DR. LISA-ANN CHERYL POLACCO (NPI# 1316415094) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1316415094 |
Entity Type | Individual |
Full Name | DR. LISA-ANN CHERYL POLACCO |
Credential | PHARMD |
Practice Address |
15518 Saticoy St Van Nuys CA 91406-3348 |
Practice Telephone | 3109364337 |
Mailing Telephone | 3109364337 |
Enumeration Date | 2018-11-11 |
Last Update Date | 2018-11-11 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 183500000X | Pharmacist | 79638 | CA | Pharmacy Service Providers |
Street Address |
15518 SATICOY ST |
City | VAN NUYS |
State | CA |
Zip Code | 91406-3348 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629628953 | Elizabeth Leon Sanchez | Marriage & Family Therapist | 16360 Van Nuys Blvd, Van Nuys, CA 91406 | 2019-09-18 |
1720573926 | Kina Dennis | Specialist/Technologist | 17216 Saticoy Street, 609, Van Nuys, CA 91406 | 2018-06-29 |
1902398951 | Roland Hinds | Rehabilitation Practitioner | 16360 Roscoe Blvd # 2, Van Nuys, CA 91406 | 2018-06-05 |
1528576691 | Vyacheslav Alec Pekler | Naturopath | 7025 Adea Ave, Lake Balboa, CA 91406 | 2018-01-11 |
1366960999 | Gentle Ride LLC Dba Safeaid | Non-emergency Medical Transport (VAN) | 6747 Odessa Ave Ste 101, Van Nuys, CA 91406 | 2017-09-04 |
1396265252 | Developmental Pathways, Inc. | Physical Therapist | 7120 Hayvenhurst Ave Ste 308, Van Nuys, CA 91406 | 2017-06-22 |
1952850729 | Leisure Village, Inc | Assisted Living Facility | 6726 1/2 Gaviota Ave., Lake Balboa, CA 91406 | 2016-09-22 |
1689037426 | Mahnaz Rashidimoakhar | Physical Therapy Assistant | 6452 Woodley Ave, Unit 4, Van Nuys, CA 91406 | 2016-03-30 |
1306264205 | Angel Hospice Care, Inc. | Hospice Care, Community Based | 16114 Hart St, Van Nuys, CA 91406 | 2014-03-29 |
1871924589 | Well Care Transport, Inc. | Non-emergency Medical Transport (VAN) | 6525 Woodley Ave. Unit #205, Lake Balboa, CA 91406 | 2013-12-05 |
Find all providers in zip 91406 |
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 |
---|---|---|---|---|
1265045397 | Lusine Vardanyan | Pharmacist | 13809 Enadia Way, Van Nuys, CA 91405-3323 | 2020-08-28 |
1811519721 | Shelley Cole | Pharmacist | 15211 Vanowen St Ste 301, Van Nuys, CA 91405-3681 | 2020-05-13 |
1740813039 | Arutyun Sarkissian | Pharmacist | 13309a Victory Blvd, Van Nuys, CA 91401-1832 | 2020-02-15 |
1912364514 | Diana Moskovyan | Pharmacist | 6755 Vesper Ave, Van Nuys, CA 91405-4624 | 2016-01-27 |
1699146670 | Navid Doostan | Pharmacist | 15039 Burbank Blvd, Apt 103, Van Nuys, CA 91411-3674 | 2015-10-15 |
1174931455 | Soheil Zafarmehr | Pharmacist | 7218 Van Nuys Blvd Ste B, Van Nuys, CA 91405-6803 | 2014-07-30 |
1841616786 | Korush Jalali | Pharmacist | 14659 Victory Blvd, Van Nuys, CA 91411-1622 | 2014-03-17 |
1831462803 | Jung S Bae | Pharmacist | 17643 Sherman Way, #104, Van Nuys, CA 91406-3510 | 2012-02-21 |
1063792778 | Pnada Bow Kawewat | Pharmacist | 6714 Allott Ave, Van Nuys, CA 91401-1104 | 2011-08-25 |
1578883690 | Sam Nia | Pharmacist | 17266 Saticoy St, Van Nuys, CA 91406-2103 | 2010-06-11 |
Find all providers in VAN NUYS |
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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.