MARYAM N KHAN (NPI# 1790072197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790072197 |
| Entity Type | Individual |
| Full Name | MARYAM N KHAN |
| Credential | RPH |
| Practice Address |
1155 Shaw Ave Clovis CA 93612-3928 |
| Mailing Address |
1155 Shaw Avenue Sierra Pavilion Rite Aid 1155 Shaw Ave Clovis CA 93612 |
| Practice Telephone | 5592974198 |
| Practice Fax Number | 5592977388 |
| Mailing Telephone | 5592974198 |
| Mailing Fax Number | 5592977388 |
| Enumeration Date | 2011-07-06 |
| Last Update Date | 2011-07-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RPH 54359 | CA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811541758 | Maryam Khan | Optometrist | 1807 Princess Cir, Naperville, IL 60564-3187 | 2019-07-29 |
| 1811553233 | Maryam Khan | Pharmacist | 3 Fiddler Ln, Levittown, NY 11756-5213 | 2019-05-10 |
| 1326676586 | Maryam Khan | Student in an Organized Health Care Education/Training Program | 2525 W University Ave Ste 401, Muncie, IN 47303-3433 | 2020-03-31 |
| 1215426440 | Maryam Idrees Khan | Student in an Organized Health Care Education/Training Program | 1441 N 12th St Fl 1, Phoenix, AZ 85006-2837 | 2018-05-03 |
| 1841726478 | Maryam Khan | Pharmacist | 2525 Hilliard Rome Rd, Hilliard, OH 43026-9471 | 2017-05-02 |
| 1851824189 | Maryam Khan | Student in an Organized Health Care Education/Training Program | 500 S Preston St Rm 305, Louisville, KY 40202-1702 | 2017-04-04 |
| 1144752908 | Maryam Khan | Internal Medicine | 821 N Eutaw St Ste 308, Baltimore, MD 21201-6303 | 2017-03-31 |
| 1861783904 | Maryam Khan | Pediatrics | 500 E Remington Dr, Ste 15, Sunnyvale, CA 94087-2657 | 2011-04-24 |
| 1780893826 | Maryam Ijaz Khan | Internal Medicine | 3 Cooper Plz, Suite 215, Camden, NJ 08103-1438 | 2007-05-22 |
| Street Address |
1155 SHAW AVE |
| City | CLOVIS |
| State | CA |
| Zip Code | 93612-3928 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053601823 | Diep Tran | Pharmacist | 1155 Shaw Ave, Clovis, CA 93612-3928 | 2011-04-14 |
| 1316489016 | Khanh Le Do | Pharmacist | 1155 Shaw Ave, Clovis, CA 93612-3928 | 2016-11-11 |
| 1568753937 | Khanh Tuan Dang | Pharmacist | 1155 Shaw Ave, Clovis, CA 93612-3928 | 2011-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235778002 | Prieto Dental Corporation | Dentist | 2320 Clovis Avenue, Suite 102, Clovis, CA 93612 | 2019-12-27 |
| 1285190827 | Natividad Casillas | Behavior Technician | 20 N Dewitt, Clovis, CA 93612 | 2019-02-19 |
| 1922578988 | Benjamin Harold Davis Jr. | Behavior Technician | Swans Consulting, 20 N Dewitt Ave, Clovis, CA 93612 | 2018-12-03 |
| 1134620651 | Innovative Development & Living Solutions of California | Assisted Living Facility | 32 West Sierra Ave, Clovis, CA 93612 | 2018-02-21 |
| 1427578616 | Mariamajane Sengsiri | Licensed Vocational Nurse | 1244 Estabrook Ave., Clovis, CA 93612 | 2017-06-20 |
| 1417482464 | Tiffanie Guy | Pharmacist | 2810 Willow Ave Apt 206, Clovis, CA 93612 | 2017-04-27 |
| 1194271833 | Daniel Salinas | Specialist/Technologist | 1712 Harvard Ave., Clovis, CA 93612 | 2016-09-01 |
| 1386071447 | Darra Hirsh | Psychologist | 334 Shaw Ave Ste 100, Clovis, CA 93612 | 2013-10-03 |
| 1437400793 | Bashful Elephant | Counselor | 3097 Willow Suite 4, Clovis, CA 93612 | 2012-09-27 |
| 1588930432 | Nghiem Gia Vu | Pharmacist | 695 W Herdn Ave, Clovis, CA 93612 | 2012-03-26 |
| Find all providers in zip 93612 | ||||
| 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 |
|---|---|---|---|---|
| 1730791260 | Gabriela Dutra-clarke | Pharmacist | 1712 Burgan Ave, Clovis, CA 93611-3158 | 2020-08-17 |
| 1285254045 | Inga Sarkisian | Pharmacist | 3445 Amanecer Ave, Clovis, CA 93619-5189 | 2020-04-22 |
| 1952932923 | Tia Tang | Pharmacist | 12246 N Via Piemonte Ave, Clovis, CA 93619-8389 | 2020-01-29 |
| 1235798695 | Lien Nguyen | Pharmacist | 3522 Smith Ln, Clovis, CA 93619-4311 | 2019-06-10 |
| 1033773122 | Mao Thao | Pharmacist | 2133 Shaw Avenue, Clovis, CA 93611 | 2019-04-24 |
| 1518449289 | Colton Ray Dant | Pharmacist | 2401 W 21st St, Clovis, NM 88101-2006 | 2018-08-30 |
| 1407369275 | Tony Minh Ta | Pharmacist | 159 W Shaw Ave, Clovis, CA 93612-3726 | 2017-11-14 |
| 1023521291 | Mei Feng Guan | Pharmacist | 745 N Fowler Ave Apt 230, Clovis, CA 93611-6876 | 2017-11-10 |
| 1659809507 | Allen Keshishian Namagerdi | Pharmacist | 111 W 9th St Apt 272, Clovis, CA 93612-1734 | 2017-05-23 |
| 1417482464 | Tiffanie Guy | Pharmacist | 2810 Willow Ave Apt 206, Clovis, CA 93612 | 2017-04-27 |
| Find all providers in CLOVIS | ||||
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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.