STEPHANIE NICOLE THAU (NPI# 1790251130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790251130 |
| Entity Type | Individual |
| Full Name | STEPHANIE NICOLE THAU |
| Practice Address |
3332 Sandrock Rd San Diego CA 92123-2240 |
| Mailing Address |
3863 Ingraham St Apt E202 San Diego CA 92109-6452 |
| Practice Telephone | 8582780047 |
| Mailing Telephone | 3144131664 |
| Enumeration Date | 2018-10-23 |
| Last Update Date | 2018-10-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 79750 | CA | Pharmacy Service Providers |
| Street Address |
3332 SANDROCK RD |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92123-2240 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154366953 | Garfield Beach Cvs LLC | Pharmacy | 3332 Sandrock Rd, San Diego, CA 92123-2240 | 2006-06-17 |
| 1740817196 | Valencia Zora | Pharmacist | 3332 Sandrock Rd, San Diego, CA 92123-2240 | 2020-03-25 |
| 1467013334 | Athira Sureshkumar | Pharmacist | 3332 Sandrock Rd, San Diego, CA 92123-2240 | 2019-06-21 |
| 1275984221 | Stephanie Kramer | Pharmacist | 3332 Sandrock Rd, San Diego, CA 92123-2240 | 2016-06-30 |
| 1669833190 | Shaadi Ariazand | Pharmacist | 3332 Sandrock Rd, San Diego, CA 92123-2240 | 2016-03-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669087326 | Corina Lozano Manzo | Registered Nurse | 7436 Mission Center Road, San Diego, CA 92123 | 2020-09-10 |
| 1831703537 | Shannon Leigh Doolittle | Audiologist | 3020 Children's Way Mc5010, San Diego, CA 92123 | 2020-09-01 |
| 1861014359 | Ha Thanh Truong | Pharmacist | Rezcare, 3821 Calle Fortunada, San Diego, CA 92123 | 2020-05-07 |
| 1023667136 | Brittany Meyer | Physical Therapist | 3020 Children's Waymc5068, San Diego, CA 92123 | 2019-09-11 |
| 1598313272 | Ryan Edward Shaw | Marriage & Family Therapist | 8910 Clairmont Mesa Blvd, San Diego, CA 92123 | 2019-08-27 |
| 1528611910 | Tanisha C Fulcher | Marriage & Family Therapist | 8825 Aero Dr., Ste 315, San Diago, CA 92123 | 2019-07-24 |
| 1245795665 | Robin James Pekin | Marriage & Family Therapist | 4450 Kearny Villa Rd, #116, San Diego, CA 92123 | 2019-02-11 |
| 1174093728 | Karen Vences | Counselor | 8755 Aero Dr Suite 230, San Diego, CA 92123 | 2018-11-27 |
| 1255808465 | Natasha Herrera | Counselor | 2801 Meadow Lark Dr, San Diego, San Diego, CA 92123 | 2018-10-25 |
| 1407321987 | Maneka Elikewela | Behavior Technician | 3934 Murphy Canyon Rd, Ste B202, San Diego, CA 92123 | 2018-10-10 |
| Find all providers in zip 92123 | ||||
| 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 |
|---|---|---|---|---|
| 1518567619 | Tarun Krishna Krothapalli | Pharmacist | 500 S Dr Ee Dunlap St Ste C, San Diego, TX 78384-3212 | 2020-10-28 |
| 1831702943 | Hoa Thi Huynh | Pharmacist | 4631 Mount Longs Dr, San Diego, CA 92117-3047 | 2020-08-28 |
| 1750999371 | Andrea D Nishimoto-macedo | Pharmacist | 8243 Westmore Rd, San Diego, CA 92126-2218 | 2020-07-20 |
| 1275141889 | Amina Duh | Pharmacist | 6405 Mira Mesa Blvd, San Diego, CA 92121-4147 | 2020-07-20 |
| 1891312104 | Rupangi Subhashchandra Patel | Pharmacist | 10892 Caminito Alvarez, San Diego, CA 92126-5808 | 2020-07-02 |
| 1700401403 | Sun-yong Park | Pharmacist | 11251 Paseo Montanoso Apt 153, San Diego, CA 92127-5933 | 2020-06-09 |
| 1861014359 | Ha Thanh Truong | Pharmacist | Rezcare, 3821 Calle Fortunada, San Diego, CA 92123 | 2020-05-07 |
| 1235760331 | Farah Alaziz | Pharmacist | 4153 University Ave, San Diego, CA 92105-1421 | 2020-01-28 |
| 1356980429 | Patricia Ann Walsh | Pharmacist | 6725 Mesa Ridge Rd Ste 230, San Diego, CA 92121-2925 | 2020-01-06 |
| 1003455262 | Jennifer Wang | Pharmacist | 12037 Mil Pitrero Rd, San Diego, CA 92128-5281 | 2020-01-04 |
| Find all providers in SAN DIEGO | ||||
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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.