DIVYA M MANAVALAN (NPI# 1093329195) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093329195 |
| Entity Type | Individual |
| Full Name | DIVYA M MANAVALAN |
| Practice Address |
2619 Red Bluff Rd Pasadena TX 77506-5270 |
| Mailing Address |
13503 Wild Lilac Ct Pearland TX 77584-3754 |
| Practice Telephone | 7134750939 |
| Practice Fax Number | 7134778514 |
| Mailing Telephone | 8325770831 |
| Enumeration Date | 2020-09-04 |
| Last Update Date | 2020-09-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
55660 | TX | Pharmacy Service Providers |
| Street Address |
2619 RED BLUFF RD |
| City | PASADENA |
| State | TX |
| Zip Code | 77506-5270 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285707711 | Kroger Texas L P | Pharmacy | 2619 Red Bluff Rd, Pasadena, TX 77506-5270 | 2006-11-15 |
| 1962019372 | Jisha George | Pharmacist | 2619 Red Bluff Rd, Pasadena, TX 77506-5270 | 2020-09-29 |
| 1215541347 | Jesus Gonzalez Jr. | Pharmacist | 2619 Red Bluff Rd, Pasadena, TX 77506-5270 | 2020-09-05 |
| 1154954006 | Kenneth W Abel | Pharmacist | 2619 Red Bluff Rd, Pasadena, TX 77506-5270 | 2020-02-19 |
| 1306477526 | Ava Deyon | Pharmacist | 2619 Red Bluff Rd, Pasadena, TX 77506-5270 | 2020-01-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699315390 | Burke Childrens Pllc | Pediatrics | 900 West Jackson Ave, Suite 170, Pasadena, TX 77506 | 2020-01-10 |
| 1285276741 | Concepcion Salamanca | Technician | 507 Live Oak St., Pasadena, TX 77506 | 2019-10-16 |
| 1194217919 | Thanh Ngoc Phan | Pharmacist | 927 E Shaw, Pasadena, TX 77506 | 2018-06-06 |
| 1073022091 | Memorial Hermann Community Benefit Corporation | Clinic/Center | 400 Park Ln, Suite M, Pasadena, TX 77506 | 2017-09-21 |
| 1386080844 | Effie Juanita Wilkerson | Pharmacist | 927 East Shaw Rd, Pasadena, TX 77506 | 2013-05-10 |
| 1083988307 | Benjamin F Contreras | Dentist | 1027 Main Street, Suite A, Pasadena, TX 77506 | 2012-03-05 |
| 1386950699 | Yen Hoang Nguyen | Pharmacist | 927 East Shaw Road, Pasadena, TX 77506 | 2010-08-24 |
| 1104065135 | Rashmi Rode | Family Medicine | 927 E Shaw St, Pasadena, TX 77506 | 2009-02-15 |
| 1265687974 | Preethi Vijay Nambi | Internal Medicine | 927, E Shaw Road, Pasadena, TX 77506 | 2008-11-21 |
| 1841364676 | Dino J. Demetriou | Chiropractor | 1120 Pasadena Blvd, Pasadena, TX 77506 | 2006-11-20 |
| Find all providers in zip 77506 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316545742 | Travis Jones | Pharmacist | 6767 Spencer Highway, Pasadena, TX 77505 | 2020-10-16 |
| 1629632286 | Janel Elane Reyes Berberabe | Pharmacist | 1722 Asbury Dr, Pasadena, CA 91104-3116 | 2019-04-29 |
| 1902154545 | Ragie Aboulhosn | Pharmacist | 960 E Green St Ste 152, Pasadena, CA 91106-2411 | 2012-08-28 |
| 1831324516 | Sherry Lynn Butler | Pharmacist | 8048 Ritchie Hwy, Pasadena, MD 21122-1084 | 2009-05-24 |
| 1962019372 | Jisha George | Pharmacist | 2619 Red Bluff Rd, Pasadena, TX 77506-5270 | 2020-09-29 |
| 1215541347 | Jesus Gonzalez Jr. | Pharmacist | 2619 Red Bluff Rd, Pasadena, TX 77506-5270 | 2020-09-05 |
| 1972127124 | Michelle Tan | Pharmacist | 3550 Spencer Hwy, Pasadena, TX 77504-1110 | 2020-06-03 |
| 1154954006 | Kenneth W Abel | Pharmacist | 2619 Red Bluff Rd, Pasadena, TX 77506-5270 | 2020-02-19 |
| 1306477526 | Ava Deyon | Pharmacist | 2619 Red Bluff Rd, Pasadena, TX 77506-5270 | 2020-01-27 |
| 1669991154 | Clement Chang | Pharmacist | 727 S Arroyo Pkwy, Pasadena, CA 91105-3209 | 2017-09-15 |
| Find all providers in PASADENA | ||||
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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.