MS. HILARRY DIAN BROASTER (NPI# 1164802377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164802377 |
| Entity Type | Individual |
| Full Name | MS. HILARRY DIAN BROASTER |
| Credential | PHARM.D |
| Practice Address |
1735 W Artesia Blvd Gardena CA 90248-3220 |
| Practice Telephone | 3103804650 |
| Practice Fax Number | 3103804649 |
| Mailing Telephone | 3103804650 |
| Mailing Fax Number | 3103804649 |
| Enumeration Date | 2015-06-02 |
| Last Update Date | 2015-06-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 47322 | CA | Pharmacy Service Providers |
| Street Address |
1735 W ARTESIA BLVD |
| City | GARDENA |
| State | CA |
| Zip Code | 90248-3220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871549386 | Albertsons LLC | Durable Medical Equipment & Medical Supplies | 1735 W Artesia Blvd, Gardena, CA 90248-3220 | 2006-05-26 |
| 1528441995 | Janet Chae | Pharmacist | 1735 W Artesia Blvd, Gardena, CA 90248-3220 | 2015-07-03 |
| 1033598081 | Khanh Tu | Pharmacist | 1735 W Artesia Blvd, Gardena, CA 90248-3220 | 2015-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215537543 | Gereine Mae Condino Datan | Nurse Practitioner | 500 W 190 St, Gardena, CA 90248 | 2020-10-27 |
| 1154811297 | Patrick Lee | Technician/Technologist | 18203 S. Western Ave Ste. 102, Torrance, CA 90248 | 2018-05-15 |
| 1386152445 | Ariana Felicitas Nieves | Behavioral Analyst | 870 W 190th St Ste 400, Gardena, CA 90248 | 2018-01-11 |
| 1265949606 | Jessica Keller | Behavioral Analyst | 879 W 190th St Suite 400, Gardena, CA 90248 | 2018-01-08 |
| 1265941199 | Jaimee E Munson | Behavioral Analyst | 18726 S. Western Ave St, #408, Gardena, CA 90248 | 2017-09-22 |
| 1922467349 | Fred Jefferson Memorial Homes | Substance Abuse Rehabilitation Facility | 152 W. Walnut, Suite 150, Gardena, CA 90248 | 2016-02-12 |
| 1922427442 | Shana Reilly | Behavioral Analyst | 18726 S. Western Ave., Suite 408, Los Angeles, CA 90248 | 2014-04-11 |
| 1588002216 | Aacres Ca, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 19300 S. Hamilton Ave, Ste 130, Gardena, CA 90248 | 2013-06-04 |
| 1093057598 | Aids Health Foundation | Pharmacist | 19300 S. Hamilton Ave., Ste 170, Gardena, CA 90248 | 2013-03-22 |
| 1245576594 | Hye Mi Kim | Behavioral Analyst | 18726 S. Western Ave.,#408, Gardena, CA 90248 | 2012-12-13 |
| Find all providers in zip 90248 | ||||
| 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 |
|---|---|---|---|---|
| 1295341097 | Patrick Dale Jackson | Pharmacist | 19300 S Hamilton Ave Ste 170-180, Gardena, CA 90248-4400 | 2020-09-17 |
| 1699399212 | Maksida Sabackic | Pharmacist | 19300 S Hamilton Ave Ste 170180, Gardena, CA 90248-4400 | 2020-05-29 |
| 1124537261 | Nina Vu | Pharmacist | 14416 Plum Lane, Unit 3, Gardena, CA 90247 | 2017-09-20 |
| 1356871008 | Delaram Moshfegh | Pharmacist | 1735 Artesia Blvd, Gardena, CA 90247 | 2017-06-15 |
| 1306389218 | David Ramiro Lopez | Pharmacist | 1341 W 160th St, Gardena, CA 90247-4411 | 2016-11-24 |
| 1659746899 | Sandra Shibuyama | Pharmacist | 1620 Marine Avenue, Gardena, CA 90247-3108 | 2015-12-12 |
| 1093057598 | Aids Health Foundation | Pharmacist | 19300 S. Hamilton Ave., Ste 170, Gardena, CA 90248 | 2013-03-22 |
| 1902146897 | Alice C Cheng | Pharmacist | 19300 S Hamilton Ave Ste 170, Gardena, CA 90248-4411 | 2013-02-28 |
| 1073590378 | Samuel K Nkansah | Pharmacist | 14111 Van Ness Ave, Van Park Pharmacy, Gardena, CA 90249-2944 | 2005-12-28 |
| 1932192283 | Thu Thi Dinh | Pharmacist | 15418 Crenshaw Blvd, Gardena, CA 90249-4524 | 2005-08-23 |
| Find all providers in GARDENA | ||||
Please comment or provide details below to improve the information on MS. HILARRY DIAN BROASTER.
| 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.