MR. RONALD FRAZIER (NPI# 1134104003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134104003 |
| Entity Type | Individual |
| Full Name | MR. RONALD FRAZIER |
| Credential | R.PH. |
| Practice Address |
115 Lakewood Mall Lodi CA 95242-2963 |
| Mailing Address |
505 Mockingbird Dr Lodi CA 95240-7840 |
| Practice Telephone | 2093686636 |
| Mailing Telephone | 2093398624 |
| Enumeration Date | 2005-12-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 48003 | CA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235130451 | Ronald D. Frazier | Internal Medicine | 725 N. Sandusky Avenue, Bucyrus, OH 44820-1463 | 2005-08-10 |
| 1184685695 | Ronald L Frazier | Physician Assistant | 650 Joel Dr, Fort Campbell, KY 42223-5318 | 2006-04-01 |
| Street Address |
115 LAKEWOOD MALL |
| City | LODI |
| State | CA |
| Zip Code | 95242-2963 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285619460 | Lodi Drug Company, Inc | Pharmacist | 115 Lakewood Mall, Lodi, CA 95242-2963 | 2005-12-11 |
| 1184600496 | Dennis Michael Mccomb | Pharmacist | 115 Lakewood Mall, Lodi, CA 95242-2963 | 2005-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285125807 | Victoria Galvez | Psychologist | 1103 Tudor St, Lodi, CA 95242 | 2018-05-21 |
| 1174931471 | Shuk Mei Chung | Physician Assistant | 2122 W Kettleman Ln, Lodi, CA 95242 | 2014-07-30 |
| 1275962169 | Sharon Elizabeth Palmer | Speech-Language Pathologist | 1200 W Tokay St, Lodi, CA 95242 | 2013-11-01 |
| 1114286093 | Brandee Lyn Smith | Speech-Language Pathologist | 1547 Lexington Dr, Lodi, CA 95242 | 2012-05-11 |
| 1255609509 | Jennifer Marie Wallmark | Speech-Language Pathologist | 8 S. Cambridge Dr., Lodi, CA 95242 | 2011-12-01 |
| 1649459546 | Kimberly Ann White | Counselor | 441 S. Ham Lane Suite A, Lodi, CA 95242 | 2007-10-26 |
| 1255541991 | Heather Baldauff | Occupational Therapist | 800 South Lower Sacramento Road, Lodi Memorial Hospital West, Lodi, CA 95242 | 2007-05-23 |
| 1730227182 | Clifford John Bradshaw | Dentist | 801 S Ham Lane, Suite D, Lodi, CA 95242 | 2007-02-01 |
| 1861541799 | Catherine Ann Gravish | Physical Therapist | 800 South Ham Lane, Lodi, CA 95242 | 2007-01-09 |
| 1497814511 | Stewart Chiropractic Corp | Chiropractor | 1420 W Kettleman Ln #k-1, Lodi, CA 95242 | 2006-12-06 |
| Find all providers in zip 95242 | ||||
| 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 |
|---|---|---|---|---|
| 1477019271 | Jaspal Singh Samra | Pharmacist | 1007 Interlaken Dr, Lodi, CA 95242-9174 | 2019-02-16 |
| 1578039376 | Kyle Hoi-kyu Kwong | Pharmacist | 850 S Guild Ave Ste 100, Lodi, CA 95240-3170 | 2018-10-18 |
| 1689047250 | Cvs Pharmacy | Pharmacist | 2053 Katnich Ln, Lodi, CA 95242-4805 | 2015-11-04 |
| 1417341934 | Alma Ochoa | Pharmacist | 4400 E Morse Rd, Lodi, CA 95240-6845 | 2015-03-23 |
| 1043616733 | Wilai Hammond | Pharmacist | 1701 S Mills Ave Apt 101, Lodi, CA 95242-4262 | 2014-11-07 |
| 1508270083 | Joe Y Vuong | Pharmacist | 339 E Pine St ., Lodi, CA 93312 | 2014-06-12 |
| 1922411826 | Ashok Kumar Punati | Pharmacist | 520 W Lodi, Lodi, CA 94568 | 2014-06-09 |
| 1730514464 | Richard Barry Sirard | Pharmacist | 520 S Cherokee Lane, Lodi, CA 95240 | 2013-09-12 |
| 1083983399 | Jennifer Cheng | Pharmacist | 554 Harrison Ave Fl 2, Lodi, NJ 07644-1137 | 2011-12-16 |
| 1417233016 | Gregg William Wellner | Pharmacist | N2360 Summerville Park Rd, Lodi, WI 53555-9621 | 2011-10-26 |
| Find all providers in LODI | ||||
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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.