WAYNE SIU ET AL PTR (NPI# 1043322035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043322035 |
| Entity Type | Organization |
| Organization Name | WAYNE SIU ET AL PTR |
| Other Organization Name | MEDICAL TERRACE PHARMACY |
| Practice Address |
1505 Wilson Ter Ste 100 Glendale CA 91206-4071 |
| Practice Telephone | 8184098392 |
| Practice Fax Number | 8189567631 |
| Mailing Telephone | 8184098392 |
| Mailing Fax Number | 8189567631 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2017-03-29 |
| Authorized Official Name | WAYNE SIU (OWNER) |
| Authorized Official Telephone | 8184098392 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHY38258 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2066992 | 01 | |
| CA | PHA382580 | 05 |
| Other Name | Type Code |
|---|---|
| MEDICAL TERRACE PHARMACY | Doing Business As Name - Organization |
| Street Address |
1505 WILSON TER STE 100 |
| City | GLENDALE |
| State | CA |
| Zip Code | 91206-4071 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750380622 | Donald J Williams Md A Professional Corporation | Specialist | 1505 Wilson Ter, Suite 155, Glendale, CA 91206-4071 | 2005-07-21 |
| 1386001261 | Los Angeles Hematology Oncology Medical Group | Pharmacy | 1505 Wilson Ter, Suite 200, Glendale, CA 91206-4071 | 2016-01-22 |
| 1306214242 | Vladimir Aratan Camarce | Nurse Practitioner | 1505 Wilson Ter, Suite 250, Glendale, CA 91206-4071 | 2015-09-09 |
| 1912265166 | Sondra Kay Samples | Audiologist | 1505 Wilson Ter, Glendale, CA 91206-4071 | 2012-04-25 |
| 1396027892 | Gerald M. Pohost, Md, Inc. | Specialist | 1505 Wilson Ter, Suite 150, Glendale, CA 91206-4071 | 2011-09-12 |
| 1245527555 | Isaac Nef | Acupuncturist | 1505 Wilson Ter, Ste 250, Glendale, CA 91206-4071 | 2011-07-07 |
| 1336440940 | Jacob E. Tauber, Md, A Professional Corporation | Non-Pharmacy Dispensing Site | 1505 Wilson Ter, Suite 310, Glendale, CA 91206-4071 | 2010-11-12 |
| 1477867257 | Lynnette Tatosyan, Do Inc | Internal Medicine | 1505 Wilson Ter, 315, Glendale, CA 91206-4071 | 2010-08-04 |
| 1609196245 | Kirk Medical Incorporated | Obstetrics & Gynecology | 1505 Wilson Ter, Suite 220, Glendale, CA 91206-4071 | 2010-06-05 |
| 1780911271 | Ami N. Patel, M.d., Inc. | Internal Medicine | 1505 Wilson Ter, Suite # 155, Glendale, CA 91206-4071 | 2009-11-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922611003 | Skyla L Bergin | Behavior Technician | 741 Glenvia St., Suite 200, Glendale, CA 91206 | 2020-08-28 |
| 1861017303 | Scm Nutrition Diet Inc | Dietitian, Registered | 2437 Bywood Drive, Glendale, CA 91206 | 2020-06-10 |
| 1336761295 | Glendale Whole Health | Family Medicine | 230 N Maryland Aave #110, Glendale, CA 91206 | 2020-05-14 |
| 1467010801 | Rebecca Bautista | Counselor | 223 North Jackson Street, Glendale, CA 91206 | 2019-05-31 |
| 1689132920 | M4l Transport Inc | Non-emergency Medical Transport (VAN) | 336 N Louise St #4d, Glendale, CA 91206 | 2019-03-05 |
| 1376042705 | Eileen Wong, Md Inc. | Physical Medicine & Rehabilitation | 2664 E Glenoaks Blvd, Glendale, CA 91206 | 2018-02-12 |
| 1629507900 | Aleksan Chakhoyan | Registered Nurse | 501 N. Glendale Ave., Glendale, CA 91206 | 2017-06-08 |
| 1851793343 | Sevak Olmessekian | Pharmacist | 230 N. Maryland Ave., Suite 307, Glendale, CA 91206 | 2014-09-16 |
| 1558762575 | Zyanya Mendoza | Clinical Neuropsychologist | 1560 E Chevy Chase Dr Ste 140, Glendale, CA 91206 | 2014-09-09 |
| 1629488358 | Nina Behdin | Surgery | 1560 E Chevy Chase Dr Ste 430, Glendale, CA 91206 | 2014-05-02 |
| Find all providers in zip 91206 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
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| 1144845819 | Arka Rx Inc | Pharmacy | 621 E Glenoaks Blvd Ste C, Glendale, CA 91207-1775 | 2020-06-09 |
| 1356971006 | Myrtle Meds Inc | Pharmacy | 7617 Myrtle Ave, Glendale, NY 11385-7446 | 2020-01-22 |
| 1588201149 | Esmeralda Pharmacy Inc | Pharmacy | 6555 Myrtle Ave, Glendale, NY 11385-7028 | 2019-12-03 |
| 1093350993 | Accumed Inc | Pharmacy | 1851 Flower Street, Glendale, CA 91201 | 2019-11-14 |
| 1558929455 | Central Drugs Inc | Pharmacy | 6715 Central Ave, Glendale, NY 11385-6633 | 2019-06-05 |
| 1578033718 | Hayat Pharmacy 14 | Pharmacy | 2501 W Silver Spring Dr Ste 5, Glendale, WI 53209-4217 | 2018-11-30 |
| 1881184117 | Nairi Hayrapetian | Pharmacy | 2216 Sherwood Pl, Glendale, CA 91206-1138 | 2018-05-11 |
| 1316468432 | Cover Rx Inc | Pharmacy | 1811 W Glenoaks Blvd, Glendale, CA 91201-4376 | 2017-06-28 |
| 1649700832 | First Stop Pharmacy Inc | Pharmacy | 1577 E Chevy Chase Dr Ste 130, Glendale, CA 91206-4740 | 2017-06-19 |
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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.