DR. FATIMA ABOOZAR (NPI# 1134555691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1134555691 |
Entity Type | Individual |
Full Name | DR. FATIMA ABOOZAR |
Practice Address |
2424 Crater Lake Hwy Medford OR 97504-4181 |
Practice Telephone | 5417342133 |
Enumeration Date | 2013-09-16 |
Last Update Date | 2017-04-25 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
0013716 | OR | Pharmacy Service Providers |
N | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
RPH-0013716 | OR | Pharmacy Service Providers |
Street Address |
2424 CRATER LAKE HWY |
City | MEDFORD |
State | OR |
Zip Code | 97504-4181 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508804550 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 2424 Crater Lake Hwy, Medford, OR 97504-4181 | 2006-06-03 |
1477162691 | Julian Thomas Sonnenburg | Pharmacist | 2424 Crater Lake Hwy, Medford, OR 97504-4181 | 2020-07-23 |
1164064515 | Trey Austin Davenhill | Pharmacist | 2424 Crater Lake Hwy, Medford, OR 97504-4181 | 2019-10-16 |
1336659382 | Alexander Thomas Roe | Pharmacist | 2424 Crater Lake Hwy, Medford, OR 97504-4181 | 2017-10-04 |
1992144109 | Mark Lee Shuey | Pharmacist | 2424 Crater Lake Hwy, Medford, OR 97504-4181 | 2013-06-20 |
1922447119 | Kenneth F Hahn | Pharmacist | 2424 Crater Lake Hwy, Medford, OR 97504-4181 | 2013-06-20 |
1811262819 | Roberta Lee Hupp | Pharmacist | 2424 Crater Lake Hwy, Medford, OR 97504-4181 | 2012-03-09 |
1003842733 | Fred Meyer Stores Inc | Durable Medical Equipment & Medical Supplies | 2424 Crater Lake Hwy, Medford, OR 97504-4181 | 2006-06-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225673833 | Lydia D Sneed | Behavioral Analyst | 3707 Citation Way, Suite 102, Medford, OR 97504 | 2019-11-07 |
1114577368 | Heather Ashley Fronek | Nurse Practitioner | 2825 E. Barnett Rd., Medford, OR 97504 | 2019-09-18 |
1255809109 | Justin Blasdel | Technician, Health Information | 3250 Lone Pine Rd, Medford, OR 97504 | 2018-11-08 |
1396220133 | Aimee K Michel | Massage Therapist | 3550 National Dr., Medford, OR 97504 | 2018-09-27 |
1437646908 | Zola Dental Medford LLC | Dentist | 922 E Main, Medford, OR 97504 | 2018-04-19 |
1376068015 | Megan Leggett | Counselor | 777 Murphy Road, Medford, OR 97504 | 2017-08-03 |
1023547536 | Joshua Morgan Rice | Dentist | 1117 E Main St Ste 1, Medford, OR 97504 | 2017-06-08 |
1427580232 | Paul James Dean | Counselor | 1175 Main St Ste 1c, Medford, OR 97504 | 2017-03-30 |
1811443542 | Taya Adams | Doula | 1201 Progress Dr #90, Medford, OR 97504 | 2016-09-01 |
1174076228 | Avalon Health Care - Hearthstone, LLC | Skilled Nursing Facility | 2091 E. Barnett Road, Medford, OR 97504 | 2016-07-25 |
Find all providers in zip 97504 |
Taxonomy Code | 1835P1200X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacist |
Specialization | Pharmacotherapy |
A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. |
Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295770071 | Lawrence Anthony Tocci Jr. | Pharmacist | 55 Matsunaye Dr, Medford, NY 11763-4114 | 2006-06-17 |
1043860745 | Frederike Meinke | Pharmacist | 2825 E Barnett Rd, Medford, OR 97504-8332 | 2019-09-14 |
1225686090 | Peter Jones | Pharmacist | 2825 E Barnett Rd, Medford, OR 97504-8332 | 2019-08-26 |
1659868438 | Monica White | Pharmacist | 2825 E Barnett Rd, Medford, OR 97504-8332 | 2018-04-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730795212 | Ali Olyaei | Pharmacist | 13852 Amberwood Cir, Lake Oswego, OR 97035-6716 | 2020-09-19 |
1093341786 | James Slater | Pharmacist | 13344 Sw Havencrest St, Beaverton, OR 97005-0951 | 2020-03-13 |
1235621525 | Yvette Grando Holman | Pharmacist | 1311 Nw 21st Ave, Portland, OR 97209-1610 | 2018-06-01 |
1376812057 | Dan Colley | Pharmacist | 2995 Sw Vista Dr, Portland, OR 97225-4144 | 2011-12-23 |
1104078047 | Myrna Y. Munar | Pharmacist | 3303 Sw Bond Avenue, Ch12c, Osu / Ohsu College of Pharmacy, Portland, OR 97239-4501 | 2008-10-22 |
1518149913 | Steven Richard Martin | Pharmacist | 5417 Ne 138th Ave, Portland, OR 97230 | 2007-11-28 |
1255544631 | Kristina Lee Butler | Pharmacist | 4400 Ne Halsey St Ste 490, Portland, OR 97213-1545 | 2007-05-08 |
1528289998 | Dawn Chieko Fuke | Pharmacist | 4400 Ne Halsey St Fl 4, Portland, OR 97213-1545 | 2007-05-01 |
1003031485 | Robert Craig Adams | Pharmacist | 1220 Sw 3rd Ave Ste 476, Portland, OR 97204-2812 | 2007-04-13 |
1528107513 | Joel C Marrs | Pharmacist | 3303 Southwest Bond Ave., Campus Box, Ch12c, Portland, OR 97239-4501 | 2007-02-06 |
Find all providers with the same taxonomy |
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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.