DR. PHYLLIS DENISE BENNETT-MOBLEY (NPI# 1891944930) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891944930 |
| Entity Type | Individual |
| Full Name | DR. PHYLLIS DENISE BENNETT-MOBLEY |
| Credential | PHARM D |
| Practice Address |
7300 N Fresno St Fresno CA 93720-2941 |
| Practice Telephone | 5594483882 |
| Mailing Telephone | 5594483882 |
| Enumeration Date | 2008-09-12 |
| Last Update Date | 2008-09-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835X0200X |
Pharmacist Specialization: Oncology |
46953 | CA | Pharmacy Service Providers |
| Street Address |
7300 N FRESNO ST |
| City | FRESNO |
| State | CA |
| Zip Code | 93720-2941 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518948108 | Sanjay Kumar | Orthopaedic Surgery | 7300 N Fresno St, Fresno, CA 93720-2941 | 2005-11-10 |
| 1306452776 | Omar Hernandez Panuco | Pharmacist | 7300 N Fresno St, Fresno, CA 93720-2942 | 2020-09-21 |
| 1619582749 | Geoffrey Ian Setiawan Ong | Pharmacist | 7300 N Fresno St, Fresno, CA 93720-2942 | 2020-09-15 |
| 1487268967 | Juliet Regis Vista | Clinical Nurse Specialist | 7300 N Fresno St, Fresno, CA 93720-2942 | 2020-09-02 |
| 1497367452 | Pouran Etezadi | Dietitian, Registered | 7300 N Fresno St, Fresno, CA 93720-2941 | 2020-08-20 |
| 1699390161 | Monica D Gomez | Speech-Language Pathologist | 7300 N Fresno St, Fresno, CA 93720-2941 | 2020-06-10 |
| 1497395271 | An Hong Pham | Pharmacist | 7300 N Fresno St, Fresno, CA 93720-2941 | 2020-01-09 |
| 1861033896 | Krystal Pombo | Registered Nurse | 7300 N Fresno St, Fresno, CA 93720-2941 | 2019-10-01 |
| 1780157735 | Britton John Ulmer | Respiratory Therapist, Registered | 7300 N Fresno St, Fresno, CA 93720-2941 | 2019-01-02 |
| 1346713336 | Mijeong Kim | Pharmacist | 7300 N Fresno St, Fresno, CA 93720-2941 | 2019-01-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366061129 | Ariel Lok Yen Leung | Student in an Organized Health Care Education/Training Program | 1313 East Herndon Ave, St 105, Fresno, CA 93720 | 2020-04-13 |
| 1457992513 | Brittany Nichole Willis | Audiologist | 1351 E Spruce Ave Ste 130, Fresno, CA 93720 | 2019-09-30 |
| 1013567668 | Taylor Courteney Cox | Physical Therapist | 7080 N. Maple Ave #101, Fresno, CA 93720 | 2019-09-16 |
| 1457909152 | Lillian M Augilera | Technician | 8419 N Dearing Ave, Fresno, CA 93720 | 2019-08-27 |
| 1215581764 | Sterling Hospitalist Medical Group, Inc. | Clinic/Center | 1191 E. Herndon Avenue Suite 103, Fresno, CA 93720 | 2019-08-01 |
| 1376006429 | Nancy Minh Thao Dang | Student in an Organized Health Care Education/Training Program | 1313 E. Herndon Ave, St 105, Fresno, CA 93720 | 2019-04-06 |
| 1366904716 | Shankar Nair | Student in an Organized Health Care Education/Training Program | 1313 E. Herndon Ave, St 105., Fresno, CA 93720 | 2019-04-04 |
| 1861979544 | Powell Pediatric Dentistry Chestnut Partnership | Dentist | 7005 N. Chestnut Ave Ste 101, Fresno, CA 93720 | 2018-07-25 |
| 1669967311 | Sierra Pacific Orthopaedic Center Medical Group Inc | Specialist | 1270 E. Spruce, Fresno, CA 93720 | 2018-06-26 |
| 1689168700 | Vinita Vishnoi | Student in an Organized Health Care Education/Training Program | 1313 E. Herndon Ave, St 105, Fresno, CA 93720 | 2018-06-21 |
| Find all providers in zip 93720 | ||||
| Taxonomy Code | 1835X0200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Oncology |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in developing, recommending, implementing, monitoring, and modifying pharmacotherapeutic plans to optimize outcomes in patients with malignant diseases. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841718483 | Elle Eunyounglee Kim | Pharmacist | 7300 N Fresno St, Fresno, CA 93720 | 2017-09-05 |
| 1912420506 | Khuyen Kieu Le | Pharmacist | 7300 N Fresno St, Fresno, CA 93720-2941 | 2017-07-25 |
| 1497807945 | Jeffrey K. Shinoda, Pharm.d., Inc. | Pharmacist | 6121 N Thesta St, Ste 204, Fresno, CA 93710-5294 | 2007-01-17 |
| 1780757807 | Randolph Louis Dockum | Pharmacist | 7300 N Fresno St, Palm 3 Oncology, Fresno, CA 93720-2941 | 2006-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639790736 | Angela Dawn Johnston Willis | Pharmacist | 1825 4th St # M3262a, San Francisco, CA 94143-2350 | 2020-04-29 |
| 1316568413 | Jean Doh | Pharmacist | 29323 Fountainwood St, Agoura Hills, CA 91301-4105 | 2020-04-29 |
| 1205457660 | Rami Elattar | Pharmacist | 850 Fair Oaks Ave Ste 300, Arroyo Grande, CA 93420-3929 | 2020-04-27 |
| 1902442908 | Forrest N Ridgway | Pharmacist | 3855 Health Sciences Drive #0845, La Jolla, CA 92093 | 2019-11-25 |
| 1497309033 | Ibrahim Lala | Pharmacist | 181 S. Buena Vista St, Burbank, CA 91505 | 2019-08-01 |
| 1518528587 | Jennie Kittipha | Pharmacist | 9090 Wilshire Blvd # 250, Beverly Hills, CA 90211-1848 | 2019-06-21 |
| 1932767977 | Crystal Leung | Pharmacist | 9090 Wilshire Blvd Ste 250, Beverly Hills, CA 90211-1848 | 2019-06-04 |
| 1639625353 | Eunah Cho | Pharmacist | 52 Skytop St Apt 581, San Jose, CA 95134-2330 | 2016-09-01 |
| 1740644533 | Vivian Loo | Pharmacist | 355 Berry St Apt 451, San Francisco, CA 94158-1583 | 2016-04-07 |
| 1851752349 | Minhdai Thi Nguyen | Pharmacist | 506 Toyon Ln, Vacaville, CA 95687-3487 | 2016-03-11 |
| 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.