TARGET (NPI# 1336525054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336525054 |
| Entity Type | Organization |
| Organization Name | TARGET |
| Practice Address |
3944 Grand Ave Chino CA 91710-5422 |
| Mailing Address |
14369 Mountain Ave Chino CA 91710-1386 |
| Practice Telephone | 9094655804 |
| Mailing Telephone | 2094038563 |
| Enumeration Date | 2015-08-04 |
| Last Update Date | 2015-08-04 |
| Authorized Official Name | MONICA TRIVEDI (PHARMACY BUSINESS PARTNER) |
| Authorized Official Telephone | 7146544031 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 72803 | CA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477927069 | Target | Pharmacist | 6944 Lakeway St, Ypsilanti, MI 48197-1052 | 2015-11-19 |
| 1093183113 | Target | Clinic/Center | 2228 S Sanctuary Dr, New Berlin, WI 53151-1920 | 2015-09-05 |
| 1841666328 | Target | Community/Behavioral Health | 14391 Chantilly Crossing Lane, Chantilly, VA 20151 | 2015-08-19 |
| 1336540301 | Target | Pharmacy | 1040 Deer Ridge Dr, Baltimore, MD 21210-2558 | 2014-09-10 |
| 1164781167 | Target | Pharmacist | 2840 Ash Ridge Dr, Beavercreek, OH 45434-5895 | 2012-05-10 |
| 1104295054 | Target | Pharmacy | 474 Chamberlain Hwy, Meriden, CT 06451-1818 | 2015-09-22 |
| 1215306642 | Target | Pharmacy | 3150 Business Park Dr, Vista, CA 92081-8520 | 2015-09-15 |
| 1356719454 | Target | Pharmacist | 500 W Sunrise Hwy, Valley Stream, NY 11581-1001 | 2015-09-04 |
| 1104200203 | Target | Pharmacy | 15922 Crain Hwy, Brandywine, MD 20613-8000 | 2015-07-17 |
| 1447637186 | Target | Pharmacy | 30333 Southfield Rd, Southfield, MI 48076-1352 | 2015-05-01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | TARGET | 500 S Hicks Rd, Palatine, IL 60067-6943 |
| Vermont Business Registrations | TARGET - R.A.D. | Rfd #1, Newport, VT 05855 |
| Indiana Business Entities | TARGET 1 MARKETING LLC | 597 Country Club Estates Dr., Corydon, IN 47112 |
| Colorado Business Entities | Target 1, LLC | 36 Rue De La Rose, Sedona, AZ 86336 |
| New York State Corporations | TARGET 10 NICHE MARKETING & PUBLIC RELATIONS, INC. | 522 West 50th Street, #c2, New York, New York 10019 |
| Washington State Corporations | TARGET 13, L.L.C. | 1316 E College Way, Mount Vernon, WA 98273-5619 |
| Colorado Business Entities | Target 2 LLC | 36 Rue De La Rose, Sedona, AZ 86336 |
| Oregon Corporations, Companies and Business Names | TARGET 2004, L.L.C. | 3136 Ne Jackson Rd Lp, Hillsboro, OR 97124 |
| New York State Corporations | TARGET 250, INC. | Hippodrome Ctr 4th Floor, 1120 Avenue of The Americas, New York, New York 10036 |
| Massachusetts Corporations | TARGET 250, INC. | 1170 Headquarters Plaza, Morristown, NJ 07960 |
| Street Address |
3944 GRAND AVE |
| City | CHINO |
| State | CA |
| Zip Code | 91710-5422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740203066 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 3944 Grand Ave, Chino, CA 91710-5422 | 2006-07-26 |
| 1265063432 | Sandy Ha | Pharmacist | 3944 Grand Ave, Chino, CA 91710-5422 | 2020-01-28 |
| 1013445170 | Jimmy Hien Thai Le | Pharmacist | 3944 Grand Ave, Chino, CA 91710-5422 | 2017-06-01 |
