CHETTRA SO PRUM (NPI# 1790294395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790294395 |
| Entity Type | Individual |
| Full Name | CHETTRA SO PRUM |
| Practice Address |
6477 Almaden Expy San Jose CA 95120-2902 |
| Practice Telephone | 4085505547 |
| Enumeration Date | 2017-09-26 |
| Last Update Date | 2017-09-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 77373 | CA | Pharmacy Service Providers |
| Street Address |
6477 ALMADEN EXPY |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95120-2902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710916739 | Safeway Inc | Pharmacy | 6477 Almaden Expy, San Jose, CA 95120-2902 | 2006-07-02 |
| 1679068233 | Anisha Menezes | Pharmacist | 6477 Almaden Expy, San Jose, CA 95120-2902 | 2018-06-26 |
| 1841563343 | Judy Luu | Pharmacist | 6477 Almaden Expy, San Jose, CA 95120-2902 | 2012-02-14 |
| 1346540655 | Thanh Huu Doan | Pharmacist | 6477 Almaden Expy, San Jose, CA 95120-2902 | 2010-11-02 |
| 1144520214 | Sheila Cummings | Pharmacist | 6477 Almaden Expy, San Jose, CA 95120-2902 | 2010-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386117554 | Karen Patterson | Speech-Language Pathologist | 6052 Cecala Dr, San Jose, CA 95120 | 2019-01-09 |
| 1881116705 | Geetha M Narayanan | Marriage & Family Therapist | 1051 Mountain Shadows Road, San Jose, CA 95120 | 2017-07-12 |
| 1164849592 | Vicente Ceja | Physical Therapist | 6155 Almaden Expy., # 150, San Jose, CA 95120 | 2014-03-24 |
| 1881018562 | Kirsten Cooper | Acupuncturist | 6055 Meridian Ave Ste 30, San Jose, CA 95120 | 2014-02-14 |
| 1699034587 | Mahboobe Ahmadi | Speech-Language Pathologist | 6554 Mcabee Rd., San Jose, CA 95120 | 2012-05-11 |
| 1679860142 | Nicole L Lewis | Family Medicine | 6475 Camden Ave Ste 105, San Jose, CA 95120 | 2011-07-06 |
| 1659677243 | Sundus Ali | Pediatrics | 6489 Camden Ave Ste 102, San Jose, CA 95120 | 2011-01-31 |
| 1851513659 | Abir Tadros | Dentist | 1041 Mazzone Dr., San Jose, CA 95120 | 2007-05-02 |
| 1053472365 | Clara Nancy Andirious | Dentist | 6472 Camden Ave., Suite 100, San Jose, CA 95120 | 2006-12-12 |
| 1104922384 | Timothy Tuan Lai | Dentist | 5945 Almaden Expressway, Suite #160, San Jose, CA 95120 | 2006-09-15 |
| Find all providers in zip 95120 | ||||
| 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 |
|---|---|---|---|---|
| 1831714427 | Camille Tran | Pharmacist | 2251 Bellington Ct, San Jose, CA 95138-2469 | 2020-06-10 |
| 1194340604 | Tan Vu | Pharmacist | 4643 Park Norton Pl, San Jose, CA 95136-2523 | 2020-06-10 |
| 1356970974 | Viet Quoc Bui | Pharmacist | 2451 S King Rd Ste A1, San Jose, CA 95122-2540 | 2020-04-06 |
| 1063041903 | Tam Minh To | Pharmacist | 307 Checkers Dr Apt 203, San Jose, CA 95133-2254 | 2020-04-03 |
| 1336777598 | Tina Marie Trinh | Pharmacist | 2707 Glen Loman Way, San Jose, CA 95148-4128 | 2020-03-31 |
| 1487285011 | Nanxi Tang | Pharmacist | 5517 Leigh Ave, San Jose, CA 95124-6128 | 2020-02-02 |
| 1609407410 | Kuan Pei Wu | Pharmacist | 2953 Leigh Ave, San Jose, CA 95124-1635 | 2020-01-30 |
| 1982243135 | Elizabeth Vo | Pharmacist | 3091 Mattos Ave, San Jose, CA 95132-1741 | 2020-01-04 |
| 1093354961 | Truong Thinh Le Thiem | Pharmacist | 1275 Cathay Dr, San Jose, CA 95122-1906 | 2019-12-24 |
| 1306484811 | Tiana Truong | Pharmacist | 2955 Senter Rd Ste 55, San Jose, CA 95111-1200 | 2019-12-16 |
| Find all providers in SAN JOSE | ||||
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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.