DR. TINA ISHIDA (NPI# 1811391253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811391253 |
| Entity Type | Individual |
| Full Name | DR. TINA ISHIDA |
| Credential | PHARM.D. |
| Practice Address |
4665 Business Center Dr Fairfield CA 94534-1675 |
| Practice Telephone | 7074197908 |
| Practice Fax Number | 7078634330 |
| Mailing Telephone | 7074197908 |
| Mailing Fax Number | 7078634330 |
| Enumeration Date | 2014-10-14 |
| Last Update Date | 2014-10-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
RPH38963 | CA | Pharmacy Service Providers |
| Street Address |
4665 BUSINESS CENTER DR |
| City | FAIRFIELD |
| State | CA |
| Zip Code | 94534-1675 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831277722 | Richard Lewis Fleming | Internal Medicine | 4665 Business Center Dr, Fairfield, CA 94534-1675 | 2006-11-01 |
| 1376158733 | Jenni Lynn Mace | Social Worker | 4665 Business Center Dr, Fairfield, CA 94534-1675 | 2020-09-12 |
| 1891231825 | Andrew Mark Glickstein | Internal Medicine | 4665 Business Center Dr, Fairfield, CA 94534-1675 | 2017-01-14 |
| 1811380629 | Lynette Rey | Pharmacist | 4665 Business Center Dr, Fairfield, CA 94534-1675 | 2015-03-18 |
| 1750675120 | Viral D Patel | Pharmacist | 4665 Business Center Dr, Pharmacy Services Department, Fairfield, CA 94534-1675 | 2011-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558922187 | Solano County Superintendent of Schools | Marriage & Family Therapist | 5100 Business Center Drive, Fairfield, CA 94534 | 2019-06-25 |
| 1205312436 | John Will Hubbard Iv | Behavioral Analyst | 3426 Glen Ellen Dr, Fairfield, CA 94534 | 2018-07-11 |
| 1508358003 | Advent Healthcare Services LLC | Hospice Care, Community Based | 1300 Oliver Rd Ste 350, Fairfield, CA 94534 | 2018-05-31 |
| 1447770268 | Nicole Valentine | Social Worker | 1300 Oliver Rd., 193, Fairfield, CA 94534 | 2017-06-22 |
| 1700339843 | Lap of Love | Point of Service | 3286 Inwood Place, Fairfield, CA 94534 | 2016-07-25 |
| 1013398577 | Paul Severino Bright | Marriage & Family Therapist | 1771 Barton Dr, Fairfield, CA 94534 | 2015-06-10 |
| 1376920264 | Darshan Patel | Internal Medicine | 4520 Business Center Dr, Fairfield, CA 94534 | 2015-04-30 |
| 1972906048 | Kathleen Therese Omeara | Psychologist | 4416 Starflower Ct., Fairfield, CA 94534 | 2014-10-03 |
| 1689090391 | Solano Diagnostics Imaging Medical Group | Radiology | 4500 Business Center Drive, Fairfield, CA 94534 | 2014-03-06 |
| 1174953368 | Alice Lane Therrell | Registered Nurse | 4160 Suisun Valley Rd #132, Fairfield, CA 94534 | 2013-11-25 |
| Find all providers in zip 94534 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710310602 | Kevin James Bowers | Pharmacist | 15 Pinehurst Ct, Fairfield, OH 45014-4791 | 2013-08-14 |
| 1174873491 | Philip P Le | Pharmacist | 1200 B. Gale Wilson Blvd, Fairfield, CA 94533 | 2012-09-13 |
| 1336740802 | James Charles Taylor | Pharmacist | 2000 Commerce Dr, Fairfield, IL 62837-2363 | 2020-11-02 |
| 1710398771 | Faisal Syed | Pharmacist | 180 Passaic Ave, Fairfield, NJ 07004-3516 | 2014-05-13 |
| 1669719274 | Jerry Frank Gonzales | Pharmacist | 1200 B Gale Wilson Blvd, Fairfield, CA 94533-3552 | 2013-01-16 |
| 1558649434 | Leslie Carol Manor | Pharmacist | 4865 Dixie Hwy, Fairfield, OH 45014-1932 | 2011-07-26 |
| 1457596983 | John Edwin Roney | Pharmacist | 3000 Mack Rd, Fairfield, OH 45014-5335 | 2008-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376142430 | Daria Mohazzab Hosseinian | Pharmacist | 450 E Spring St Ste 11, Long Beach, CA 90806-1625 | 2020-10-20 |
| 1235745100 | Ngoc Tran | Pharmacist | 10371 Luders Ave, Garden Grove, CA 92843-3213 | 2020-09-16 |
| 1275143752 | Sherine Ann Legge | Pharmacist | 17 Westchester Ct, Trabuco Canyon, CA 92679-4955 | 2020-08-09 |
| 1922618412 | Ashley Keane Hayes | Pharmacist | 6551 E El Pulcro St, Long Beach, CA 90815-2302 | 2020-08-09 |
| 1750991543 | Priyankumar Arvind Patel | Pharmacist | 2339 S G St, Fresno, CA 93721-3425 | 2020-08-05 |
| 1912521261 | Sharon Jung | Pharmacist | 851 Langholm Way, Riverside, CA 92508-6075 | 2020-06-02 |
| 1710500376 | Christine Nguyen | Pharmacist | 2248 E Nyon Ave, Anaheim, CA 92806-4634 | 2020-05-18 |
| 1134740582 | Cj3m Corporation | Pharmacist | 2626 El Camino Real Ste A, Carlsbad, CA 92008-1253 | 2020-04-27 |
| 1629607775 | Tiffany Chang | Pharmacist | 213 Quarry Rd Rm 2726a, Palo Alto, CA 94304-1416 | 2020-04-01 |
| 1124655782 | Noor Mikhail | Pharmacist | 220 W Main St Ste 102, El Cajon, CA 92020-3462 | 2020-03-24 |
| Find all providers with the same taxonomy | ||||
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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.