| 1689058133 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 3944 Grand Ave, Chino, CA 91710-5422 | 2015-07-15 |
| 1184974024 | Ignacia Suwandi | Pharmacist | 3944 Grand Ave, T0912, Chino, CA 91710-5422 | 2012-09-19 |
| 1104172667 | Valerie Nguy | Pharmacist | 3944 Grand Ave, T-0912, Chino, CA 91710-5422 | 2012-08-01 |
| 1841557402 | William Kenneth Conde | Pharmacist | 3944 Grand Ave, T-0912, Chino, CA 91710-5422 | 2012-04-19 |
| 1619245297 | Wella Jun Ma | Pharmacist | 3944 Grand Ave, Chino, CA 91710-5422 | 2011-12-09 |
| 1699060095 | Nasir Nadir Ali | Pharmacist | 3944 Grand Ave, T-0912, Chino, CA 91710-5422 | 2011-06-14 |
| 1508150657 | Diane Lee | Pharmacist | 3944 Grand Ave, T-0912, Chino, CA 91710-5422 | 2011-06-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962037887 | Corrections and Rehabilitation | Pharmacy | 14901 So Central Avenue, Chino, CA 91710 | 2020-03-11 |
| 1053968289 | California Institute for Men Phcy | Pharmacy | 14901 So Central Ave, Chino, CA 91710 | 2019-08-22 |
| 1982170510 | Kind Care Connections, LLC | In Home Supportive Care | 14726 Ramona Ave # E10, Chino, CA 91710 | 2018-10-22 |
| 1922593789 | Christopher Armando Camarena | Assistant Behavior Analyst | 6062 Eucalyptus Ave, Chino, CA 91710 | 2018-06-25 |
| 1730696519 | Barsoum Dental Corp | Dentist | 14613 Ramona Ave, Chino, CA 91710 | 2018-01-03 |
| 1326569864 | Christina La | Optometrist | 5250 Philadelphia St Ste D, Chino, CA 91710 | 2017-07-06 |
| 1629502554 | Jk Pharmacy Inc | Pharmacy | 5562 Philadelphia St, #110, Chino, CA 91710 | 2017-04-18 |
| 1801336680 | Altek Drugs Inc. | Pharmacy | 13085 Central Ave Ste 2, Chino, CA 91710 | 2017-02-28 |
| 1518405893 | Audrey Ronquillo | Behavior Technician | 800 Ferrari Ln, Suite 100, Ontario, CA 91710 | 2017-02-07 |
| 1952849556 | Jennifer Huynh | Behavior Technician | 800 Ferrari Ln Suite 100, Ontario, CA 91710 | 2017-02-03 |
| Find all providers in zip 91710 | ||||
| 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 |
|---|---|---|---|---|
| 1740748102 | Sohilkumar P Patel | Pharmacist | 14617 San Antonio Ave, Chino, CA 91710-6984 | 2019-03-05 |
| 1831590538 | Steven Chang | Pharmacist | 13193 Central Ave Ste 120, Chino, CA 91710-4179 | 2014-09-12 |
| 1508130840 | Jay Kim | Pharmacist | 5562 Philadelphia St Ste 110, Chino, CA 91710 | 2012-03-05 |
| 1942518618 | Vaishali Shah | Pharmacist | 12059 Central Ave, Chino, CA 91710-1908 | 2010-09-16 |
| 1669784641 | La Vern Smith | Pharmacist | 6989 Schaefer Ave, Chino, CA 91710-9126 | 2010-07-08 |
| 1376605477 | Jin Ho Kim | Pharmacist | 12582 Central Ave, Chino, CA 91710-3507 | 2006-12-14 |
| 1568451771 | Premesh Jina | Pharmacist | 12611 9th St, Unit D, Chino, CA 91710-3528 | 2005-10-19 |
| 1629675509 | Shrina Kadivar | Pharmacist | 13085 Central Ave Ste 2, Chino, CA 91710-4184 | 2020-10-05 |
| 1265063432 | Sandy Ha | Pharmacist | 3944 Grand Ave, Chino, CA 91710-5422 | 2020-01-28 |
| 1871157735 | Katelyn Jia Liao | Pharmacist | 5451 Walnut Ave, Chino, CA 91710-2609 | 2019-04-26 |
| Find all providers in CHINO | ||||
Please comment or provide details below to improve the information on TARGET.
| 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.