DR. CHARLES EDMUND RAYNOR (NPI# 1730200759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730200759 |
| Entity Type | Individual |
| Full Name | DR. CHARLES EDMUND RAYNOR |
| Credential | PHARMD |
| Practice Address |
2000 Embarcadero Ste 400 Oakland CA 94606-5300 |
| Practice Telephone | 5103831737 |
| Practice Fax Number | 5105676850 |
| Mailing Telephone | 5103831737 |
| Mailing Fax Number | 5105676850 |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2017-01-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 56675 | CA | Pharmacy Service Providers |
| Y | 1835P1300X |
Pharmacist Specialization: Psychiatric |
56675 | CA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013298512 | Charles Edward Raynor | Pharmacist | 408 Ashland Dr, Goldsboro, NC 27530-9165 | 2011-08-30 |
| 1821298746 | Charles Keith Raynor | Dentist | 3000 Sw 148th Ave, Miramar, FL 33027-4169 | 2007-07-19 |
| Street Address |
2000 EMBARCADERO STE 400 |
| City | OAKLAND |
| State | CA |
| Zip Code | 94606-5300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346300340 | David James Woodland | Counselor | 2000 Embarcadero Ste 400, Oakland, CA 94606-5300 | 2006-12-11 |
| 1922608488 | Alexandria Barney | Student in an Organized Health Care Education/Training Program | 2000 Embarcadero Ste 400, Oakland, CA 94606-5300 | 2020-10-26 |
| 1700428679 | Eric Lai | Student in an Organized Health Care Education/Training Program | 2000 Embarcadero Ste 400, Oakland, CA 94606-5300 | 2019-10-11 |
| 1154971026 | Megan Frances Salvana Lauzon | Student in an Organized Health Care Education/Training Program | 2000 Embarcadero Ste 400, Oakland, CA 94606-5300 | 2019-09-12 |
| 1316402126 | Tiffany San Chang | Student in an Organized Health Care Education/Training Program | 2000 Embarcadero Ste 400, Oakland, CA 94606-5300 | 2019-02-06 |
| 1003381419 | Cindy Nguyen | Student in an Organized Health Care Education/Training Program | 2000 Embarcadero Ste 400, Oakland, CA 94606-5300 | 2018-10-11 |
| 1508348749 | Jimin Lee | Student in an Organized Health Care Education/Training Program | 2000 Embarcadero Ste 400, Oakland, CA 94606-5300 | 2018-09-04 |
| 1851877419 | Ricardo Rocha | Counselor | 2000 Embarcadero Ste 400, Oakland, CA 94606-5300 | 2018-07-17 |
| 1902382542 | Titpisot Vorn | Student in an Organized Health Care Education/Training Program | 2000 Embarcadero Ste 400, Oakland, CA 94606-5300 | 2018-07-17 |
| 1811490188 | John Montecillo | Student in an Organized Health Care Education/Training Program | 2000 Embarcadero Ste 400, Oakland, CA 94606-5300 | 2018-03-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366923369 | Rhummanee Hang | Case Manager/Care Coordinator | 544 International Blvd., Suite #9, Oakland, CA 94606 | 2018-08-27 |
| 1841746153 | First Aid Transportation LLC | Non-emergency Medical Transport (VAN) | 1709 International Blvd Ste 107, Oakland, CA 94606 | 2016-08-27 |
| 1609236686 | Erik D Grasso | Behavioral Analyst | 1340 East 28th St., Suite C, Oakland, CA 94606 | 2016-03-03 |
| 1457770935 | Jessica Robin Gar Ling Leung | Family Medicine | 250 E. 18th Street, 2nd Floor, Oakland, CA 94606 | 2014-04-10 |
| 1902230709 | Masja Van Der Hoog | Acupuncturist | 1511 23rd Ave, Apt 10, Oakland, CA 94606 | 2013-08-28 |
| 1063756997 | Christine Michelle Huffner | Nurse Practitioner | 1030 International Blvd. San Antonio Neighborhood Healt, Oakland, CA 94606 | 2012-11-15 |
| 1336418920 | Alexandra Elisabeth Brewster | Counselor | 907 Lake Street San Pablo Avenue, San Pablo, CA 94606 | 2011-12-28 |
| 1780964064 | Meagen Elizabeth Grundberg | Community Health Worker | 544 International Blvd Ste 9, Oakland, CA 94606 | 2011-08-18 |
| 1285764217 | Nguyen Tran Dang, Dds, Inc. | Dentist | 270 East 12th St., Oakland, CA 94606 | 2007-03-07 |
| 1689704017 | Nguyen Tran Dang | Dentist | 270 East 12th Street, Oakland, CA 94606 | 2007-03-06 |
| Find all providers in zip 94606 | ||||
| Taxonomy Code | 1835P1300X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Psychiatric |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing care of patients with psychiatric illness by assessing and monitoring patients, recognizing drug-induced problems, and recommending appropriate treatment plans. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified title, added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184621492 | Alice S Myong | Pharmacist | 2000 Embarcadero, Ste 400, Oakland, CA 94606-5334 | 2005-06-30 |
| 1033586383 | Seth Gomez | Pharmacist | 2000 Embarcadero, Suite # 400, Oakland, CA 94606-5334 | 2015-08-21 |
| 1902281199 | Van Nguyen | Pharmacist | 629 Oakland Ave, Oakland, CA 94611-4567 | 2015-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205457918 | Abdulla Nooristani | Pharmacist | 3630 Business Dr Ste D, Sacramento, CA 95820-2179 | 2020-05-04 |
| 1811534878 | Susan Lee | Pharmacist | 9362 Canterbury Ln, Garden Grove, CA 92841-3415 | 2019-12-09 |
| 1669963294 | Geoffrey Charles Henrietta | Pharmacist | 19205 Almond Rd, Castro Valley, CA 94546-3033 | 2018-05-18 |
| 1689034498 | Meredyth Keast-devine | Pharmacist | 4875 Shadow Canyon Rd Bldg B, Templeton, CA 93465-9714 | 2016-03-07 |
| 1922330638 | Christopher Ching | Pharmacist | 1380 Howard St # 130, San Francisco, CA 94103-2638 | 2010-02-04 |
| 1588856850 | Luriko Jean Ajari | Pharmacist | 2356 Sutter Street, Fourth Floor, San Francisco, CA 94115-1648 | 2007-08-10 |
| 1104020841 | Mark David Watanabe | Pharmacist | 1380 Howard St Rm 130, San Francisco, CA 94103 | 2007-06-14 |
| 1568672400 | Van Viet Do | Pharmacist | 2418 Hummel Ct, San Jose, CA 95148-2510 | 2007-05-22 |
| 1861610693 | Bruce David Miller | Pharmacist | 3057 S Higuera St, Spc # 53, San Luis Obispo, CA 93401-6625 | 2007-04-24 |
| 1316009830 | Michael Francis Pondrom | Pharmacist | 590 N Vermont Ave, Los Angeles, CA 90004-2115 | 2006-12-14 |
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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.