LAITH ANWAR YACOUB (NPI# 1730572264) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730572264 |
| Entity Type | Individual |
| Full Name | LAITH ANWAR YACOUB |
| Credential | R.PH |
| Practice Address |
530 Silver Maple Dr. Hercules CA 94547 |
| Mailing Address |
530 Silver Maple Dr Hercules CA 94547-2310 |
| Practice Telephone | 5106722582 |
| Mailing Telephone | 5106722582 |
| Enumeration Date | 2015-03-09 |
| Last Update Date | 2015-03-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RPH72311 | CA | Pharmacy Service Providers |
| Street Address |
530 SILVER MAPLE DR. |
| City | HERCULES |
| State | CA |
| Zip Code | 94547 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134768286 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 4080 San Pablo Ave, Hercules, CA 94547 | 2020-01-06 |
| 1407415144 | Julita Chinyere Agwumezie | Pharmacist | 1590 Sycamore Avenue, Hercules, CA 94547 | 2019-06-06 |
| 1730545666 | Evelyn Gomez | Behavioral Analyst | 115 Starling Way, Hercules, CA 94547 | 2016-01-07 |
| 1396171526 | Yeun Joo Kim | Dentist | 9 Arete Court, Hercules, CA 94547 | 2013-09-19 |
| 1568751527 | Sophie Chen | Dentist | 500 Alfred Nobel Drive, Suite 130, Hercules, CA 94547 | 2011-03-30 |
| 1962654517 | Jason M. Hataye | Student in an Organized Health Care Education/Training Program | 572 Turquoise Drive, Hercules, CA 94547 | 2008-10-15 |
| 1649454802 | Lovely C. Manlapaz | Dentist | 844 Willow Avenue, Suite - A6, Hercules, CA 94547 | 2007-12-24 |
| 1386823805 | Vincent T Chen | Dentist | 500 Alfred Nobel Dr., Ste. 280, Hercules, CA 94547 | 2007-11-01 |
| 1902950132 | Leonard Alexander Newman | Ophthalmology | 500 Alfred Noble Dr, Ste 225, Hercules, CA 94547 | 2007-01-23 |
| 1992859409 | David Shen Dental Corp | Dentist | 500 Alfred Nobel Drive #125, Hercules, CA 94547 | 2007-01-22 |
| Find all providers in zip 94547 | ||||
| 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 |
|---|---|---|---|---|
| 1407415144 | Julita Chinyere Agwumezie | Pharmacist | 1590 Sycamore Avenue, Hercules, CA 94547 | 2019-06-06 |
| 1891245783 | Bohan Gu | Pharmacist | 1375 Sycamore Ave, Apartment 316, Hercules, CA 94547-5509 | 2016-10-04 |
| 1275881237 | Kevin Wong | Pharmacist | 2089 Pheasant Dr, Hercules, CA 94547-1627 | 2012-08-23 |
| 1386926087 | Evelyn Martinez Sanchez | Pharmacist | 1045 White Birch Dr, Hercules, CA 94547-2670 | 2011-09-19 |
| 1326320979 | Nuha Alhaik | Pharmacist | 530 Silver Maple Dr, Hercules, CA 94547-2310 | 2011-09-09 |
| 1306167465 | Bunny Lee | Pharmacist | 1560 Sycamore Ave, Hercules, CA 94547-1701 | 2010-06-11 |
| 1174606594 | Gilad Dekel | Pharmacist | 151 Eucalyptus Knl, Hercules, CA 94547-2666 | 2006-10-21 |
| 1740799436 | Johnathan Nilsen | Pharmacist | 1560 Sycamore Ave, Hercules, CA 94547-1701 | 2017-09-25 |
| 1467795781 | Erik Chandra Tjoe | Pharmacist | 1560 Sycamore Ave, Hercules, CA 94547-1701 | 2013-04-04 |
| 1083935720 | Weyman Chun | Pharmacist | 1560 Sycamore Ave, Hercules, CA 94547-1701 | 2010-06-17 |
| Find all providers in HERCULES | ||||
Please comment or provide details below to improve the information on LAITH ANWAR YACOUB.
| 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.