HIEU THI THANH NGUYEN BOULOM (NPI# 1811403603) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811403603 |
| Entity Type | Individual |
| Full Name | HIEU THI THANH NGUYEN BOULOM |
| Other Name | HIEU THI THANH NGUYEN |
| Credential | PHARMACIST |
| Practice Address |
2810 Freedom Blvd Watsonview CA 95076 |
| Mailing Address |
1810 Freedom Blvd Watsonview CA 95076 |
| Practice Telephone | 8317660183 |
| Mailing Telephone | 8317660183 |
| Enumeration Date | 2017-12-16 |
| Last Update Date | 2018-01-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 77146 | CA | Pharmacy Service Providers |
| Street Address |
2810 FREEDOM BLVD |
| City | WATSONVIEW |
| State | CA |
| Zip Code | 95076 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841757515 | Vicky E Gonzalez | Case Manager/Care Coordinator | 2714 Freedom Blvrd, Watsonville, CA 95076 | 2019-02-28 |
| 1861987059 | Encompass Community Services | Community/Behavioral Health | 2714 Freedom Blvd., Freedom, CA 95076 | 2018-06-29 |
| 1134617798 | Haven of Hope, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 107 Pauline Dr, Watsonville, CA 95076 | 2018-04-28 |
| 1346743911 | Kathleen Long | Physician Assistant | 2468, 75 Nielson St, Watsonville, CA 95076 | 2018-03-09 |
| 1649798398 | Jonathon Rank | Counselor | 335 East Lake Ave, Watsonville, CA 95076 | 2017-09-01 |
| 1841653318 | Cristina Guzman | Registered Nurse | 195 Aviation Way, Ste 200, Watsonville, CA 95076 | 2016-04-01 |
| 1013388974 | Salud Para La Gente | Clinic/Center | 195 Aviation Way, Suite 200, Watsonville, CA 95076 | 2015-10-16 |
| 1386025757 | Yaseer Yousuf Parupia | Podiatrist | 47 Penny Lane, Suite 1, Watsonville, CA 95076 | 2015-06-11 |
| 1093100935 | Diana Perezchica | Counselor | 20716 Freedom Blv, Watsonville, CA 95076 | 2015-03-30 |
| 1083006597 | Raffaella Bianchi-allen | Marriage & Family Therapist | 113 E Lake Ave, Watsonville, CA 95076 | 2015-02-21 |
| Find all providers in zip 95076 | ||||
| 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 |
|---|---|---|---|---|
| 1356942023 | Kevin Thach Le | Pharmacist | 610 San Gabriel Ave Apt B, Albany, CA 94706-1469 | 2020-11-08 |
| 1902407836 | Christina Tochau Nguyen | Pharmacist | 5219 Rainwood St, Simi Valley, CA 93063-5019 | 2020-11-06 |
| 1487255626 | Olakitan Adegbesan | Pharmacist | 1525 254th St, Harbor City, CA 90710-2716 | 2020-11-04 |
| 1043811516 | Anthony Luu | Pharmacist | 22231 Hazel Crst, Mission Viejo, CA 92692-1086 | 2020-11-02 |
| 1780284315 | Sally Berresse | Pharmacist | 21921 Long Trot Dr, Escondido, CA 92029-5936 | 2020-11-01 |
| 1306446935 | Ryan Tran | Pharmacist | 81875 Avenue 48 Apt 171, Indio, CA 92201-6720 | 2020-11-01 |
| 1003416686 | Marleyna Daughters | Pharmacist | 25 Saint Paul Ln, Laguna Niguel, CA 92677-9374 | 2020-10-31 |
| 1740880772 | Lori Ann Vrabel | Pharmacist | 17 Del Rio Ct, Saint Helena, CA 94574-1246 | 2020-10-28 |
| 1508466806 | Denise Yeung | Pharmacist | 2571 Evergreen Dr, San Bruno, CA 94066-1715 | 2020-10-27 |
| 1588264915 | Christina Thanh Nguyen | Pharmacist | 1810 W Moore Ave, Santa Ana, CA 92704-6131 | 2020-10-26 |
| Find all providers with the same taxonomy | ||||
| City | WATSONVIEW |
| Zip Code | 95076 |
Please comment or provide details below to improve the information on HIEU THI THANH NGUYEN BOULOM.
| 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.