KEVIN VANNUKUL


Address: 4355 E Lowell St Ste C, Ontario, CA 91761-2225
Phone: 9096050010

KEVIN VANNUKUL (NPI# 1790250793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1790250793
Entity Type Individual
Full Name KEVIN VANNUKUL
Credential PHARMD
Practice Address 4355 E Lowell St Ste C
Ontario
CA 91761-2225
Practice Telephone 9096050010
Mailing Telephone 9096050010
Enumeration Date 2018-10-05
Last Update Date 2019-10-09
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 183500000X Pharmacist 79416 CA Pharmacy Service Providers

Office Location

Street Address 4355 E LOWELL ST STE C
City ONTARIO
State CA
Zip Code 91761-2225

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1659829513 Gregory J Musselman Physician Assistant 3550 E Philadelphia St Ste 150, Ontario, CA 91761 2016-09-20
1700332327 Ramon Cardenas Registered Nurse 721 E. Banyan St., Ontario, CA 91761 2016-09-01
1023565660 Breanna Gonzalez Occupational Therapist 3449 S. Wrangler Pl., Ontario, CA 91761 2016-09-01
1326491507 Sasha Khawaja Specialist/Technologist 1500 So. Haven Ave, Ste 190, Ontario, CA 91761 2016-07-22
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Taxonomy Information

Taxonomy Code 183500000X
Grouping Pharmacy Service Providers
Classification Pharmacist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1154920155 Jonathan Clevenger Pharmacist 1455 North Lexington-springmill Road, Ontario, OH 44906 2020-10-21
1902393390 Michael Sehyun Park Pharmacist 2920 Inland Empire Blvd Ste 112, Ontario, CA 91764-6581 2018-04-20
1811431521 Ehab-tawfik Monir Tawfik Pharmacist 1520 N Mountain Ave # B106, Ontario, CA 91762-1128 2016-12-14
1861856171 Celerino Vargas Pharmacist 2238 S Euclid Ave Ste A, Ontario, CA 91762-6503 2016-04-12
1215308697 Timothy Fung Pharmacist 2295 S Vineyard Ave # D, Ontario, CA 91761-7925 2015-10-12
1588057764 Robin B Ujoodha Pharmacist 231 Clare Rd, Ontario, OH 44906-1363 2015-03-11
1013327824 Cindy Younger Pharmacist 2543 Fairway Xing, Ontario, OH 44903-6508 2014-05-01
1588090328 Catherine J Prieto-quan Pharmacist 1670 E 4th St, Ontario, CA 91764-2638 2013-09-25
1346676400 Eric Headlee Pharmacist 1648 E Idaho Ave, Ontario, OR 97914-3008 2013-09-20
1508142308 Vivian Chou Pharmacist 2245 S Euclid Ave, Ontario, CA 91762-6519 2011-10-25
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Competitor

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City ONTARIO
Zip Code 91761

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Dataset Information

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.

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