PATRICIA MARIE WOOTEN (NPI# 1700374873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700374873 |
| Entity Type | Individual |
| Full Name | PATRICIA MARIE WOOTEN |
| Credential | PHARM.D |
| Practice Address |
83053 Avenue 48 Coachella CA 92236-9551 |
| Mailing Address |
40 Calais Irvine CA 92602-1666 |
| Practice Telephone | 7602628677 |
| Practice Fax Number | 7602628053 |
| Mailing Telephone | 9492309193 |
| Enumeration Date | 2018-04-24 |
| Last Update Date | 2018-04-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 39246 | CA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194913871 | Patricia Ann Wooten | Counselor | 2918 W Vernon Ave, Los Angeles, CA 90008-4757 | 2007-10-09 |
| 1902017353 | Patricia A Wooten | Occupational Therapy Assistant | 104 Lois Ln, Colorado Springs, CO 80904-1320 | 2007-05-25 |
| Street Address |
83053 AVENUE 48 |
| City | COACHELLA |
| State | CA |
| Zip Code | 92236-9551 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831514330 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 83053 Avenue 48, Coachella, CA 92236-9551 | 2014-02-20 |
| 1386156388 | Jenny Im | Pharmacist | 83053 Avenue 48, Coachella, CA 92236-9551 | 2017-10-30 |
| 1225570682 | Han Thi Bich Nguyen | Pharmacist | 83053 Avenue 48, Coachella, CA 92236-9551 | 2016-11-16 |
| 1861878977 | David Whitley | Pharmacist | 83053 Avenue 48, Coachella, CA 92236-9551 | 2015-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710518915 | Phong Phan | Pharmacist | 84 010 Avenue 50, Coachella, CA 92236 | 2020-01-28 |
| 1518511500 | Sally Mireles | Counselor | 84109 La Jolla, Coachella, CA 92236 | 2019-07-29 |
| 1174185318 | Laura Castillo-dominguez | Licensed Vocational Nurse | 83113 Los Cabos Ave, Coachella, CA 92236 | 2019-07-08 |
| 1003390519 | Jennifer Le | Registered Nurse | 49-111 Ca-111 #6a, Coachella, CA 92236 | 2018-09-20 |
| 1700302502 | Latino Commission On Alcohol and Drug Abuse Services | Marriage & Family Therapist | 1612 First St., Coachella, CA 92236 | 2017-08-14 |
| 1467993279 | Jose Ramon Ledezma | Prosthetic/Orthotic Supplier | 84475 Goya Dr, Coachella, CA 92236 | 2017-03-13 |
| 1144622432 | Telecare Corporation | Psychiatric Unit | 49-708 Redondo Poniente, Coachella, CA 92236 | 2014-09-18 |
| 1851708762 | Juanita Ferro | Psychiatric Unit | 52371 Dos Palmas, Coachella, CA 92236 | 2014-07-14 |
| 1932519964 | Gloria Graham | Family Medicine | 50249 Harrison St, Coachella, CA 92236 | 2014-04-29 |
| 1326489121 | Alma Elizabeth Guadarrama Hernandez | Social Worker | 49211 Grapefruit Blvd Ste 5&6, Coachella, CA 92236 | 2013-07-10 |
| Find all providers in zip 92236 | ||||
| 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 |
|---|---|---|---|---|
| 1710518915 | Phong Phan | Pharmacist | 84 010 Avenue 50, Coachella, CA 92236 | 2020-01-28 |
| 1376831719 | Philip Nathanson | Pharmacist | 5110 Harrison Street, Coachella, CA 92236-1560 | 2011-07-19 |
| 1376837518 | Chandra N Patel | Pharmacist | 49281 Grapefruit Blvd Ste 2, Coachella, CA 92236-1486 | 2011-06-06 |
| 1396065066 | Mary Lynsey Chong Lu | Pharmacist | 51101 Harrison St, Coachella, CA 92236-1560 | 2010-06-04 |
| 1609071745 | Quyen Thuc Tran | Pharmacist | 83053 Ave 48, Coachella, CA 92236 | 2007-06-19 |
| 1346853694 | Febey Shokralla | Pharmacist | 50040 Harrison St, Coachella, CA 92236 | 2020-08-26 |
| 1811510233 | Emmarance Verheem | Pharmacist | 51101 Cesar Chavez St, Coachella, CA 92236-1560 | 2020-05-20 |
| 1326679259 | Doreen Tudor | Pharmacist | 84010 Avenue 50, Coachella, CA 92236-9661 | 2020-01-29 |
| 1942860721 | Michael Garispe | Pharmacist | 49281 Grapefruit Blvd Ste 2, Coachella, CA 92236-1486 | 2019-06-14 |
| 1598220683 | Cheyenne Reveche Pillow | Pharmacist | 51101 Harrison St, Coachella, CA 92236-1560 | 2019-02-04 |
| Find all providers in COACHELLA | ||||
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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.