LISA MICHELE BROCKMAN (NPI# 1891023099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891023099 |
| Entity Type | Individual |
| Full Name | LISA MICHELE BROCKMAN |
| Credential | RPH |
| Practice Address |
6302 Fairmont Pkwy Pasadena TX 77505-4219 |
| Practice Telephone | 2819987416 |
| Practice Fax Number | 2819989617 |
| Mailing Telephone | 2819987416 |
| Mailing Fax Number | 2819989617 |
| Enumeration Date | 2009-11-27 |
| Last Update Date | 2009-11-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 23533 | TX | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063417798 | Lisa A Brockman | Internal Medicine | 3820 Martin Luther King Jr Blvd, Lynwood, CA 90262-3625 | 2005-06-17 |
| Street Address |
6302 FAIRMONT PKWY |
| City | PASADENA |
| State | TX |
| Zip Code | 77505-4219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588679567 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 6302 Fairmont Pkwy, Pasadena, TX 77505-4219 | 2006-07-29 |
| 1982215810 | Nnamdiebere Joseph Ekeada | Pharmacist | 6302 Fairmont Pkwy, Pasadena, TX 77505-4219 | 2020-08-13 |
| 1841808508 | Kayla Tran Mai | Pharmacist | 6302 Fairmont Pkwy, Pasadena, TX 77505-4219 | 2020-07-20 |
| 1821516501 | Shireen Arianna Ashouri | Pharmacist | 6302 Fairmont Pkwy, Pasadena, TX 77505-4219 | 2017-09-01 |
| 1306175047 | Gail Lenore Danner | Pharmacist | 6302 Fairmont Pkwy, Pasadena, TX 77505-4219 | 2009-12-08 |
| 1891023370 | Judy Darlene Stevenson | Pharmacist | 6302 Fairmont Pkwy, Pasadena, TX 77505-4219 | 2009-11-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316545742 | Travis Jones | Pharmacist | 6767 Spencer Highway, Pasadena, TX 77505 | 2020-10-16 |
| 1952872905 | Bay Area Internal Medicine Care Pllc | Internal Medicine | Baywood Crossing Rehabilitation and Healthcare Center, 5020 Space Center Blvd., Pasadena, TX 77505 | 2018-12-16 |
| 1750851325 | Leslie Jackson | Nurse Practitioner | 7106 Spencer Highway, Pasadena, TX 77505 | 2018-11-27 |
| 1093297459 | Hieu Ngoc Minh Hutt | Occupational Therapy Assistant | 4900 East Sam Houston Pkwy S, Pasadena, TX 77505 | 2018-09-02 |
| 1780189142 | Basewave Properties, Pllc | Psychiatry & Neurology | 4808 Fairmont Pkwy, #404, Pasadena, TX 77505 | 2018-03-28 |
| 1720596141 | Lyanne Marlen Fernandez | Specialist/Technologist | 6565 Spencer Hwy Apt 1114, Pasadena, TX 77505 | 2018-01-19 |
| 1073069811 | Sng - Pasadena Dialysis Center Lp | Clinic/Center | 5040 Crenshaw Rd, Ste 200, Pasadena, TX 77505 | 2016-08-31 |
| 1235683418 | Sharon Li | Nurse Practitioner | 4001 Preston Rd #100, Pasadena, TX 77505 | 2016-08-05 |
| 1225493687 | Skkz, Inc. | Clinic/Center | 6415 Fairmont Pkwy, Ste A, Pasadena, TX 77505 | 2015-12-29 |
| 1982026530 | Aerocare Home Medical, Inc. | Durable Medical Equipment & Medical Supplies | 5041 Spencer Hwy, Suite 603, Pasadena, TX 77505 | 2014-01-16 |
| Find all providers in zip 77505 | ||||
| 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 |
|---|---|---|---|---|
| 1740889211 | Hyunji Lee | Pharmacist | 8107 Governor Ritchie Highway, Pasadena, MD 21122 | 2020-10-25 |
| 1619576618 | Phuong Ha | Pharmacist | 8107 Ritchie Hwy, Pasadena, MD 21122-6917 | 2020-10-21 |
| 1164031167 | Vivian Chu I | Pharmacist | 3160 E Del Mar Blvd # 100, Pasadena, CA 91107-4649 | 2020-07-26 |
| 1013557115 | Cindy Phun | Pharmacist | 3383 E Foothill Blvd, Pasadena, CA 91107 | 2020-01-07 |
| 1215575063 | Avedis Sarkisian | Pharmacist | 1855 N Fair Oaks Ave # 2, Pasadena, CA 91103-1620 | 2019-12-11 |
| 1508320466 | Minsun Shin | Pharmacist | 43 Harkness Ave # 2, Pasadena, CA 91106-2004 | 2019-01-24 |
| 1881161974 | Antranig Kaprielian | Pharmacist | 2445 E Del Mar Blvd Apt 402, Pasadena, CA 91107-6110 | 2018-10-27 |
| 1518453794 | Ma Fatima Paguio | Pharmacist | 139 S Los Robles Ave Unit 103, Pasadena, CA 91101-2488 | 2018-07-10 |
| 1891285110 | Michelle Birmingham | Pharmacist | 847 N Mar Vista Ave, Pasadena, CA 91104-4659 | 2018-05-11 |
| 1851890719 | Deborah Bodnar | Pharmacist | 8241 Bayside Dr, Pasadena, MD 21122-5703 | 2018-02-06 |
| Find all providers in PASADENA | ||||
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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.