FERDOUS MOLLAI MEHRJERDI (NPI# 1932763273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932763273 |
| Entity Type | Individual |
| Full Name | FERDOUS MOLLAI MEHRJERDI |
| Other Name | PHOEBE MOLLAI MEHRJERDI |
| Credential | RPH |
| Practice Address |
463 Stony Point Rd Santa Rosa CA 95401-5900 |
| Practice Telephone | 7075267523 |
| Practice Fax Number | 7075263756 |
| Mailing Telephone | 7075267523 |
| Mailing Fax Number | 7075263756 |
| Enumeration Date | 2019-04-23 |
| Last Update Date | 2019-04-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 51445 | CA | Pharmacy Service Providers |
| Street Address |
463 STONY POINT RD |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95401-5900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659313468 | Longs Drug Stores California LLC | Pharmacy | 463 Stony Point Rd, Santa Rosa, CA 95401-5900 | 2006-06-13 |
| 1063076404 | Maurice Welker | Pharmacist | 463 Stony Point Rd, Santa Rosa, CA 95401-5900 | 2019-04-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972148575 | Megan Elizabeth Jones | In Home Supportive Care | 1239 Eardley Ave, Santa Rosa, CA 95401 | 2019-11-07 |
| 1801447230 | Patty Macisaac | Technician | 3221 Oak Farm Lane, Santa Rosa, CA 95401 | 2019-09-26 |
| 1386114981 | Victoria Maria Guillory | Dental Hygienist | 140 Stony Point Road, Suite A, Santa Rosa, CA 95401 | 2018-11-27 |
| 1811470727 | Chemarin Eve Boyd | Student in an Organized Health Care Education/Training Program | 1260 N Dutton Avenue, 225, Santa Rosa, CA 95401 | 2018-09-07 |
| 1073008181 | Cristavel Camacho | Behavioral Analyst | 1439 Range Ave, #101, Santa Rosa, CA 95401 | 2018-06-30 |
| 1619479102 | Victoria King | Behavior Technician | 1335 N. Dutton Ave., Santa Rosa, CA 95401 | 2018-03-01 |
| 1114436060 | Lacey Lynn Palmer | Counselor | 341 Irwin Lane, Santa Rosa, CA 95401 | 2017-09-22 |
| 1720530587 | Compassionate Homecare Solutions, LLC | In Home Supportive Care | 131 A Stony Circle, Suite 500, Santa Rosa, CA 95401 | 2016-10-27 |
| 1366998981 | William Glenn | Marriage & Family Therapist | 1496 Willowside Road, Santa Rosa, CA 95401 | 2016-09-01 |
| 1790144046 | Advocacy Home Nursing, Inc | Home Health | 1400 North Dutton Avenue, Suite 20, Santa Rosa, CA 95401 | 2016-02-15 |
| Find all providers in zip 95401 | ||||
| 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 |
|---|---|---|---|---|
| 1154939205 | Stephine Ann Golik | Pharmacist | 333 Green Field Cir, Santa Rosa, CA 95409-6106 | 2020-07-15 |
| 1033774187 | Jamie Yeung | Pharmacist | 955 Stony Point Rd, Santa Rosa, CA 95407-7129 | 2019-05-03 |
| 1396234068 | Julie Glassmaker | Pharmacist | 915 Village Ct, Santa Rosa, CA 95405-6759 | 2018-05-08 |
| 1588165518 | Eric Robert Dehner | Pharmacist | 1418 Range Ave Apt 205, Santa Rosa, CA 95401-8901 | 2018-02-25 |
| 1306360599 | Farnaz Kazerooni | Pharmacist | 4659 Quigg Dr Apt 750, Santa Rosa, CA 95409-8310 | 2017-07-28 |
| 1891219275 | Emily Deeann Richards | Pharmacist | 2807 Yulupa Ave Apt 33, Santa Rosa, CA 95405-8637 | 2017-07-27 |
| 1932629730 | Je Hoon Jung | Pharmacist | 4145 Shadow Ln Apt 713, Santa Rosa, CA 95405-5257 | 2017-06-22 |
| 1750814968 | John Frey Jr. | Pharmacist | 1785 S Wright Rd, Santa Rosa, CA 95407-7364 | 2017-04-05 |
| 1679013940 | Dan Nguyen | Pharmacist | 401 Bicentennial Way, Mob 1, 1 St Floor Pharmacy, Santa Rosa, CA 95403-2149 | 2017-03-06 |
| 1740731678 | Phoua Diane Vang | Pharmacist | 1002 Jennings Ave, Apt 208, Santa Rosa, CA 95401-4293 | 2016-10-14 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 95401 |
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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.