GUSTAVO M. MAYORGA (NPI# 1003815648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003815648 |
Entity Type | Individual |
Full Name | GUSTAVO M. MAYORGA |
Credential | R.PH. |
Practice Address |
1100 W 34th St Houston TX 77018-6206 |
Mailing Address |
16515 Creeksouth Rd Houston TX 77068-2101 |
Practice Telephone | 7138677805 |
Mailing Telephone | 2818807783 |
Enumeration Date | 2005-07-15 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 183500000X | Pharmacist | 22607 | TX | Pharmacy Service Providers |
Street Address |
1100 W 34TH ST |
City | HOUSTON |
State | TX |
Zip Code | 77018-6206 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285261180 | Nadir Mulla | Student in an Organized Health Care Education/Training Program | 1100 W 34th St, Houston, TX 77018-6206 | 2020-03-23 |
1699301580 | Chinwe Ezenna | Student in an Organized Health Care Education/Training Program | 1100 W 34th St, Houston, TX 77018-6206 | 2020-03-23 |
1306472329 | Chad Ryan Scott | Student in an Organized Health Care Education/Training Program | 1100 W 34th St, Houston, TX 77018-6206 | 2020-03-21 |
1356977359 | Tam Dang Nguyen | Student in an Organized Health Care Education/Training Program | 1100 W 34th St, Houston, TX 77018-6206 | 2020-03-21 |
1174159107 | Chelsea Mendonca | Student in an Organized Health Care Education/Training Program | 1100 W 34th St, Houston, TX 77018-6206 | 2020-03-21 |
1851927909 | Youxin Xiong | Student in an Organized Health Care Education/Training Program | 1100 W 34th St, Houston, TX 77018-6206 | 2020-03-20 |
1487280517 | Christina Babu | Student in an Organized Health Care Education/Training Program | 1100 W 34th St, Houston, TX 77018-6206 | 2020-03-20 |
1578022794 | Peter Baek | Student in an Organized Health Care Education/Training Program | 1100 W 34th St, Houston, TX 77018-6206 | 2019-03-18 |
1295294411 | Chinwe Angel Nwokocha | Student in an Organized Health Care Education/Training Program | 1100 W 34th St, Houston, TX 77018-6206 | 2019-03-18 |
1649739814 | Michelle Angelique Wheeler | Student in an Organized Health Care Education/Training Program | 1100 W 34th St, Houston, TX 77018-6206 | 2019-03-18 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033748611 | Kourtni C Resnick | Counselor | 2180 North Loop West, Suite 300, Houston, TX 77018 | 2020-04-06 |
1992337257 | Ozioma G Anyakudo | Nurse Practitioner | 2815 W Tc Jester Blvd, Houston, Texas 77018, Houston, TX 77018 | 2020-02-05 |
1447766092 | Delshaveon Masters | Prosthetist | 2802 W Tc Jester Blvd, Apt 1, Houston, TX 77018 | 2017-12-19 |
1891221099 | Jennifer Lyon | Chore Provider | 1222 Lehman, Houston, TX 77018 | 2017-05-08 |
1235501610 | Caryn Alyce Honig | Dietitian, Registered | 2060 North Loop W Ste 205, Houston, TX 77018 | 2015-10-26 |
1164806485 | Katie E Stuchlik | Dentist | 1717 West 34th Street, Suite 450, Houston, TX 77018 | 2015-07-16 |
1124436209 | Martha Mattison | Clinical Ethicist | 501 Garden Oaks, Houston, TX 77018 | 2014-08-01 |
1548689383 | Sherry Cooper | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2015 West 34 Th Street Suite A, Houston, TX 77018 | 2014-04-09 |
1124377387 | Dionne Tompkins | Dentist | 4040 Yale Street, Houston, TX 77018 | 2012-09-04 |
1922330869 | Liliana Zugey Rueda-castrillon | Plastic Surgery | 1100 W 34th Street, Houston, TX 77018 | 2010-02-03 |
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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 |
---|---|---|---|---|
1033710967 | Paul V Crawford | Pharmacist | 13 Thornhill Oaks Dr, Houston, TX 77015-2059 | 2020-11-06 |
1639770852 | Mchaji Celestaine | Pharmacist | Medvamc 2002 Holcombe Blvd, Outpatient Pharmacy, Houston, TX 77030 | 2020-11-04 |
1407457922 | Tam Minh Ha | Pharmacist | 2700 S Kirkwood, Houston, TX 77077 | 2020-11-02 |
1134729866 | Bilquis Omolola Otulana | Pharmacist | 13619 Teal Bluff Ln, Houston, TX 77077-1307 | 2020-10-30 |
1295335750 | Eskedar Dickie | Pharmacist | 3450 Cypress Creek Pkwy, Houston, TX 77068-3606 | 2020-10-26 |
1811596414 | Yuehhsun Lu | Pharmacist | 6918 Corporate Dr Ste B5, Houston, TX 77036-5140 | 2020-10-23 |
1770181596 | Charles Ihonre Aigberadion | Pharmacist | 13211 Jones Rd, Houston, TX 77070-4439 | 2020-10-14 |
1710585948 | June Wang | Pharmacist | 9180 Bellaire Blvd Ste A, Houston, TX 77036-4600 | 2020-10-09 |
1659978963 | Good Shepherd Pharmacy LLC | Pharmacist | 8303 Southwest Fwy Ste 825, Houston, TX 77074-1641 | 2020-10-08 |
1134726789 | Haroon Waseem | Pharmacist | 17218 Trace Glen Ln, Houston, TX 77083-7392 | 2020-10-07 |
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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.