JOSE R SARDINAS (NPI# 1164558797) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164558797 |
| Entity Type | Organization |
| Organization Name | JOSE R SARDINAS |
| Other Organization Name | PLAZA PHARMACY |
| Practice Address |
11930 Hawthorne Blvd Hawthorne CA 90250-3016 |
| Mailing Address |
11930 Hawthorne Blv Hawthorne CA 90250 |
| Practice Telephone | 3109735200 |
| Mailing Telephone | 3109735200 |
| Mailing Fax Number | 3109731243 |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2008-08-06 |
| Authorized Official Name | DR. JOSE R SARDINAS (OWNER/PHARMACIST) |
| Authorized Official Telephone | 3109735200 |
| Authorized Official Credential | PHARMACIST |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHY20259 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TAX 028418 | 0566589 | 01 | |
| MEDICAL | PHA202590 | 01 |
| Other Name | Type Code |
|---|---|
| Plaza Pharmacy | Doing Business As Name - Organization |
| Street Address |
11930 HAWTHORNE BLVD |
| City | HAWTHORNE |
| State | CA |
| Zip Code | 90250-3016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508479627 | Alexis Lemmon | Dental Hygienist | 13450 Hawthrone Blvd, Hawthorne, CA 90250 | 2020-08-28 |
| 1336620459 | Lan Ngoc Ton | Dentist | 13450 S. Hawthorne Blvd, Hawthorne, CA 90250 | 2018-08-27 |
| 1356829261 | Karneth Health Inc | Internal Medicine | 4512 W. Imperial Hwy, Ste B, Hawthorne, CA 90250 | 2018-08-02 |
| 1225524663 | Viridian Healthcare LLC | In Home Supportive Care | 13658 Hawthorne Blvd Ste 201, Hawthorne, CA 90250 | 2018-07-09 |
| 1235636044 | Sonia Medical Center Inc | Clinic/Center | 4512 W Imperial Hwy, Hawthorne, CA 90250 | 2018-04-09 |
| 1518484807 | Jessica Anne-marie Auzenne-harris | Nurse Practitioner | 12618 Hawthorne Blvd, Hawthorne, CA 90250 | 2017-08-28 |
| 1669993358 | Ololade Olamide Obafemi | Nurse Practitioner | 12954 Hawthorne Boulevard, Suite 104, Hawthorne Morningside Medical Clinic, Hawthorne, CA 90250 | 2017-07-03 |
| 1588194534 | Marissam Medical Inc. | Durable Medical Equipment & Medical Supplies | 13508 Inglewood Ave, Hawthorne, CA 90250 | 2017-06-13 |
| 1043751886 | Ogbonna Iwuamadi Olelewe | Nurse Practitioner | 11712 S. Hawthorne Blvd, Hawthorne, CA 90250 | 2017-03-13 |
| 1952758898 | La Shada Kai Martin | Contractor | 13010 Kornblum Ave, Unit D, Hawthorne, CA 90250 | 2016-05-20 |
| Find all providers in zip 90250 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730562695 | Cvs | Pharmacy | 4755 W. Rosecrans Ave, Hawthorne, CA 90505-5525 | 2015-07-09 |
| 1164670519 | Garfield Beach Cvs LLC | Pharmacy | 2700 W 120th St, Hawthorne, CA 90250-3388 | 2008-08-28 |
| 1952586323 | Walgreen Co | Pharmacy | 11983 Hawthorne Blvd, Hawthorne, CA 90250-3015 | 2008-01-04 |
| 1245339449 | Tonaire Corporation | Pharmacy | 576 Lafayette Avenue, Hawthorne, NJ 07506-2423 | 2006-09-22 |
| 1649378134 | Garfield Beach Cvs LLC | Pharmacy | 4775 W Rosecrans Ave, Hawthorne, CA 90250-6842 | 2006-09-20 |
| 1194829051 | Holiday Cvs LLC | Pharmacy | 6025 Se Us Highway 301, Hawthorne, FL 32640-7316 | 2006-09-12 |
| 1487764098 | Costco Wholesale Corporation | Pharmacy | 14501 Hindry Ave, Hawthorne, CA 90250 | 2006-08-30 |
| 1235144247 | Walgreen Co | Pharmacy | 14250 Prairie Ave, Hawthorne, CA 90250-7908 | 2006-07-29 |
| 1306889787 | Garfield Beach Cvs LLC | Pharmacy | 3880 W Rosecrans Ave, Hawthorne, CA 90250-8018 | 2006-06-14 |
| 1063453934 | Garfield Beach Cvs LLC | Pharmacy | 11831 Hawthorne Blvd, Hawthorne, CA 90250-3013 | 2006-06-09 |
| Find all providers in HAWTHORNE | ||||
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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.