KENNETH ALAN WUDEL (NPI# 1871060087) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871060087 |
| Entity Type | Individual |
| Full Name | KENNETH ALAN WUDEL |
| Credential | PHARM D |
| Practice Address |
407 Main St. Delta Pharmacy Rio Vista CA 94571 |
| Mailing Address |
225 Applewood Dr. Lodi CA 95242 |
| Practice Telephone | 7073745135 |
| Practice Fax Number | 7073745408 |
| Mailing Telephone | 2093345499 |
| Mailing Fax Number | 7073745408 |
| Enumeration Date | 2018-10-25 |
| Last Update Date | 2018-10-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 30928 | CA | Pharmacy Service Providers |
| Street Address |
407 MAIN ST. DELTA PHARMACY |
| City | RIO VISTA |
| State | CA |
| Zip Code | 94571 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366960882 | Amber Huizenga | Student in an Organized Health Care Education/Training Program | 628 Montezuma Street, Rio Vista, CA 94571 | 2017-09-05 |
| 1598195315 | Paul Willem Bolle | Marriage & Family Therapist | 125 Sacramento Street, Rio Vista, CA 94571 | 2013-11-14 |
| 1023294410 | Gwen Cotter | Counselor | 393 Del Monte Drive, Rio Vista, CA 94571 | 2008-01-15 |
| 1891758629 | Raymond Wayne Donovan Jr. | Family Medicine | 417 Eagle Crest Way, Rio Vista, CA 94571 | 2006-04-11 |
| 1598277923 | Cynthia Ann Keith | Pharmacist | 407 Main St, Rio Vista, CA 94571 | 2017-10-25 |
| 1740898808 | Maribel Torres | Pharmacist | 310 Chardonnay Way, Rio Vista, CA 94571-1108 | 2020-07-15 |
| 1730390105 | Healthy Partnerships | Community/Behavioral Health | 1105 Airport Rd Ste A, Rio Vista, CA 94571-1267 | 2007-05-25 |
| 1033636287 | Briana Soladay | Psychologist | 501 Elm Way, Rio Vista, CA 94571-1303 | 2017-08-28 |
| 1649312174 | Delta Drug Company Inc | Pharmacy | 407 Main St, Rio Vista, CA 94571-1616 | 2007-02-12 |
| 1063637262 | Thomas Eugene Gong | Dentist | 533 Main St, Rio Vista, CA 94571-1618 | 2007-04-16 |
| Find all providers in zip 94571 | ||||
| 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 |
|---|---|---|---|---|
| 1740898808 | Maribel Torres | Pharmacist | 310 Chardonnay Way, Rio Vista, CA 94571-1108 | 2020-07-15 |
| 1598277923 | Cynthia Ann Keith | Pharmacist | 407 Main St, Rio Vista, CA 94571 | 2017-10-25 |
| 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 | ||||
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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.