SUPRIYA GUPTA (NPI# 1225460728) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225460728 |
| Entity Type | Individual |
| Full Name | SUPRIYA GUPTA |
| Practice Address |
1300 W Yosemite Ave Madera CA 93637-6320 |
| Practice Telephone | 5596738172 |
| Enumeration Date | 2013-08-07 |
| Last Update Date | 2013-08-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 68171 | CA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144484296 | Supriya Gupta | Student in an Organized Health Care Education/Training Program | 302 Husson Avenue, Suite 1, Bangor, ME 04401 | 2008-07-17 |
| 1124540604 | Supriya Gupta | Student in an Organized Health Care Education/Training Program | 1501 Kings Highway, Internal Medicine, Shreveport, LA 71130 | 2017-07-17 |
| 1639588163 | Supriya Gupta | Family Medicine | 2727 W Holcombe Blvd, Houston, TX 77025-1669 | 2014-08-08 |
| 1548521883 | Supriya Gupta | Radiology | 500 W Court St, Kankakee, IL 60901 | 2012-06-04 |
| Street Address |
1300 W YOSEMITE AVE |
| City | MADERA |
| State | CA |
| Zip Code | 93637-6320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174538458 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1300 W Yosemite Ave, Madera, CA 93637-6320 | 2006-07-29 |
| 1245706019 | Roberto Clemente Garcia | Pharmacist | 1300 W Yosemite Ave, Madera, CA 93637-6320 | 2018-10-19 |
| 1154706943 | Burke Taylor Hudson | Pharmacist | 1300 W Yosemite Ave, Madera, CA 93637-6320 | 2015-07-22 |
| 1306249941 | Christine Yah | Pharmacist | 1300 W Yosemite Ave, Madera, CA 93637-6320 | 2014-09-26 |
| 1306121702 | Arfan Mohammed | Pharmacist | 1300 W Yosemite Ave, Madera, CA 93637-6320 | 2011-10-17 |
| 1811271794 | Maithy Nguyen | Pharmacist | 1300 W Yosemite Ave, Madera, CA 93637-6320 | 2011-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124635297 | Lindsay Kevin Ham | Pharmacist | 355 West Olive Ave, Madera, CA 93637 | 2020-09-23 |
| 1073163739 | Sandra Alicia Cruz | Behavioral Analyst | 1915 Howard Rd Suites B & C, Madera, CA 93637 | 2019-09-16 |
| 1205496494 | Ali Eshaghi | Pharmacist | 1504 Howard Rd. Savemart Pharmacy, Madera, CA 93637 | 2019-06-19 |
| 1881123222 | Ryan Leach | Case Manager/Care Coordinator | 209 W. Yosemite Ave, Madera, CA 93637 | 2017-06-08 |
| 1518496876 | Maria Angelica Maciel | Case Manager/Care Coordinator | 209 W. Yosemite Ave., Madera, CA 93637 | 2017-06-08 |
| 1376072736 | Teresa Ann Rodriguez Anzaldua | Case Manager/Care Coordinator | 209 W Yosemite Avenue, Madera, CA 93637 | 2017-06-08 |
| 1770022899 | Martha Dominguez Piceno | Nurse Practitioner | 1250 E. Almond Ave., Madera, CA 93637 | 2017-02-22 |
| 1851835623 | Joanna Barajas | Social Worker | 70 Makenna Drive, Madera, CA 93637 | 2016-12-13 |
| 1275924383 | Mandeep Kaur | Dentist | 1100 North Gateway Drive, Madera, CA 93637 | 2015-02-11 |
| 1265867535 | Arianna Llamas | Psychologist | 1955 Lemon Ave., Madera, CA 93637 | 2013-09-05 |
| Find all providers in zip 93637 | ||||
| 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 |
|---|---|---|---|---|
| 1124635297 | Lindsay Kevin Ham | Pharmacist | 355 West Olive Ave, Madera, CA 93637 | 2020-09-23 |
| 1205496494 | Ali Eshaghi | Pharmacist | 1504 Howard Rd. Savemart Pharmacy, Madera, CA 93637 | 2019-06-19 |
| 1952781130 | Sarah Brannon | Pharmacist | 402 S Madera Ave Ste A, Madera, CA 93637-3203 | 2015-06-03 |
| 1063818482 | William Anthony Soares | Pharmacist | 6 Seasons Ct, Madera, CA 93637-5031 | 2014-11-12 |
| 1790060408 | Minh-hanh T Truong | Pharmacist | 1300 West Yosemite Avenue, Madera, CA 93637 | 2011-10-13 |
| 1114214186 | Sherif Sharaby | Pharmacist | 335 W Olive Ave, Rite Aid Pharmacy, Madera, CA 93637-5402 | 2011-06-29 |
| 1700177656 | Jeffrey Low | Pharmacist | 1507 Hillsboro Ave, Madera, CA 93637-8641 | 2011-04-27 |
| 1124088000 | Melissa Ann Chase | Pharmacist | 9300 Valley Children's Place, Pharmacy, Madera, CA 93636-8762 | 2006-03-24 |
| 1659347938 | Shannon L Wong | Pharmacist | 9300 Valley Childrens Place, Charlie Mitchell Childrens Clinic Mb01, Madera, CA 93636-3227 | 2006-02-27 |
| 1043811953 | Ashley Nicole Peton | Pharmacist | 9300 Valley Childrens Pl, Madera, CA 93636-8762 | 2020-11-06 |
| Find all providers in MADERA | ||||
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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.