MAX DWAINE FLORA (NPI# 1700163813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700163813 |
| Entity Type | Individual |
| Full Name | MAX DWAINE FLORA |
| Practice Address |
3500 Coffee Rd Modesto CA 95350 |
| Mailing Address |
2409 Van Layden Way Modesto CA 95356 |
| Practice Telephone | 2093410814 |
| Mailing Telephone | 2095217937 |
| Enumeration Date | 2011-11-03 |
| Last Update Date | 2011-11-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 28198 | CA | Pharmacy Service Providers |
| Street Address |
3500 COFFEE RD |
| City | MODESTO |
| State | CA |
| Zip Code | 95350 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265423669 | Karen Chiyoko Kajioka | Physical Therapist | 3500 Coffee Rd, Ste 3, Modesto, CA 95355-1344 | 2005-11-03 |
| 1811478662 | Johnny Bowrey | Pharmacist | 3500 Coffee Rd, Modesto, CA 95355-1305 | 2018-08-28 |
| 1871074294 | Ali Marie Vierra | Pharmacist | 3500 Coffee Rd, Modesto, CA 95355-1305 | 2018-08-23 |
| 1356850952 | Katrinne Anne D Mariano | Pharmacist | 3500 Coffee Rd, Modesto, CA 95355-1305 | 2017-09-26 |
| 1942719968 | Gabriella Nicole Pimentel | Pharmacist | 3500 Coffee Rd, Modesto, CA 95355-1305 | 2017-09-21 |
| 1154867513 | Natasha Hermis | Pharmacist | 3500 Coffee Rd, Modesto, CA 95355-1305 | 2017-01-10 |
| 1720472566 | Ronald Hopkins | Pharmacist | 3500 Coffee Rd, Modesto, CA 95355-1305 | 2015-03-18 |
| 1437541166 | Phuong L. Le | Pharmacist | 3500 Coffee Rd, Modesto, CA 95355-1305 | 2015-03-04 |
| 1891101358 | Huong Nguyen | Pharmacist | 3500 Coffee Rd, Modesto, CA 95355-1305 | 2014-07-05 |
| 1205270394 | Anne Liese Saljian | Occupational Therapist | 3500 Coffee Rd, Suite 3, Modesto, CA 95355-1305 | 2013-04-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164020459 | Karina Montes Rodriguez | Case Manager/Care Coordinator | Cip 1540 Florida Ave, Suite 212, Modesto, CA 95350 | 2020-10-09 |
| 1134737315 | Dr. Jeffrey A. Saladin, Dental Corporation | Dentist | 2057 Tully Road, Suite A, Modesto, CA 95350 | 2020-07-14 |
| 1588211254 | Karla Junuen Toscano | Licensed Vocational Nurse | 1235 Mchenry Ave. Suites A&b, Modesto, CA 95350 | 2019-08-19 |
| 1831694769 | Loretta Myers-weber | Nurse Practitioner | 1510 Florida Ave Ste A, Modesto, CA 95350 | 2018-03-23 |
| 1720599632 | Coral Alejandra Amador | Counselor | 1700 Mchenry Village Way, Suite 11b, Modesto, CA 95350 | 2017-10-18 |
| 1053820522 | Pannu and Henne Dental Corp. | Dentist | 3219 Mc Henry Ave, Suite E, Modesto, CA 95350 | 2017-09-27 |
| 1346779709 | Kevin Sotelo | Behavior Technician | 2630 W Rumble Road, Modesto, CA 95350 | 2017-06-08 |
| 1255869566 | Hoa Xuan Phan | Family Medicine | 1441 Florida Ave Ste 200, Modesto, CA 95350 | 2017-05-31 |
| 1356881163 | Brady S Marshall | Dentist | 201 E. Orangeburg Avenue, Suite C, Modesto, CA 95350 | 2017-02-27 |
| 1750755476 | Caremore Health Plan | Nurse Practitioner | 1234 Mchenry Avenue, Modesto, CA 95350 | 2015-11-18 |
| Find all providers in zip 95350 | ||||
| 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 |
|---|---|---|---|---|
| 1033778964 | Surjit Mann | Pharmacist | 2100 Standiford Ave Ste B1, Modesto, CA 95350-6523 | 2019-06-13 |
| 1255998548 | Hemalia Safi | Pharmacist | 901 N Carpenter Rd Ste 30, Modesto, CA 95351-1301 | 2019-05-22 |
| 1265945208 | Elaine Christine George-pardini | Pharmacist | 1541 Florida Ave Ste P, Modesto, CA 95350-4438 | 2017-11-13 |
| 1902334311 | Herbert Cho | Pharmacist | 400 Paradise Rd, Modesto, CA 95351-3105 | 2017-05-30 |
| 1689100497 | Amber Rafiq | Pharmacist | 2917 Essie Way, Modesto, CA 95355-8726 | 2017-05-11 |
| 1255879433 | George Do | Pharmacist | 1524 Mchenry Ave Ste 445, Modesto, CA 95350-4573 | 2017-02-07 |
| 1922542505 | Richard Damon Olson | Pharmacist | 3201 Villagio Ct, Modesto, CA 95355-9009 | 2016-12-15 |
| 1871958132 | Vinay Kumar | Pharmacist | 3900 Viader Dr, Modesto, CA 95356-0394 | 2015-12-30 |
| 1174994271 | Joshua Logan Wiegand | Pharmacist | 1216 Mist Flower Ct, Modesto, CA 95355-2912 | 2015-10-14 |
| 1003297805 | Angela Huynh | Pharmacist | 500 Gayle Ave Apt 109, Modesto, CA 95350-4237 | 2015-06-17 |
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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.