DR. ALICE WEIDEMANN (NPI# 1053860965) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053860965 |
| Entity Type | Individual |
| Full Name | DR. ALICE WEIDEMANN |
| Other Name | DR. ALICE NGUYEN |
| Credential | PHARM.D. |
| Practice Address |
774 Allen Ct Palo Alto CA 94303-4110 |
| Practice Telephone | 6507147878 |
| Mailing Telephone | 6507147878 |
| Enumeration Date | 2016-10-04 |
| Last Update Date | 2016-10-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 10806 | NV | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | RPH 45422 | CA | Pharmacy Service Providers |
| Street Address |
774 ALLEN CT |
| City | PALO ALTO |
| State | CA |
| Zip Code | 94303-4110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548877590 | Sleep Apnea Surgery Center Inc. | Otolaryngology | 1900 University Avenue, East Palo Alto, CA 94303 | 2020-09-24 |
| 1528514759 | Healthright360 | Community/Behavioral Health | 2396 University Avenue, East Palo Alto, CA 94303 | 2016-08-28 |
| 1932652013 | Tala Sailele | Counselor | 2560 Pulgas Ave., East Palo Alto, CA 94303 | 2016-07-26 |
| 1952784308 | Lakshmi Leishangthem | Psychiatry & Neurology | Byers Eye Institute Stanford Health Care 2452 Watson Ct, 2452 Watson Court, Palo Alto, CA 94303 | 2015-07-02 |
| 1083041636 | Malaika House | Substance Abuse Rehabilitation Facility | 819 & 823 Jamie Lane, East Palo Alto, CA 94303 | 2013-09-27 |
| 1184913246 | Naeem Hashmi Medical Corporation | Internal Medicine | 957 Colonial Lane, Palo Alto, CA 94303 | 2011-03-29 |
| 1346550902 | Elizabeth A. Herb, M.d., A Professional Corporation | Clinic/Center | 851 Southampton Dr., Palo Alto, CA 94303 | 2010-10-18 |
| 1083878367 | Achievekids | Health Maintenance Organization | 3860 Middlefield Road, Achievekids, Palo Alto, CA 94303 | 2008-07-15 |
| 1528192895 | Susann Elizabeth Amborn | Psychologist | 1020 Corporation Way, Suite 201, Palo Alto, CA 94303 | 2007-03-16 |
| 1356409882 | Steven Richard Sanislo | Ophthalmology | 2452 Watson Court, Palo Alto, CA 94303 | 2006-12-05 |
| Find all providers in zip 94303 | ||||
| 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 |
|---|---|---|---|---|
| 1659919892 | Rebecca Swayngim | Pharmacist | 300 Pasteur Dr Rm H0301c, Palo Alto, CA 94304-2203 | 2019-12-18 |
| 1437626371 | Amy Ting Kyu | Pharmacist | 3801 Miranda Ave # 119pa, Palo Alto, CA 94304-1290 | 2018-10-29 |
| 1225519713 | Danielle Pham | Pharmacist | 3801 Miranda Ave Bldg 100, Palo Alto, CA 94304-1207 | 2018-08-23 |
| 1144708082 | Junsup Justin Ahn | Pharmacist | 3801 Miranda Ave # 199, Palo Alto, CA 94304-1290 | 2018-08-02 |
| 1114290418 | Noelle Kay Hasson | Pharmacist | 3801 Miranda Avenue (mail Code 119), Palo Alto, CA 94304 | 2012-02-16 |
| 1538443999 | Bill C Wong | Pharmacist | 875 Blake Wilbur Dr # Cc1101, Palo Alto, CA 94304-2205 | 2011-10-04 |
| 1528340049 | Judy Zhou | Pharmacist | 4252 Noble St, Palo Alto, CA 94306-4490 | 2011-09-10 |
| 1861770174 | Mick Okeefe | Pharmacist | 725 Welch Rd Fl 1, Palo Alto, CA 94304-1601 | 2011-08-03 |
| 1235455585 | Kan Lu | Pharmacist | 3801 Miranda Ave, Pharmacy Service (119), Va Palo Alto Health Care System, Palo Alto, CA 94304 | 2010-04-12 |
| 1912139403 | Chau Thanh Phan | Pharmacist | 1101 Welch Rd Ste C12, Palo Alto, CA 94304-1928 | 2009-08-17 |
| Find all providers in PALO ALTO | ||||
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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.