MR. NUTTACHAI THANAETHANAPONG (NPI# 1366005266) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366005266 |
| Entity Type | Individual |
| Full Name | MR. NUTTACHAI THANAETHANAPONG |
| Other Name | MR. NAT THANAET |
| Practice Address |
19424 Soledad Canyon Rd Canyon Country CA 91351-2631 |
| Practice Telephone | 6612515444 |
| Mailing Telephone | 6612515444 |
| Enumeration Date | 2019-04-16 |
| Last Update Date | 2019-04-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 42808 | CA | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PHARMACIST | 42808 | 01 |
| PHARMACIST | RPH42808 | 01 |
| Street Address |
19424 SOLEDAD CANYON RD |
| City | CANYON COUNTRY |
| State | CA |
| Zip Code | 91351-2631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154363679 | Garfield Beach Cvs LLC | Pharmacy | 19424 Soledad Canyon Rd, Canyon Country, CA 91351-2631 | 2006-06-11 |
| 1376109389 | Trung Nguyen | Pharmacist | 19424 Soledad Canyon Rd, Canyon Country, CA 91351-2631 | 2019-05-15 |
| 1477116903 | Jordan Wing Lee | Pharmacist | 19424 Soledad Canyon Rd, Canyon Country, CA 91351-2631 | 2019-04-19 |
| 1306409081 | Chioma Ojukwu | Pharmacist | 19424 Soledad Canyon Rd, Canyon Country, CA 91351-2631 | 2019-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528679222 | Saint Lazarus Home Health Inc. | Home Health | 17722 Sierra Highway, Santa Clarita, CA 91351 | 2020-08-14 |
| 1558608398 | Bernadette Medina | Specialist/Technologist | 19040 Soledad Canyon Rd., # 210, Santa Clarita, CA 91351 | 2013-01-14 |
| 1164776068 | Fabricio Mundo | Interpreter | 19887 Northcliff Dr, Canyon Country, CA 91351 | 2012-10-31 |
| 1124384730 | Noosha Daha | Marriage & Family Therapist | 2714 Hidaway Ave, Santa Clarita, CA 91351 | 2012-04-09 |
| 1083906937 | Carla's Counseling,life Coaching, and Classes | Community/Behavioral Health | 19040 Soledad Canyon Road, Suite B, Santa Clarita, CA 91351 | 2011-05-11 |
| 1629289012 | Ronald Eugene Semelsberger | Dentist | 27552 Sierra Highway, Canyon Country, CA 91351 | 2007-05-25 |
| 1750898177 | Family Model Behavior Therapy, LLC | Behavioral Analyst | 18802 Mandan Street, #901, Canyon Country, CA 91351 | 2018-01-08 |
| 1780975755 | Westcoastdental | Clinic/Center | 15350 Nordhoff Street, Suite A, North Hills, CA 91351 | 2011-04-26 |
| 1346373784 | Anna Liberman Dds Inc | Health Maintenance Organization | 18507 Soledad Canyon Rd, Canyon Country, CA 91351 | 2007-03-14 |
| 1538214358 | Carolina Escaro Villate Mendoza | Dentist | 27225 Camp Plenty Rd, Suite 9, Canyon Country, CA 91351 | 2007-01-24 |
| Find all providers in zip 91351 | ||||
| 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 |
|---|---|---|---|---|
| 1962811042 | Sam Bekhit | Pharmacist | 67471 Carl Boyer Drive, Canyon Country, CA 91350 | 2014-08-04 |
| 1134405459 | James Patag | Pharmacist | 29246 Marilyn Dr, Canyon Country, CA 91387-4453 | 2011-11-01 |
| 1265714604 | Arquimedes Jose Betancourt | Pharmacist | 19266 Soledad Cyn, Canyon Country, CA 91351-3366 | 2011-09-12 |
| 1588970610 | Delphine D Hicks | Pharmacist | 14814 Willow Glen Ct, Canyon Country, CA 91387-1565 | 2010-08-26 |
| 1063730901 | Abdallah Ishac | Pharmacist | 29214 Sequoia Rd, Canyon Country, CA 91387-6222 | 2010-05-16 |
| 1841823119 | Mina Wadie Ishak Girgis | Pharmacist | 16642 Soledad Canyon Rd, Canyon Country, CA 91387-3217 | 2020-02-14 |
| 1376109389 | Trung Nguyen | Pharmacist | 19424 Soledad Canyon Rd, Canyon Country, CA 91351-2631 | 2019-05-15 |
| 1477116903 | Jordan Wing Lee | Pharmacist | 19424 Soledad Canyon Rd, Canyon Country, CA 91351-2631 | 2019-04-19 |
| 1306409081 | Chioma Ojukwu | Pharmacist | 19424 Soledad Canyon Rd, Canyon Country, CA 91351-2631 | 2019-04-17 |
| 1134632433 | Rebecca Lozingot | Pharmacist | 19409 Soledad Canyon Rd, Canyon Country, CA 91351-2632 | 2017-11-08 |
| Find all providers in CANYON COUNTRY | ||||
| City | CANYON COUNTRY |
| Zip Code | 91351 |
Please comment or provide details below to improve the information on MR. NUTTACHAI THANAETHANAPONG.
| 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.