperry Ave, Patterson, CA 95363-9267 | 2014-07-31 |
| 1467860700 | Mandeep Kaur Grewal | Pharmacist | 1030 Sperry Ave, Patterson, CA 95363-9267 | 2014-07-30 |
| 1013332923 | Cristina Galvez | Pharmacist | 995 Sperry Ave, Patterson, CA 95363-9262 | 2014-02-28 |
| Find all providers in PATTERSON | ||||
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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.