DR. HENOCK WOLDU (NPI# 1750892238) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750892238 |
| Entity Type | Individual |
| Full Name | DR. HENOCK WOLDU |
| Credential | PHARMD |
| Practice Address |
275 Hospital Pkwy San Jose CA 95119-1106 |
| Mailing Address |
202 Banana Grove Ln San Jose CA 95123-6403 |
| Practice Telephone | 7202272078 |
| Mailing Telephone | 7202272078 |
| Enumeration Date | 2017-10-24 |
| Last Update Date | 2017-10-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P2201X |
Pharmacist Specialization: Ambulatory Care |
75029 | CA | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DRIVER LICENSE | D8349659 | 01 |
| Street Address |
275 HOSPITAL PKWY |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95119-1106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871562454 | Ann Marie Martin | Physical Therapist | 275 Hospital Pkwy, Ste. 765, San Jose, CA 95119-1106 | 2006-03-16 |
| 1144834615 | Godwin K Yeung | Respiratory Therapist, Registered | 275 Hospital Pkwy, San Jose, CA 95119-1106 | 2020-09-02 |
| 1508477183 | Yvonne Ha Pham | Pharmacist | 275 Hospital Pkwy, San Jose, CA 95119-1106 | 2020-08-16 |
| 1013547264 | Sirena O Louie | Pharmacist | 275 Hospital Pkwy, San Jose, CA 95119-1106 | 2020-01-16 |
| 1205475811 | Ryan Matthew Hoh | Pharmacist | 275 Hospital Pkwy, San Jose, CA 95119-1106 | 2019-12-30 |
| 1033685318 | Vy Le | Pharmacist | 275 Hospital Pkwy, San Jose, CA 95119-1106 | 2018-10-15 |
| 1790261097 | Mina Tran Nguyen | Audiologist | 275 Hospital Pkwy, San Jose, CA 95119-1106 | 2018-07-19 |
| 1821583543 | Cory Ng | Pharmacist | 275 Hospital Pkwy, San Jose, CA 95119-1106 | 2018-06-25 |
| 1548770266 | Leona Zhu | Pharmacist | 275 Hospital Pkwy, San Jose, CA 95119-1106 | 2017-10-08 |
| 1578073813 | Tobi Anina Knepler-foss | Pharmacist | 275 Hospital Pkwy, San Jose, CA 95119-1106 | 2017-09-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922623594 | Julia Angelina Rojas | Rehabilitation Counselor | 298 A Bernal Rd, San Jose, CA 95119 | 2020-06-10 |
| 1609496215 | Kaiser Foundation Hospitals | Pharmacy | 274 International Cir Fl 1 Rm 104, San Jose, CA 95119 | 2020-04-23 |
| 1104451194 | Arthur Warren Hall | Counselor | 298 A Bernal Road, San Jose, CA 95119 | 2020-03-10 |
| 1992264774 | Jennifer Luu | Student in an Organized Health Care Education/Training Program | 276 International Circle Building, 1 - 2nd Floor - Family Medicine Residency Unit G, San Jose, CA 95119 | 2019-03-19 |
| 1194209510 | Victoria Marques | Pharmacist | 275 Hospital Parkway, Suite 625, San Jose, CA 95119 | 2018-09-21 |
| 1780123497 | Costco Wholesale Corporation | Hearing Aid Equipment | 6898 Raleigh Road, San Jose, CA 95119 | 2017-02-14 |
| 1437563855 | Mark Douglas Zukunft | Emergency Medicine | 250 Hospital Pkwy Dept Of, San Jose, CA 95119 | 2014-06-13 |
| 1669896338 | Paul J. Zuchowski Chiropractic, A Professional Corporation | Chiropractor | 6950 Santa Teresa Blvd., Ste.a, San Jose, CA 95119 | 2014-02-14 |
| 1700227873 | Yu-chien Cheng | Internal Medicine | 275 Hospital Pkwy Ste 600, San Jose, CA 95119 | 2013-07-17 |
| 1730432014 | Tami Otomo | Pharmacist | 6201 San Ignacio Ave, San Jose, CA 95119 | 2012-10-24 |
| Find all providers in zip 95119 | ||||
| Taxonomy Code | 1835P2201X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Ambulatory Care |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in the provision of integrated, accessible health care services by pharmacists and is accountable for addressing medication needs, developing sustained partnerships with patients, and practicing in the context of family and community. |
| Notes: Source: Board of Pharmacy Specialties, www.bpsweb.org [7/1/2015: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568969434 | Sara Margaret Azimian | Pharmacist | 739 Portswood Dr, San Jose, CA 95120-3333 | 2018-04-09 |
| 1699326629 | Susan Giang | Pharmacist | 751 S Bascom Ave, San Jose, CA 95128-2604 | 2019-09-20 |
| 1770145237 | Tony Nguyen | Pharmacist | 2400 Moorpark Ave Ste 212, San Jose, CA 95128-2624 | 2019-07-05 |
| 1386206746 | Stephanie Yang | Pharmacist | 751 S Bascom Ave, San Jose, CA 95128-2604 | 2019-07-05 |
| 1720640212 | Justina Liang | Pharmacist | 751 S Bascom Ave, San Jose, CA 95128-2699 | 2019-07-03 |
| 1164084646 | Jecedthel Dumpit | Pharmacist | 1993 Mckee Rd, San Jose, CA 95116-1406 | 2019-07-03 |
| 1154983641 | Rahat Mawlavizada | Pharmacist | 751 S Bascom Ave, San Jose, CA 95128-2604 | 2019-07-03 |
| 1548770266 | Leona Zhu | Pharmacist | 275 Hospital Pkwy, San Jose, CA 95119-1106 | 2017-10-08 |
| 1154865053 | Neerali Patel | Pharmacist | 275 Hospital Pkwy, San Jose, CA 95119-1106 | 2016-12-12 |
| 1437609492 | Beckie Siu | Pharmacist | 275 Hospital Parkway, Suite 625, San Jose, CA 95119 | 2016-10-13 |
| Find all providers in SAN JOSE | ||||
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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.