SUTTINEE SAGUANDEEKUL (NPI# 1003068305) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003068305 |
| Entity Type | Individual |
| Full Name | SUTTINEE SAGUANDEEKUL |
| Credential | RPH |
| Practice Address |
910 Diablo Ave Novato CA 94947 |
| Mailing Address |
82 Queva Vis Novato CA 94947-2109 |
| Practice Telephone | 4158981905 |
| Practice Fax Number | 4158985121 |
| Mailing Telephone | 4158990154 |
| Mailing Fax Number | 4158990154 |
| Enumeration Date | 2008-10-17 |
| Last Update Date | 2008-10-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RPH 38519 | CA | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | STATE LICENSE | RPH38519 | 01 |
| Street Address |
910 DIABLO AVE |
| City | NOVATO |
| State | CA |
| Zip Code | 94947 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629554415 | Frederick Strother Barton IIi | Pharmacist | 910 Diablo Ave, Novato, CA 94947-7311 | 2018-07-14 |
| 1063925865 | Trisha Renee Petticrew | Pharmacist | 910 Diablo Ave, Novato, CA 94947-7311 | 2017-11-15 |
| 1609166602 | Susan Mclean | Pharmacist | 910 Diablo Ave, Novato, CA 94947-7311 | 2011-04-11 |
| 1235445560 | Princess Castor | Pharmacist | 910 Diablo Ave, Novato, CA 94947-7311 | 2010-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407135882 | Rainey Sealey Temkin | Psychologist | 1682 Novato Blvd Ste 105, Novato, CA 94947 | 2011-08-16 |
| 1801192786 | Barbara Jean Gosselin | Marriage & Family Therapist | 1748 Novato Blvd Suite 210, Novato, CA 94947 | 2011-02-10 |
| 1659681377 | Karen Ann Murphy | Occupational Therapist | 27 Stasia Dr., Novato, CA 94947 | 2010-10-15 |
| 1154659415 | Christopher Michael Hackett | Chiropractor | 1559 South Novato Blvd., Suite E, Novato, CA 94947 | 2009-11-25 |
| 1891983581 | Shital Gandhi | Radiology | 500 Redwood Blvd Ste 300, Novato, CA 94947 | 2007-10-09 |
| 1356544126 | Victoria Elizabeth Herzog | Marriage & Family Therapist | 1682 Novato Blvd, Suite 250a, Novato, CA 94947 | 2007-06-07 |
| 1912047655 | Michael Craig Corder | Chiropractor | 1553 S Novato Blvd, A2 Corder Chiropractic Office, Novato, CA 94947 | 2007-02-08 |
| 1427106905 | Jacob Kyle Leone | Naturopath | 1748 Novato Blvd, Suite 100, Novato, CA 94947 | 2007-01-08 |
| 1881756401 | Mental Health Management I, Inc. | Psychiatric Residential Treatment Facility | 655 Canyon Road, Novato, CA 94947 | 2006-12-14 |
| 1003995291 | Kim S Frederickson | Dermatology | 400 Professional Center Drive, Suite 414 Novato Dermatology Associates, Novato, CA 94947 | 2006-11-06 |
| Find all providers in zip 94947 | ||||
| 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 |
|---|---|---|---|---|
| 1225551823 | Jennifer Idzior | Pharmacist | 7514 Redwood Blvd Ste 104, Novato, CA 94945-7711 | 2017-07-25 |
| 1023545704 | Susan Kim-katz | Pharmacist | 132 Windwalker Way, Novato, CA 94945-3439 | 2017-05-12 |
| 1659805331 | Dorothea Lorimer | Pharmacist | 3 Pierce Dr, Novato, CA 94947-4450 | 2017-04-19 |
| 1871962134 | Amanda Momenzadeh | Pharmacist | 99 San Benito Way, Novato, CA 94945-1604 | 2015-09-16 |
| 1780065516 | Sikander Isshak | Pharmacist | 437 Via Del Plano, Novato, CA 94949 | 2015-06-17 |
| 1184005480 | Maria Guadalupe Magana Posadas | Pharmacist | 6100 Redwood Blvd Ste A, Novato, CA 94945-4501 | 2015-06-11 |
| 1760888457 | Steven Victor Bacon | Pharmacist | 60 Gustafson Ct, Bacon-normandi, Novato, CA 94947-2842 | 2014-11-07 |
| 1306240635 | Robert Levin | Pharmacist | 50 Broadmoor Ct, Novato, CA 94949-5847 | 2014-10-15 |
| 1821697731 | Hana Rachel Gelman | Pharmacist | 300 Vintage Way, Novato, CA 94945-5007 | 2020-10-21 |
| 1952909699 | Natalie Varnay Yates | Pharmacist | 200 Vintage Way, Novato, CA 94945-5005 | 2020-10-14 |
| Find all providers in NOVATO | ||||
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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.