JOHN CARLSON (NPI# 1770985129) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770985129 |
| Entity Type | Individual |
| Full Name | JOHN CARLSON |
| Credential | PHARMACIST |
| Practice Address |
1150 Broadway Chula Vista CA 91911-2707 |
| Practice Telephone | 6195914909 |
| Practice Fax Number | 6195914913 |
| Mailing Telephone | 6195914909 |
| Mailing Fax Number | 6195914913 |
| Enumeration Date | 2014-09-17 |
| Last Update Date | 2014-09-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
42140 | CA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033594007 | John James Carlson | Optometrist | 65 W Whidbey Ave Apt A101, Oak Harbor, WA 98277-2150 | 2015-07-20 |
| 1073885166 | John Carlson | Chiropractor | 10260 Sw Greenburg Rd Ste 414, Tigard, OR 97223-5500 | 2012-02-03 |
| 1144591850 | John Erik Carlson | Specialist/Technologist | 4221 Hilltop Rd, Harrisonburg, VA 22801-2321 | 2012-01-26 |
| 1760620157 | John Carlson | Massage Therapist | 2409 Lyndale Ave S, Minneapolis, MN 55405-3357 | 2009-01-23 |
| 1760693956 | John Steven Carlson | Psychologist | 601 Abbott Rd, Suite 101, East Lansing, MI 48823-3366 | 2007-05-27 |
| 1467542241 | John D Carlson | Optometrist | 2170 Highway 51 S Ste 6, Hernando, MS 38632-1108 | 2006-10-13 |
| 1184735854 | John Ellert Carlson | Radiology | 9764 Country Creek Way, Dayton, OH 45458-9242 | 2006-08-31 |
| 1497773253 | John David Carlson | Chiropractor | 6905 W Gate Blvd Ste A, Austin, TX 78745-5141 | 2006-07-18 |
| 1932131596 | John Dale Carlson | Specialist | 492 N Wilson St, Crestview, FL 32536-3442 | 2006-07-06 |
| 1134198674 | John Compton Carlson | Obstetrics & Gynecology | 3524 Silverside Rd, The Commons, Suite 33, Wilmington, DE 19810-4929 | 2006-03-16 |
| Street Address |
1150 BROADWAY |
| City | CHULA VISTA |
| State | CA |
| Zip Code | 91911-2707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710904958 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 1150 Broadway, Chula Vista, CA 91911-2707 | 2006-07-16 |
| 1245889781 | Klarissa Mae Maluto | Pharmacist | 1150 Broadway, Chula Vista, CA 91911-2707 | 2019-09-07 |
| 1558851899 | Saijal Khattar | Pharmacist | 1150 Broadway, Chula Vista, CA 91911-2707 | 2018-05-11 |
| 1043709009 | Yasmen Hindi | Pharmacist | 1150 Broadway, Chula Vista, CA 91911-2707 | 2018-05-05 |
| 1053814012 | Anna Akayvan | Pharmacist | 1150 Broadway, Chula Vista, CA 91911-2707 | 2018-03-15 |
| 1659723476 | Paymon Hossini, Od, Inc | Optometrist | 1150 Broadway, Chula Vista, CA 91911-2707 | 2016-07-05 |
| 1275912800 | Melody Tavakoli O.d., Professional Corporation | Optometrist | 1150 Broadway, Chula Vista, CA 91911-2707 | 2015-05-28 |
| 1437397171 | Paymon Hossini | Optometrist | 1150 Broadway, Chula Vista, CA 91911-2707 | 2009-02-03 |
| 1831370204 | Firstsight Vision Services, Inc. | Optometrist | 1150 Broadway, Chula Vista, CA 91911-2707 | 2007-11-14 |
| 1447331467 | Walmart Stores, Inc. | Technician/Technologist | 1150 Broadway, Chula Vista, CA 91911-2707 | 2006-10-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962011064 | Hfm Inc | Pharmacy | 750 Medical Center Court, Suite 8, Unit A, Chula Vista, CA 91911 | 2020-07-24 |
| 1659991198 | Cindy Way | Student in an Organized Health Care Education/Training Program | 1161 Bay Blvd. Ste. B Chula Vista,ca 91911, Chula Vista, CA 91911 | 2020-04-24 |
| 1083243455 | Uriel Angel Gonzalez | Student in an Organized Health Care Education/Training Program | 1161 Bay Boulevard B, Chula Vista, Chula Vista, CA 91911 | 2020-04-07 |
| 1083252464 | Denisse Patricia Macias | Dentist | 235 East Orange Avenue, Apartment E4, Chula Vista, CA 91911 | 2019-12-16 |
| 1952955494 | Jenifer Irene Wright | Counselor | 1180 Third Ave Suite C-3, Chula Vista, CA 91911 | 2019-08-01 |
| 1891357075 | Myriam Lourdes Scales | Counselor | 1172 3rd Ave Suite D1, Chula Vista, CA 91911 | 2019-07-08 |
| 1295228328 | Centro De Salud De La Comunidad De San Ysidro, Inc | Clinic/Center | 880 Third Ave Ste A, Chula Vista, CA 91911 | 2018-06-13 |
| 1902398589 | The Arc of San Diego | Day Training, Developmentally Disabled Services | 1280 Nolan Avenue, Chula Vista, CA 91911 | 2018-05-31 |
| 1003344292 | Jalitza Cardona | Peer Specialist | 853 3rd Ave, Suite C, Chula Vista, CA 91911 | 2017-06-01 |
| 1598138042 | Amy Nylund | Nurse Practitioner | 754 Medical Center Ct Ste 100, Chula Vista, CA 91911 | 2015-11-05 |
| Find all providers in zip 91911 | ||||
| Taxonomy Code | 1835P1200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacotherapy |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619594587 | Tsunnum Uzma Malik | Pharmacist | 2527 Royalridge Way, Santa Clara, CA 95051-1243 | 2020-06-26 |
| 1710515580 | Danny Situ | Pharmacist | 261 Capistrano Ave, San Francisco, CA 94112-2501 | 2020-03-29 |
| 1215492277 | En Chiang | Pharmacist | 300 Stein Plaza (wasserman Building) Room 123, Los Angeles, CA 90095-0001 | 2019-02-04 |
| 1366910325 | Queenie Hip Ying Wan | Pharmacist | 13059 Hedda Ln, Cerritos, CA 90703-6145 | 2018-11-07 |
| 1487120861 | Amanda Ju Chuan Chao | Pharmacist | 10964 Wellworth Ave Apt 303, Los Angeles, CA 90024-6230 | 2018-10-23 |
| 1104333772 | Patricia Lee Mcnamee | Pharmacist | 18325 Coastline Dr, Malibu, CA 90265-5729 | 2018-01-04 |
| 1235655457 | Joseph P Gee | Pharmacist | Cosumnes River College Pharmacy Technology Program, 8401 Center Parkway, Sacramento, CA 95823 | 2017-08-18 |
| 1275075087 | Erzsebet Gyorfi-miglecz | Pharmacist | 24236 Bella Ct, Newhall, CA 91321-3923 | 2016-11-10 |
| 1245787035 | Nina Michelle Bemben | Pharmacist | 555 Mission Rock St, #507, San Francisco, CA 94158-2119 | 2016-09-08 |
| 1861845273 | Vahid Bordbar | Pharmacist | 2325 Palos Verdes Dr W Ste 220, Palos Verdes Estates, CA 90274-2777 | 2016-07-20 |
| Find all providers with the same taxonomy | ||||
| City | CHULA VISTA |
| Zip Code | 91911 |
Please comment or provide details below to improve the information on JOHN CARLSON.
| 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.