DR. TRICIA MASAYE ISHIMOTO (NPI# 1811553159) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811553159 |
| Entity Type | Individual |
| Full Name | DR. TRICIA MASAYE ISHIMOTO |
| Credential | PHARMD |
| Practice Address |
3251 Stanford Ranch Rd Rocklin CA 95765-5553 |
| Mailing Address |
4040 Clubview Ct Rocklin CA 95765-5704 |
| Practice Telephone | 9164358711 |
| Mailing Telephone | 9167598708 |
| Enumeration Date | 2019-05-13 |
| Last Update Date | 2019-05-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 49234 | CA | Pharmacy Service Providers |
| Street Address |
3251 STANFORD RANCH RD |
| City | ROCKLIN |
| State | CA |
| Zip Code | 95765-5553 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003858820 | Longs Drug Stores California LLC | Durable Medical Equipment & Medical Supplies | 3251 Stanford Ranch Rd, Rocklin, CA 95765-5553 | 2006-06-13 |
| 1669037347 | Joshua Y Kim | Pharmacist | 3251 Stanford Ranch Rd, Rocklin, CA 95765-5553 | 2019-05-07 |
| 1285299685 | Ha Ngoc Tran | Pharmacist | 3251 Stanford Ranch Rd, Rocklin, CA 95765-5553 | 2019-05-01 |
| 1710413737 | Bryan Katuin | Pharmacist | 3251 Stanford Ranch Rd, Rocklin, CA 95765-5553 | 2017-05-11 |
| 1164957973 | Brian William Hinsey I | Pharmacist | 3251 Stanford Ranch Rd, Rocklin, CA 95765-5553 | 2017-04-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427537760 | Kristine Reymont | Case Manager/Care Coordinator | 2717 Fleet Circle, Rocklin, CA 95765 | 2018-08-08 |
| 1275063877 | Alicia Marie Yost-cardoza | Registered Nurse | 6459 Cormorant Cir, Rocklin, CA 95765 | 2017-06-15 |
| 1457769457 | Jacob Dean Kelly | Dentist | 5800 Stanford Ranch Rd Ste 900, Rocklin, CA 95765 | 2014-07-23 |
| 1124438270 | Denise L. Buchholz | Physical Therapist | 1924 Mckinley St, Rocklin, CA 95765 | 2014-04-29 |
| 1205198926 | Gay Lee Wilhelm | Registered Nurse | 5508 Rye Court, Rocklin, CA 95765 | 2012-06-08 |
| 1407147341 | Michael Knutson | Dentist | 6518 Lonetree Blvd # 1061, Rocklin, CA 95765 | 2011-04-26 |
| 1184922924 | Stephen S Taft V | Counselor | 6520 Lonetree Blvd # 120, Rocklin, CA 95765 | 2011-03-03 |
| 1326245143 | Susan Kathleen Smith | Counselor | 5402 Sandpiper Ct., Rocklin, CA 95765 | 2007-06-27 |
| 1790986057 | Rebound Rehab Physical Therapy, Inc. | Physical Therapist | 6526 Lonetree Blvd, Rocklin, CA 95765 | 2007-05-31 |
| 1184838351 | Darce Aaron Slate | Dentist | 6512 Lonetree Blvd., Suite # 100, Rocklin, CA 95765 | 2007-05-09 |
| Find all providers in zip 95765 | ||||
| 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 |
|---|---|---|---|---|
| 1700368339 | Nicole N Khatibi | Pharmacist | 5014 Jewel St Unit 1415, Rocklin, CA 95677-3263 | 2018-08-30 |
| 1871089078 | Dalia Mohsen Aziz Botros | Pharmacist | 1656 Strathmore Way, Rocklin, CA 95765-5488 | 2018-07-11 |
| 1609311992 | Brian Vu | Pharmacist | 4040 Clubview Ct, Rocklin, CA 95765-5704 | 2016-12-22 |
| 1467804948 | Ronald D'andrea | Pharmacist | 5842 Devon Dr, Rocklin, CA 95765-4962 | 2016-07-07 |
| 1881054385 | Espen Erlandsen | Pharmacist | 3300 Black Oak Dr, Rocklin, CA 95765-4640 | 2016-02-26 |
| 1437518271 | Yoonah Park Kim | Pharmacist | 2518 Meridian Way, Rocklin, CA 95765-4763 | 2016-02-22 |
| 1689049793 | Le Haller | Pharmacist | 6548 Powder Ridge Dr, Rocklin, CA 95765-5919 | 2015-12-01 |
| 1659743367 | Sora Yoon | Pharmacist | 2210 Plaza Dr, Suite 300, Rocklin, CA 95765-4405 | 2015-10-21 |
| 1396149159 | A Wong Jr. | Pharmacist | 5322 Thunder Ridge Cir, Rocklin, CA 95765-4841 | 2014-10-22 |
| 1912306069 | Kevin Han | Pharmacist | 5931 Moss Creek Ct, Rocklin, CA 95765-4207 | 2014-08-14 |
| Find all providers in ROCKLIN | ||||
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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.