MACHDANELLA HASIBUAN (NPI# 1912497736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912497736 |
| Entity Type | Individual |
| Full Name | MACHDANELLA HASIBUAN |
| Credential | PHARMD |
| Practice Address |
1333 N Mountain Ave Ontario CA 91762-1105 |
| Practice Telephone | 9093213172 |
| Mailing Telephone | 9093213172 |
| Enumeration Date | 2018-05-17 |
| Last Update Date | 2018-05-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RPH47700 | CA | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | BLUE CROSS BLUESHILD | WMW05780287W | 01 |
| Street Address |
1333 N MOUNTAIN AVE |
| City | ONTARIO |
| State | CA |
| Zip Code | 91762-1105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215346697 | Gerard Leong | Pharmacist | 1333 N Mountain Ave, Ontario, CA 91762-1105 | 2014-08-11 |
| 1184032971 | Joan Marie Ordonez | Pharmacist | 1333 N Mountain Ave, Ontario, CA 91762-1105 | 2014-07-24 |
| 1831524560 | Wal-mart Stores Inc | Technician/Technologist | 1333 N Mountain Ave, Ontario, CA 91762-1105 | 2013-09-12 |
| 1356773501 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 1333 N Mountain Ave, Ontario, CA 91762-1105 | 2013-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366093486 | Samantha Jo Brumfield | Nurse Practitioner | 5562 Central Avenue, Suite 300, Chino, CA 91762 | 2019-09-20 |
| 1215598578 | Janet Murphy | Behavior Technician | 1520 North Mountain Ave., Ste 206, Ontario, CA 91762 | 2019-06-26 |
| 1437717550 | Fjs Hearing Professionals | Hearing Instrument Specialist | 528 N Palm Ave, Ontario, CA 91762 | 2019-06-04 |
| 1669990768 | Claudia Juarez Tapia | Counselor | 125 W F Street, Ontario, CA 91762 | 2017-09-08 |
| 1093230468 | David Rayo | Respiratory Therapist, Registered | 805 W E St, Ontario, CA 91762 | 2017-08-07 |
| 1215475348 | Chinmay Patel | Physical Therapist | 910 S Mountain Avenue Unite A, Ontario, CA 91762 | 2017-02-09 |
| 1003265604 | Bambi Mpiana | Dentist | 1337 N Mountain Ave Ste 1, Ontario, CA 91762 | 2016-06-06 |
| 1548630940 | Ned Paniagua, Dmd A Professional Corporation | Dentist | 533 W. Holt Blvd., Suite B, Ontario, CA 91762 | 2015-09-29 |
| 1568865251 | Jennifer Estberg | Student in an Organized Health Care Education/Training Program | 317 W. F Street, Ontario, CA 91762 | 2014-10-08 |
| 1447660873 | Agha Zulfequar Hayder | Nurse Practitioner | 1001 West 6th Street, Suite B., Ontario, CA 91762 | 2014-05-07 |
| Find all providers in zip 91762 | ||||
| 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 |
|---|---|---|---|---|
| 1154920155 | Jonathan Clevenger | Pharmacist | 1455 North Lexington-springmill Road, Ontario, OH 44906 | 2020-10-21 |
| 1790250793 | Kevin Vannukul | Pharmacist | 4355 E Lowell St Ste C, Ontario, CA 91761-2225 | 2018-10-05 |
| 1902393390 | Michael Sehyun Park | Pharmacist | 2920 Inland Empire Blvd Ste 112, Ontario, CA 91764-6581 | 2018-04-20 |
| 1811431521 | Ehab-tawfik Monir Tawfik | Pharmacist | 1520 N Mountain Ave # B106, Ontario, CA 91762-1128 | 2016-12-14 |
| 1861856171 | Celerino Vargas | Pharmacist | 2238 S Euclid Ave Ste A, Ontario, CA 91762-6503 | 2016-04-12 |
| 1215308697 | Timothy Fung | Pharmacist | 2295 S Vineyard Ave # D, Ontario, CA 91761-7925 | 2015-10-12 |
| 1588057764 | Robin B Ujoodha | Pharmacist | 231 Clare Rd, Ontario, OH 44906-1363 | 2015-03-11 |
| 1013327824 | Cindy Younger | Pharmacist | 2543 Fairway Xing, Ontario, OH 44903-6508 | 2014-05-01 |
| 1588090328 | Catherine J Prieto-quan | Pharmacist | 1670 E 4th St, Ontario, CA 91764-2638 | 2013-09-25 |
| 1346676400 | Eric Headlee | Pharmacist | 1648 E Idaho Ave, Ontario, OR 97914-3008 | 2013-09-20 |
| Find all providers in ONTARIO | ||||
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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.