DR. LIONEL VENTUS ISHIKAWA (NPI# 1922638774) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922638774 |
| Entity Type | Individual |
| Full Name | DR. LIONEL VENTUS ISHIKAWA |
| Credential | PHARMD |
| Practice Address |
330 Bon Air Ctr Greenbrae CA 94904-3017 |
| Practice Telephone | 4154619093 |
| Mailing Telephone | 4154619093 |
| Enumeration Date | 2020-01-21 |
| Last Update Date | 2020-03-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 81913 | CA | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | 57990 | FL | Pharmacy Service Providers |
| Street Address |
330 BON AIR CTR |
| City | GREENBRAE |
| State | CA |
| Zip Code | 94904-3017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376585182 | Longs Drug Stores California LLC | Pharmacy | 330 Bon Air Ctr, Greenbrae, CA 94904-3017 | 2006-06-13 |
| 1386259679 | Ronza Moutas Jamil Alamamreh | Pharmacist | 330 Bon Air Ctr, Greenbrae, CA 94904-3017 | 2020-09-13 |
| 1003435975 | Irving Chen | Pharmacist | 330 Bon Air Ctr, Greenbrae, CA 94904-3017 | 2020-04-10 |
| 1760016117 | Kate Malasig | Pharmacist | 330 Bon Air Ctr, Greenbrae, CA 94904-3017 | 2020-02-25 |
| 1245863869 | David Pham | Pharmacist | 330 Bon Air Ctr, Greenbrae, CA 94904-3017 | 2020-02-21 |
| 1609424878 | Nicole T. Vuong | Pharmacist | 330 Bon Air Ctr, Greenbrae, CA 94904-3017 | 2019-08-29 |
| 1346804796 | Bao C Nguyen | Pharmacist | 330 Bon Air Ctr, Greenbrae, CA 94904-3017 | 2019-04-30 |
| 1649834490 | Gurveen Bahia | Pharmacy | 330 Bon Air Ctr, Greenbrae, CA 94904-3017 | 2019-04-26 |
| 1326601832 | Stephanie Le | Pharmacist | 330 Bon Air Ctr, Greenbrae, CA 94904-3017 | 2019-04-19 |
| 1790259133 | Mark Chee | Pharmacy | 330 Bon Air Ctr, Greenbrae, CA 94904-3017 | 2019-01-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295382372 | Stacey Nicole Drew | Occupational Therapist | 4 Ash Ave, Unit 10, Kentfield, CA 94904 | 2019-08-22 |
| 1154781631 | Harvey Sparks | Specialist/Technologist, Other | 350 Bon Air, Ste 100, Greenbrae, CA 94904 | 2016-02-26 |
| 1396120481 | Tamena Potts | Counselor | 1109 Sir Francis Drake, Kentfield, CA 94904 | 2015-07-30 |
| 1598014763 | Rupali Ray Chaudhuri | Nurse Practitioner | 1341 S. Eliseo Dr, Suite 200, Greenbrae, CA 94904 | 2012-09-04 |
| 1326304809 | Lucy Yingxin Zhang | Ophthalmology | 900 S Eliseo Dr Ste 102, Greenbrae, CA 94904 | 2012-04-09 |
| 1396073185 | Bonnie Louise Hoag | Marriage & Family Therapist | 905 Sir Francis Drake Blvd., Ste. F., Kentfield, CA 94904 | 2009-12-07 |
| 1801043880 | Alexander Vogel Uihlein | Internal Medicine | 900 S Eliseo Dr Ste 201, Greenbrae, CA 94904 | 2008-08-21 |
| 1649426115 | Marilyn Thatcher | Psychologist | 1010 Sir Francis Drake Blve, Ste. 103, Kentfield, CA 94904 | 2008-08-14 |
| 1205007598 | Sir Francis Drake Dental | Dentist | 919 Sir Francis Drake Blvd, Kentfield, CA 94904 | 2008-03-14 |
| 1841401734 | Rishi K Wadhwa | Neurological Surgery | 1100 S Eliseo Dr Ste 1, Greenbrae, CA 94904 | 2007-05-24 |
| Find all providers in zip 94904 | ||||
| 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 |
|---|---|---|---|---|
| 1588270474 | Jonathan Nguyen Trinh | Pharmacist | 250 Bon Air Rd, Greenbrae, CA 94904-1702 | 2020-09-16 |
| 1386259679 | Ronza Moutas Jamil Alamamreh | Pharmacist | 330 Bon Air Ctr, Greenbrae, CA 94904-3017 | 2020-09-13 |
| 1003435975 | Irving Chen | Pharmacist | 330 Bon Air Ctr, Greenbrae, CA 94904-3017 | 2020-04-10 |
| 1760016117 | Kate Malasig | Pharmacist | 330 Bon Air Ctr, Greenbrae, CA 94904-3017 | 2020-02-25 |
| 1245863869 | David Pham | Pharmacist | 330 Bon Air Ctr, Greenbrae, CA 94904-3017 | 2020-02-21 |
| 1609424878 | Nicole T. Vuong | Pharmacist | 330 Bon Air Ctr, Greenbrae, CA 94904-3017 | 2019-08-29 |
| 1336705540 | Maneesha Priya Deo | Pharmacist | 250 Bon Air Rd, Greenbrae, CA 94904-1702 | 2019-05-13 |
| 1346804796 | Bao C Nguyen | Pharmacist | 330 Bon Air Ctr, Greenbrae, CA 94904-3017 | 2019-04-30 |
| 1326601832 | Stephanie Le | Pharmacist | 330 Bon Air Ctr, Greenbrae, CA 94904-3017 | 2019-04-19 |
| 1316450851 | Nancy Ma | Pharmacist | 330 Bon Air Ctr, Greenbrae, CA 94904-3017 | 2017-11-07 |
| Find all providers in GREENBRAE | ||||
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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.