KRISTY HENNESSEE (NPI# 1760764419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760764419 |
| Entity Type | Individual |
| Full Name | KRISTY HENNESSEE |
| Credential | PHARM.D. |
| Practice Address |
310 S Lake Ave Pasadena CA 91101-3537 |
| Practice Telephone | 6265838066 |
| Mailing Telephone | 6265838066 |
| Enumeration Date | 2011-09-19 |
| Last Update Date | 2012-07-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 40468 | CA | Pharmacy Service Providers |
| Street Address |
310 S LAKE AVE |
| City | PASADENA |
| State | CA |
| Zip Code | 91101-3537 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396883237 | Leon D Roisman | Dentist | 310 S Lake Ave, Lower Level, Pasadena, CA 91101-3540 | 2007-02-02 |
| 1487112041 | Andy Hoang | Pharmacist | 310 S Lake Ave, Pasadena, CA 91101-3537 | 2019-03-03 |
| 1124509120 | Jessica Tong | Pharmacist | 310 S Lake Ave, Pasadena, CA 91101-3537 | 2018-08-27 |
| 1689039265 | Ida Chen | Pharmacist | 310 S Lake Ave, Pasadena, CA 91101-3537 | 2015-12-23 |
| 1134503733 | Grace Mao | Pharmacist | 310 S Lake Ave, Pasadena, CA 91101-3537 | 2015-07-13 |
| 1871904896 | Raymond Wang | Dentist | 310 S Lake Ave, Pasadena, CA 91101-3537 | 2014-05-13 |
| 1497020119 | Rouhani and Khabbaz Dental Corporation | Dentist | 310 S Lake Ave, Lower Level, Pasadena, CA 91101-3537 | 2012-03-13 |
| 1225315807 | Jeff Wong | Pharmacist | 310 S Lake Ave, Pasadena, CA 91101-3537 | 2011-11-09 |
| 1083997704 | Ari Kuyumjian | Pharmacist | 310 S Lake Ave, Pasadena, CA 91101-3537 | 2011-09-20 |
| 1023206463 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 310 S Lake Ave, Pasadena, CA 91101-3537 | 2007-10-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720696404 | Sophia Ting-jan Liang | Student in an Organized Health Care Education/Training Program | 98 S. Los Robles Ave., Kaiser Permanente Bernard J. Tyson School of Medicine, Pasdena, CA 91101 | 2020-07-17 |
| 1851917033 | Casa De Las Amigas | Lodging | 173 N Oak Knoll Ave, Pasadena, CA 91101 | 2020-06-23 |
| 1467076869 | Tong Qi | Student in an Organized Health Care Education/Training Program | Kaiser Permanente Bernard Kj. Tyson School of Medicine, Pasadena, CA 91101 | 2020-06-01 |
| 1386267839 | Kelly B Shriver | Student in an Organized Health Care Education/Training Program | Kaiser Permanente Bernard J. Tyson School of Medicine, 98 S. Los Robles, Pasadena, CA 91101 | 2020-05-19 |
| 1427600758 | Brooke Danielle Pechman | Marriage & Family Therapist | 221 E Walnut Street, Suite 138, Pasadena, CA 91101 | 2019-07-16 |
| 1952897563 | Robert Howes Hambleton | Dentist | 200 S. Oak Knoll Ave #201, Pasadena, CA 91101 | 2018-07-06 |
| 1801306774 | Joseph Hendrix | Social Worker | 1500 South Mcdonnell Avenue, Commerce, CA 91101 | 2017-10-05 |
| 1730606070 | Candice Anne Watson | Nurse Practitioner | 350 South Madison Ave #322, Pasadena, CA 91101 | 2017-08-28 |
| 1700320223 | Jenny H. Pak | Psychologist | 180 N. Oakland Ave., Pasadena, CA 91101 | 2016-12-19 |
| 1578005401 | James Maddox | Student in an Organized Health Care Education/Training Program | 447 El Molino Ave, Pasadena, CA 91101 | 2016-11-09 |
| Find all providers in zip 91101 | ||||
| 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 |
|---|---|---|---|---|
| 1740889211 | Hyunji Lee | Pharmacist | 8107 Governor Ritchie Highway, Pasadena, MD 21122 | 2020-10-25 |
| 1619576618 | Phuong Ha | Pharmacist | 8107 Ritchie Hwy, Pasadena, MD 21122-6917 | 2020-10-21 |
| 1164031167 | Vivian Chu I | Pharmacist | 3160 E Del Mar Blvd # 100, Pasadena, CA 91107-4649 | 2020-07-26 |
| 1013557115 | Cindy Phun | Pharmacist | 3383 E Foothill Blvd, Pasadena, CA 91107 | 2020-01-07 |
| 1215575063 | Avedis Sarkisian | Pharmacist | 1855 N Fair Oaks Ave # 2, Pasadena, CA 91103-1620 | 2019-12-11 |
| 1508320466 | Minsun Shin | Pharmacist | 43 Harkness Ave # 2, Pasadena, CA 91106-2004 | 2019-01-24 |
| 1881161974 | Antranig Kaprielian | Pharmacist | 2445 E Del Mar Blvd Apt 402, Pasadena, CA 91107-6110 | 2018-10-27 |
| 1518453794 | Ma Fatima Paguio | Pharmacist | 139 S Los Robles Ave Unit 103, Pasadena, CA 91101-2488 | 2018-07-10 |
| 1891285110 | Michelle Birmingham | Pharmacist | 847 N Mar Vista Ave, Pasadena, CA 91104-4659 | 2018-05-11 |
| 1851890719 | Deborah Bodnar | Pharmacist | 8241 Bayside Dr, Pasadena, MD 21122-5703 | 2018-02-06 |
| Find all providers in PASADENA | ||||
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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.