MARLANE RULLODA (NPI# 1104366962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104366962 |
| Entity Type | Individual |
| Full Name | MARLANE RULLODA |
| Practice Address |
14011 Park Ave Victorville CA 92392-2413 |
| Mailing Address |
13458 Granite Peak Ln Victorville CA 92394-9537 |
| Practice Telephone | 7608432015 |
| Mailing Telephone | 7609548390 |
| Enumeration Date | 2017-02-27 |
| Last Update Date | 2017-02-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 56909 | CA | Pharmacy Service Providers |
| Street Address |
14011 PARK AVE |
| City | VICTORVILLE |
| State | CA |
| Zip Code | 92392-2413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114927308 | Naziuh Naim Bishay | Family Medicine | 14011 Park Ave, Victorville, CA 92392-2413 | 2005-07-28 |
| 1013554914 | George Elias Tannouz | Pharmacist | 14011 Park Ave, Victorville, CA 92392-2413 | 2019-12-10 |
| 1558921577 | Jason Lee | Pharmacist | 14011 Park Ave, Victorville, CA 92392-2413 | 2019-06-20 |
| 1871154823 | Andrew Warounthorn | Pharmacist | 14011 Park Ave, Victorville, CA 92392-2413 | 2019-06-20 |
| 1295395721 | Lillian Luu | Pharmacist | 14011 Park Ave, Victorville, CA 92392-2413 | 2019-06-17 |
| 1134669914 | Nicole Orrell | Pharmacist | 14011 Park Ave, Victorville, CA 92392-2413 | 2017-02-28 |
| 1225578925 | David Loh | Pharmacist | 14011 Park Ave, Victorville, CA 92392-2413 | 2017-02-28 |
| 1992245690 | Fadlallah Gehchan | Pharmacist | 14011 Park Ave, Victorville, CA 92392-2413 | 2017-02-28 |
| 1235679093 | James Morrison | Pharmacist | 14011 Park Ave, Victorville, CA 92392-2413 | 2017-02-27 |
| 1275073033 | Seng Taing | Pharmacist | 14011 Park Ave, Victorville, CA 92392-2413 | 2017-02-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215568688 | Kristin Parris | Behavior Technician | 15490 Civic Drive, Victorville, CA 92392 | 2020-02-03 |
| 1366001604 | Pine Ridge Treatment Centers, Inc. | Substance Abuse Rehabilitation Facility | 15367 Bonanza Rd, Ste A, Victorville, CA 92392 | 2019-06-11 |
| 1851871289 | Betty A. Murphy, Lmft, Inc | Marriage & Family Therapist | 15437 Anacapa Rd. Ste 26, Victorville, CA 92392 | 2018-08-15 |
| 1104313402 | Jorge L Soler Iglesias | Nurse Practitioner | 12459 Cricket St., Victorville, CA 92392 | 2018-04-23 |
| 1689192049 | Jamesina Johns | Nurse Practitioner | 12127 Mall Blvd #148, Victorville, CA 92392 | 2017-09-06 |
| 1285151886 | Jasmin Sanchez | Behavioral Analyst | 13201 Eclipse Ave, Victorville, CA 92392 | 2017-08-24 |
| 1174049829 | Virginia Marshall | Behavioral Analyst | 13901 Amargosa Rd., Victorville, CA 92392 | 2017-08-15 |
| 1346781465 | San Bernardino Conty | Counselor | 15480 Ramona Ave., Victoville, CA 92392 | 2017-03-09 |
| 1841741279 | Lorinda Morreale | Marriage & Family Therapist | 15428 Civic Dr. Ste 200, Act Family Counseling, Victorville, CA 92392 | 2016-10-20 |
| 1235582404 | Greater Hope Foundation | Community/Behavioral Health | 14344 Cajon Avenue, Suite 101, 103, Victorville, CA 92392 | 2016-07-22 |
| Find all providers in zip 92392 | ||||
| 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 |
|---|---|---|---|---|
| 1619484292 | Cam Quyen Nguyen | Pharmacist | 13178 Aurora Ave, Victorville, CA 92392-5038 | 2018-01-04 |
| 1215442793 | Yun Jung Choi | Pharmacist | 15318 Roy Rogers Dr., Victorville, CA 92394 | 2017-12-06 |
| 1831625912 | Marlene Libby Wallis | Pharmacist | 7081 Svl Box, Victorville, CA 92395-5108 | 2017-05-10 |
| 1134575376 | Seth Owuor | Pharmacist | 14426 Palmdale Road, Victorville, CA 92308 | 2016-05-06 |
| 1760858583 | Fahad Muwanas | Pharmacist | 13235 Sundance Cir, Victorville, CA 92392-6655 | 2015-08-16 |
| 1962893529 | Mildred Davis | Pharmacist | 16138 Evansdale Way, Victorville, CA 92395-9531 | 2015-02-18 |
| 1922411560 | Christina Chung | Pharmacist | 14515 Mojave Dr Ste B, Victorville, CA 92394-6762 | 2014-06-10 |
| 1588088058 | Frank Wong | Pharmacist | 7487 Svl Box, Victorville, CA 92395-5157 | 2014-02-04 |
| 1962771907 | Vrunda K Patel | Pharmacist | 7339 Svl Box, Victorville, CA 92395-5155 | 2011-12-20 |
| 1700192374 | Danggiao Phan | Pharmacist | 13255 Rolling Hills Rd, Victorville, CA 92395-8622 | 2010-08-20 |
| Find all providers in VICTORVILLE | ||||
| City | VICTORVILLE |
| Zip Code | 92392 |
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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.