DR. YOHANNES WOLDEGABRIEL (NPI# 1073898615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073898615 |
| Entity Type | Individual |
| Full Name | DR. YOHANNES WOLDEGABRIEL |
| Credential | PHARMD |
| Practice Address |
4200 Arden Way Sacramento CA 95864-3021 |
| Practice Telephone | 9164854069 |
| Mailing Telephone | 9164854069 |
| Enumeration Date | 2011-10-14 |
| Last Update Date | 2011-10-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 62001 | CA | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PHARMACY SERVICE | 62001 | 01 |
| Street Address |
4200 ARDEN WAY |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95864-3021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942215231 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 4200 Arden Way, Sacramento, CA 95864-3021 | 2006-07-29 |
| 1184995136 | Nazaneen Raouf | Pharmacist | 4200 Arden Way, Sacramento, CA 95864-3021 | 2012-01-23 |
| 1558648048 | Tsan You | Pharmacist | 4200 Arden Way, Sacramento, CA 95864-3021 | 2011-11-10 |
| 1588946289 | Lehua Nicolle Osborne | Pharmacist | 4200 Arden Way, Sacramento, CA 95864-3021 | 2011-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407239403 | Neda Afshar | Nurse Practitioner | 840 Laverstock Way, Sacramento, CA 95864 | 2015-07-08 |
| 1952738270 | Marshall Gollub | Psychiatry & Neurology | 1400 Jonas Ave., Sacramento, CA 95864 | 2013-10-01 |
| 1235565573 | Peter Alexander Hagens Jr. | Pharmacist | 930 Somersby Way, Sacramento, CA 95864 | 2013-09-18 |
| 1700054020 | Summit Psychotherapy Associates, PC | Psychologist | 3610 American River Drive, Suite 140, Sacramento, CA 95864 | 2008-02-20 |
| 1619917887 | Jayanthi Meena Kasiraj | Psychologist | 2708 Latham Drive, Sacramento, CA 95864 | 2006-06-07 |
| 1790259141 | Elizabeth Morales | Behavior Technician | 591 Watt Ave, Sacramento, CA 95864 | 2019-01-18 |
| 1033636261 | Sarah Leary | Speech-Language Pathologist | 3205 Hurley Way, Sacramento, CA 95864 | 2017-08-28 |
| 1063933786 | Kirsten Elisabeth Sorensen | Pharmacist | 3240 Arden Way, Sacramento, CA 95864 | 2017-07-03 |
| 1104298033 | Bufcsac PC | Clinic/Center | 4345 Arden Way, Sacramento, CA 95864 | 2015-10-30 |
| 1811323710 | Emily Renee Reisinger | Physician Assistant | 2625 Fair Oaks Blvd, #1, Sacramento, CA 95864 | 2013-09-24 |
| Find all providers in zip 95864 | ||||
| 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 |
|---|---|---|---|---|
| 1144829128 | Mimi Nguyen | Pharmacist | 9962 Red Tail Hawk Way, Sacramento, CA 95829-9604 | 2020-10-21 |
| 1477160596 | Ravneet Kaur | Pharmacist | 4916 Winamac Dr, Sacramento, CA 95835-1805 | 2020-09-24 |
| 1396370805 | Michelle Cynthia Louie | Pharmacist | 1335 Manzano Way, Sacramento, CA 95831-5419 | 2020-03-04 |
| 1407480346 | Muhammad Usman Bashir | Pharmacist | 8264 Bedford Cove Way, Sacramento, CA 95828-6165 | 2020-03-01 |
| 1013552876 | Trong Nghia Q Tran | Pharmacist | 1325 E Sutter Walk, Sacramento, CA 95816-5925 | 2019-11-15 |
| 1497314223 | Thao Ly | Pharmacist | 6331 Leaf Ave, Sacramento, CA 95831-1618 | 2019-06-06 |
| 1225694623 | Charlene Nguyen | Pharmacist | 5620 Calvine Rd, Sacramento, CA 95823-7249 | 2019-05-13 |
| 1225594013 | Tuan Quoc Nguyen | Pharmacist | 7731 Koyama Ct, Sacramento, CA 95829-6600 | 2019-02-16 |
| 1164987145 | Ali Abbas Ismael Alogaidi | Pharmacist | 2340 Bell St Apt 220, Sacramento, CA 95825-1087 | 2019-02-05 |
| 1750858742 | Saman Hashemi | Pharmacist | 2801 Arden Way # 255143, Sacramento, CA 95825-9904 | 2018-10-27 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95864 |
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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.