LINDA WYLIE BANARES (NPI# 1295049567) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295049567 |
| Entity Type | Individual |
| Full Name | LINDA WYLIE BANARES |
| Credential | PHARMD |
| Practice Address |
1001 Potrero Ave General Medicine Clinic, 1m-3 San Francisco CA 94110-3518 |
| Mailing Address |
1310 Johnson Ln Touro University College of Pharmacy Vallejo CA 94592-1159 |
| Practice Telephone | 4152068978 |
| Practice Fax Number | 4152065857 |
| Mailing Telephone | 7076385950 |
| Mailing Fax Number | 7076385959 |
| Enumeration Date | 2010-07-29 |
| Last Update Date | 2010-07-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
63962 | CA | Pharmacy Service Providers |
| Street Address |
1001 POTRERO AVE GENERAL MEDICINE CLINIC, 1M-3 |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94110-3518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598769002 | Neda Ratanawongsa | Internal Medicine | 1001 Potrero Ave, 1m General Medicine Clinic, San Francisco, CA 94110-3518 | 2005-06-13 |
| 1275132151 | Rachel Mei Lin Bishop | Occupational Therapist | 1001 Potrero Ave, San Francisco, CA 94110-3518 | 2020-10-21 |
| 1265049340 | Elizabeth Meiselman | Specialist | 1001 Potrero Ave, Main Building 5, 6th Floor, 6m, San Francisco, CA 94110 | 2020-09-23 |
| 1376159269 | Holly Taylor | Dietitian, Registered | 1001 Potrero Ave, San Francisco, CA 94110-3594 | 2020-09-17 |
| 1972116879 | Marissa Ferry | Student in an Organized Health Care Education/Training Program | 1001 Potrero Ave, San Francisco, CA 94110-3518 | 2020-08-28 |
| 1043837982 | Abegail M Rabut | Technician/Technologist | 1001 Potrero Ave, San Francisco, CA 94110-3518 | 2020-06-26 |
| 1669098448 | Denise Intal Mariano | Spec/Tech, Pathology | 1001 Potrero Ave, San Francisco, CA 94110-3518 | 2020-06-17 |
| 1730705500 | Lakshmi Gopalakrishnan | Specialist | 1001 Potrero Ave, Bldg 5, Room 7g19, San Francisco, CA 94110 | 2020-06-17 |
| 1932720828 | Kim Trong Nguyen | Pharmacist | 1001 Potrero Ave, San Francisco, CA 94110-3518 | 2020-05-01 |
| 1730700139 | Heather Waldorf | Dietitian, Registered | 1001 Potrero Ave, San Francisco, CA 94110-3518 | 2020-04-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891302980 | Deena Marlo Abramson | Doula | 1360 Vermont Street, San Francisco, CA 94110 | 2020-09-23 |
| 1740835131 | Jacob Matz | Orthopaedic Surgery | Orthopaedic Trauma Institute, 2550 23rd St Building 9, 2nd Floor, San Francisco, CA 94110 | 2019-08-03 |
| 1427523083 | John Pier Shaw | Counselor | 1550 Treat Street, San Francisco, CA 94110 | 2018-10-10 |
| 1548743594 | Ana Li | Registered Nurse | 2460 22nd Street, Building 90, Fourth Floor, Ward 94, San Francisco, CA 94110 | 2018-09-14 |
| 1295220283 | Sarah Jane Blevins | Technician, Other | 1061 Valencia Street, Apt A, San Francisco, CA 94110 | 2018-06-22 |
| 1639688823 | Rashid Belkheiri | Community Health Worker | 1001 Potrero Ave Bldg 5 #7m36, San Francisco, CA 94110 | 2017-09-20 |
| 1780107425 | Allison Kimberley Tucker | Orthopaedic Surgery | 2550 23rd St., Bldg. 9, 2nd Floor, Orthopedic Trauma Institute, San Francisco, CA 94110 | 2017-07-25 |
| 1003339300 | April May Moyer | Student in an Organized Health Care Education/Training Program | 1001 Potrero Street 6b, San Francisco, CA 94110 | 2017-07-19 |
| 1154851798 | Anthony Jermaine Hatten | Specialist | 1001 Potrero Ave Rm Ward93, San Francisco, CA 94110 | 2017-06-15 |
| 1770012981 | Cardiogram, Inc. | Physiological Laboratory | 375 Alabama St Ste 350, San Francisco, CA 94110 | 2017-06-09 |
| Find all providers in zip 94110 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154849420 | Kimi Rei Ueda | Pharmacist | 2340 Clay St Fl 4, San Francisco, CA 94115-1932 | 2017-09-06 |
| 1598186181 | Kristin Wong | Pharmacist | 3049 Sacramento St, Apt 7, San Francisco, CA 94115-2050 | 2013-12-26 |
| 1811328503 | Amy Logan | Pharmacist | 1001 Potrero Ave Rm 1p6, San Francisco, CA 94110-3518 | 2013-12-05 |
| 1023458056 | Caitlin Carberry Drayna | Pharmacist | 711 Lincoln Way Apt 2, San Francisco, CA 94122-2438 | 2013-07-05 |
| 1497097331 | Aileen Chi | Pharmacist | 521 Parnassus Ave # C152, San Francisco, CA 94143-2206 | 2013-03-18 |
| 1427325414 | Trasa Hung | Pharmacist | 1737 19th Ave, San Francisco, CA 94122-4500 | 2011-11-19 |
| 1194008540 | Maria Aurora Pascua | Pharmacist | 500 Parnassus Ave # Mu-145, San Francisco, CA 94143-2203 | 2011-09-22 |
| 1629359112 | Vivian Lian | Pharmacist | 1001 Potrero Ave Rm 1p2, San Francisco, CA 94110-3518 | 2011-08-29 |
| 1669469540 | Lisa A Kroon | Pharmacist | 533 Parnassus Ave, U-503, Box 0622, San Francisco, CA 94143-0622 | 2005-10-05 |
| 1508850470 | Robin L Corelli | Pharmacist | 521 Parnassus Ave, Room C-152, San Francisco, CA 94143-2206 | 2005-09-07 |
| Find all providers in SAN FRANCISCO | ||||
| City | SAN FRANCISCO |
| Zip Code | 94110 |
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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.