DANE VAN LIZZEN (NPI# 1942710751) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942710751 |
| Entity Type | Individual |
| Full Name | DANE VAN LIZZEN |
| Credential | PHARM.D |
| Practice Address |
8125 Fletcher Pkwy La Mesa CA 91942-2934 |
| Practice Telephone | 6196678520 |
| Mailing Telephone | 6196678520 |
| Enumeration Date | 2017-10-06 |
| Last Update Date | 2019-01-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 77232 | CA | Pharmacy Service Providers |
| Street Address |
8125 FLETCHER PKWY |
| City | LA MESA |
| State | CA |
| Zip Code | 91942-2934 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598875197 | Costco Wholesale Corporation | Pharmacy | 8125 Fletcher Pkwy, La Mesa, CA 91942 | 2006-08-30 |
| 1861885089 | Costco Wholesale Corporation | Hearing Aid Equipment | 8125 Fletcher Pkwy, La Mesa, CA 91942-2934 | 2015-03-12 |
| 1073903118 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 8125 Fletcher Pkwy, La Mesa, CA 91942-2934 | 2015-01-28 |
| 1265876395 | Kara Young | Pharmacist | 8125 Fletcher Pkwy, La Mesa, CA 91942-2934 | 2013-04-19 |
| 1619235991 | Kathryn Leigh Wilkins | Pharmacist | 8125 Fletcher Pkwy, La Mesa, CA 91942-2934 | 2012-04-24 |
| 1922373414 | Donica Thi Lukas | Pharmacist | 8125 Fletcher Pkwy, La Mesa, CA 91942-2934 | 2012-03-15 |
| 1194881383 | Dave Serafico Perey | Optometrist | 8125 Fletcher Pkwy, La Mesa, CA 91942-2934 | 2006-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902453723 | Nicole V Zappelli | Case Manager/Care Coordinator | 4990 William Ave., La Mesa, CA 91942 | 2019-08-26 |
| 1770059834 | Natalie Ngoc Nguyen | Physician Assistant | 5555 Grosmont Center Dr., La Mesa, CA 91942 | 2018-10-16 |
| 1194204297 | Courtney Pietsch | Nurse Practitioner | 8851 Health Center Circle, Suite #603, La Mesa, CA 91942 | 2018-08-09 |
| 1295214773 | Megan Gordon | Behavior Technician | 6116 Horton Dr, La Mesa, CA 91942 | 2018-08-07 |
| 1356836548 | Kimberly Denise Davis | Counselor | 3845 Avocado School Road, El Cajon, CA 91942 | 2018-06-29 |
| 1366932113 | Melanie Joyce Shepard | Physician Assistant | 7051 Alvarado Road, Suite 201, La Mesa, CA 91942 | 2018-05-17 |
| 1871013532 | Low Dental, A.p.c. | Public Health or Welfare | 7872 La Mesa Blvd., La Mesa, CA 91942 | 2017-06-23 |
| 1275069437 | Ardel Ayala | Respiratory Therapist, Registered | 5800 Lake Murray Blvd. Unit 15, La Mesa, CA 91942 | 2017-05-10 |
| 1285007583 | Counseling & Behavioral Specialists | Marriage & Family Therapist | 5520 Wellesley Street, Ste 204, La Mesa, CA 91942 | 2015-11-09 |
| 1285001875 | Emily Shozaki Rizo | Nurse Practitioner | 6285 Meadowcrest Drive, La Mesa, CA 91942 | 2015-08-31 |
| Find all providers in zip 91942 | ||||
| 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 |
|---|---|---|---|---|
| 1477954345 | Anne Huynh | Pharmacist | 6771 Alamo Ct, La Mesa, CA 91942-5876 | 2014-09-10 |
| 1821407107 | Gary Fong | Pharmacist | 8820 Grossmont Blvd, La Mesa, CA 91942-9027 | 2014-08-12 |
| 1730592122 | Fatima Hamade | Pharmacist | 3835 Avocado Blvd Ste 100, La Mesa, CA 91941-7383 | 2014-06-04 |
| 1124456744 | Yi Chang | Pharmacist | 5025 Thorne Dr, La Mesa, CA 91942-8113 | 2013-10-16 |
| 1932497542 | Elizabeth Keesey Babb | Pharmacist | 8010 Parkway Drive, La Mesa, CA 91942 | 2011-07-16 |
| 1801061874 | Zachary Nadel | Pharmacist | 4228 Summit Dr, La Mesa, CA 91941-7841 | 2008-04-29 |
| 1427187806 | Amy S. Buesing | Pharmacist | 15395 S Highway 28, La Mesa, NM 88044-9410 | 2007-03-03 |
| 1114015062 | Kristin Leigh Patrick | Pharmacist | 8010 Parkway Dr, La Mesa, CA 91942-2104 | 2006-10-10 |
| 1982676748 | Cynthia Pham | Pharmacist | 3727 Citrus St, La Mesa, CA 91941-7610 | 2006-02-06 |
| 1962401547 | Justus Benjamin Jr. | Pharmacist | 7050 Parkway Dr, Alvarado Parkway Institute, La Mesa, CA 91942-1535 | 2005-07-18 |
| Find all providers in LA MESA | ||||
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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.