TARA ALEYNE STOGDILL (NPI# 1770724882) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770724882 |
| Entity Type | Individual |
| Full Name | TARA ALEYNE STOGDILL |
| Other Name | TARA ALEYNE MASON |
| Credential | PHARM.D. |
| Practice Address |
101 Bodin Cir Bldg 777 Travis Afb CA 94535-1809 |
| Practice Telephone | 7074233459 |
| Mailing Telephone | 7074233459 |
| Enumeration Date | 2009-03-19 |
| Last Update Date | 2020-02-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 20819 | IA | Pharmacy Service Providers |
| N | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
20819 | IA | Pharmacy Service Providers |
| Street Address |
101 BODIN CIR BLDG 777 |
| City | TRAVIS AFB |
| State | CA |
| Zip Code | 94535-1809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023161791 | Justin E Sandholm | Optometrist | 101 Bodin Cir Bldg 777, Travis Afb, CA 94535-1809 | 2007-01-18 |
| 1922622430 | William F Monat | Student in an Organized Health Care Education/Training Program | 101 Bodin Cir Bldg 777, Travis Afb, CA 94535-1809 | 2020-05-31 |
| 1932720927 | Jameson Reich | Military Health Care Provider | 101 Bodin Cir Bldg 777, Travis Afb, CA 94535-1809 | 2020-04-30 |
| 1063049799 | Tanner C Carlock | Student in an Organized Health Care Education/Training Program | 101 Bodin Cir Bldg 777, Travis Afb, CA 94535-1809 | 2020-03-24 |
| 1073976023 | David Austin Bennion Jr. | Student in an Organized Health Care Education/Training Program | 101 Bodin Cir Bldg 777, Travis Afb, CA 94535-1809 | 2016-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508487711 | Sheila C Flood | Student in an Organized Health Care Education/Training Program | 101 Biden Circle, Fairfield, CA 94535 | 2020-04-28 |
| 1568081255 | Miguel Julian Moreno | Student in an Organized Health Care Education/Training Program | 690 Airmen Drive, Travis Afb, CA 94535 | 2020-04-13 |
| 1174096101 | Zlatoslava Karga | Nurse Practitioner | 60mdg / Sgow, 101 Bodin Circle, Travis Afb, CA 94535 | 2019-01-02 |
| 1437648292 | Luke C Vera | Dentist | David Grant Medical Center 101 Bodin Circle, Travis Air Force Base, CA 94535 | 2018-05-08 |
| 1588163430 | Sanaz Ziad | Pharmacist | 60mdg/mdts, 101 Bodin Circle, Travis Afb, CA 94535 | 2018-02-06 |
| 1194265686 | Geoffrey Johnston | Dentist | 60 Mdg/sgdd, 101 Bodin Circle, Travis Afb, CA 94535 | 2017-03-02 |
| 1336693407 | Hannah Isla Nordwall | Social Worker | 60 Mdg/mdos 101 Bodin Cir, Travis Afb, CA 94535 | 2016-08-06 |
| 1184177149 | Taylor Murrie-robinson | Social Worker | 60mdg / Sgow Mental Health Clinic, 101 Bodin Circle, Travis Afb, CA 94535 | 2016-07-26 |
| 1952759607 | Eric Kincaid-sharp | General Practice | 60 Mdg/amds, 101 Bodin Cir, Travis Afb, CA 94535 | 2016-06-02 |
| 1023472040 | Genieve Marie Martinez-hernandez | Internal Medicine | 60 Mdg/sgomi, 101 Bodin Circle, Fairfield, CA 94535 | 2016-04-06 |
| Find all providers in zip 94535 | ||||
| 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 |
|---|---|---|---|---|
| 1083275887 | Michelle Singson | Pharmacist | 101 Bodin Cir Rm 1c600, Travis Afb, CA 94535-1809 | 2019-06-24 |
| 1568936300 | Jeremy Kang Matsumoto | Pharmacist | 60 Mdg/sgqp 101 Bodin Cir, Bldg. 777, Travis Afb, CA 94535-4028 | 2019-01-15 |
| 1588163430 | Sanaz Ziad | Pharmacist | 60mdg/mdts, 101 Bodin Circle, Travis Afb, CA 94535 | 2018-02-06 |
| 1932412772 | Allison Marie Stephens | Pharmacist | 60 Mdts/sgqp, 101 Bodin Cir, Travis Afb, CA 94535-1809 | 2010-07-21 |
| 1548348493 | Leah Lauren Maxwell | Pharmacist | 101 Bodin Cir # 60mdts/sgq, David Grant Medical Center, Travis Afb, CA 94535-1809 | 2006-11-01 |
| 1942382205 | Carolyn K. Weiss | Pharmacist | 461 Skymaster Cir, Travis Afb, CA 94535-1909 | 2006-10-19 |
| 1275193146 | Jefferson Froilan Baldovino | Pharmacist | 101 Bodin Cir, Travis Afb, CA 94535-1809 | 2019-06-13 |
| 1003475302 | Joscelyn D. A. C. Aquiningoc | Pharmacist | 101 Bodin Cir, Travis Afb, CA 94535-1809 | 2019-06-10 |
| 1568930550 | Marsha Renee Vanpelt | Pharmacist | 103 Bodin Cir, Travis Afb, CA 94535-1801 | 2018-11-07 |
| 1356827224 | Min Ji Ahn | Pharmacist | 101 Bodin Cir, Travis Afb, CA 94535-1809 | 2018-07-13 |
| Find all providers in TRAVIS AFB | ||||
| City | TRAVIS AFB |
| Zip Code | 94535 |
Please comment or provide details below to improve the information on TARA ALEYNE STOGDILL.
| 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.