KIM THI NGOC VAN (NPI# 1790157030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790157030 |
| Entity Type | Individual |
| Full Name | KIM THI NGOC VAN |
| Credential | RPH |
| Practice Address |
1101 S Mission Rd Fallbrook CA 92028-3224 |
| Mailing Address |
9475 Fermi Ave San Diego CA 92123-3254 |
| Practice Telephone | 7607235721 |
| Practice Fax Number | 7607231336 |
| Mailing Telephone | 7166981586 |
| Enumeration Date | 2015-10-27 |
| Last Update Date | 2015-10-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 69844 | CA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669491817 | Kim Thi Van | Dentist | 2717 8th Ave, Fort Worth, TX 76110-3041 | 2006-07-19 |
| 1174009070 | Kim T Van | Dentist | 1907 Huguenot Rd, North Chesterfield, VA 23235 | 2018-07-13 |
| Street Address |
1101 S MISSION RD |
| City | FALLBROOK |
| State | CA |
| Zip Code | 92028-3224 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154362028 | Garfield Beach Cvs LLC | Pharmacy | 1101 S Mission Rd, Fallbrook, CA 92028-3224 | 2006-06-09 |
| 1932746088 | Zainul Lalji | Pharmacist | 1101 S Mission Rd, Fallbrook, CA 92028-3224 | 2019-12-09 |
| 1063885762 | Megan Tang | Pharmacist | 1101 S Mission Rd, Fallbrook, CA 92028-3224 | 2015-11-04 |
| 1568834646 | Jan L Pieters | Pharmacist | 1101 S Mission Rd, Fallbrook, CA 92028-3224 | 2015-10-28 |
| 1306218581 | Brettsen Samuel Todd | Pharmacist | 1101 S Mission Rd, Fallbrook, CA 92028-3224 | 2015-10-27 |
| 1659743003 | Donald James Weeks | Pharmacist | 1101 S Mission Rd, Fallbrook, CA 92028-3224 | 2015-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396235727 | Mmr Dme | Durable Medical Equipment & Medical Supplies | 1116 S Main Ave, Fallbrook, CA 92028 | 2018-05-10 |
| 1245616119 | Brett Christian Wootton | General Acute Care Hospital | 325 Potter Street, Fallbrook, CA 92028 | 2015-08-03 |
| 1215375852 | Ashley Stein Araiza | Dentist | 304 N Orange Ave, Fallbrook, CA 92028 | 2013-06-05 |
| 1063794253 | Elizabeth Ann Nestor | Developmental Therapist | 4164 Lake Circle Dr, Fallbrook, CA 92028 | 2011-09-13 |
| 1639460173 | Narciso Hernandez | Case Manager/Care Coordinator | 120 W Hawthone, Fallbrook, CA 92028 | 2011-05-02 |
| 1699961755 | Susana Bowen | Registered Nurse | 628 East Elder, Fallbrook Hospital, Fallbrook, CA 92028 | 2007-09-21 |
| 1912190869 | Helena Holmes Morrison | Social Worker | 2068a E. Mission Rd., Fallbrook, CA 92028 | 2007-08-23 |
| 1831311059 | Eric J Ramos, A Proffesional Corp | Optometrist | 645 E. Elder St. Ste D, Fallbrook, CA 92028 | 2007-05-03 |
| 1578617551 | Gregory Dean Montague | Dentist | 304 East Mission Road, Suite C, Fallbrook, CA 92028 | 2007-01-23 |
| 1629120944 | Michele H Germain | Social Worker | 577 E Elder, Suite F, Fallbrook, CA 92028 | 2007-01-17 |
| Find all providers in zip 92028 | ||||
| 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 |
|---|---|---|---|---|
| 1932687423 | Benjamin Hemeyer | Pharmacist | 4241 Los Padres Dr, Fallbrook, CA 92028-9282 | 2018-08-06 |
| 1770858607 | Larry Lee Arico | Pharmacist | 2635 Kingridge Dr, Fallbrook, CA 92028-9429 | 2012-03-10 |
| 1255648333 | Thuan Binh Pham | Pharmacist | 1221 S Mission Rd, Fallbrook, CA 92028-4005 | 2010-09-09 |
| 1871813071 | Kermit L Harrison | Pharmacist | 1331 S Mission Rd, Fallbrook, CA 92028-4007 | 2010-06-10 |
| 1457343832 | Jonathan Duff Stone | Pharmacist | 624 E Elder St, Fallbrook, CA 92028-3004 | 2005-08-22 |
| 1932746088 | Zainul Lalji | Pharmacist | 1101 S Mission Rd, Fallbrook, CA 92028-3224 | 2019-12-09 |
| 1043757974 | Thanh Cao | Pharmacist | 1133 S Mission Rd, Fallbrook, CA 92028-3222 | 2017-01-30 |
| 1063885762 | Megan Tang | Pharmacist | 1101 S Mission Rd, Fallbrook, CA 92028-3224 | 2015-11-04 |
| 1568834646 | Jan L Pieters | Pharmacist | 1101 S Mission Rd, Fallbrook, CA 92028-3224 | 2015-10-28 |
| 1306218581 | Brettsen Samuel Todd | Pharmacist | 1101 S Mission Rd, Fallbrook, CA 92028-3224 | 2015-10-27 |
| Find all providers in FALLBROOK | ||||
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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.