DR. HAESEON S EOM (NPI# 1376641043) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376641043 |
| Entity Type | Individual |
| Full Name | DR. HAESEON S EOM |
| Credential | PHARM.D. |
| Practice Address |
150 Muir Road Martinez CA 94553 |
| Mailing Address |
305 Lorraine Blvd San Leandro CA 94577 |
| Practice Telephone | 9253704776 |
| Practice Fax Number | 9253704724 |
| Mailing Telephone | 9253704776 |
| Mailing Fax Number | 9253704724 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RPH43077 | CA | Pharmacy Service Providers |
| Street Address |
150 MUIR ROAD |
| City | MARTINEZ |
| State | CA |
| Zip Code | 94553 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598749947 | Bruce Richards Reed | Clinical Neuropsychologist | 150 Muir Road, Uc Davis Adc (127a)150 Muir Road (127a), Martinez, CA 94553 | 2005-11-30 |
| 1235685058 | Marianne Rene Bunce-houston | Registered Nurse | 150 Muir Road, Va Northern California Health Care System, Martinez, CA 94553 | 2016-08-31 |
| 1346695277 | Tracy Hsu | Pharmacist | 150 Muir Road, Martinez, CA 94553 | 2016-04-28 |
| 1588083315 | Rachel Agron | Speech-Language Pathologist | 150 Muir Road, Martinez, CA 94553 | 2014-04-09 |
| 1730274820 | Department of Veterans Affairs | Clinic/Center | 150 Muir Road, Martinez, CA 94553 | 2006-10-04 |
| 1386758894 | Judy Carmen Gardner | Registered Nurse | 150 Muir Road, Northern California Health Care System, Martinez, CA 94553 | 2006-08-19 |
| 1710914866 | Allen Daniel Mclean | Plastic Surgery | 150 Muir Road, C Va Northern California Health Care System, Martinez, CA 94553 | 2006-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043838709 | Melissa A Eaton | Health Educator | 200 Muir Rd., Attn Health Education Department, 3rd Floor, Ensenada Building, Martinez, CA 94553 | 2020-07-09 |
| 1427671965 | Kamri Elizabeth Hunt | Behavior Technician | 1220 Arnold Dr, Martinez, CA 94553 | 2020-05-19 |
| 1134741671 | Alex Rodriguez | Social Worker | 150 Nuir Road, Martinez, CA 94553 | 2020-05-07 |
| 1316405632 | Melissa Janine London | Psychologist | 150 Muir Road (116b), Martinez, CA 94553 | 2019-03-05 |
| 1942791025 | Morganne Elizabeth Lasley Juelich | Behavioral Analyst | 940 Lemon St, Martinez, CA 94553 | 2018-05-23 |
| 1457882243 | Ut Nguyen | Pharmacist | 400 Muir Rd, Martinez, CA 94553 | 2017-03-23 |
| 1346771144 | Irene Kuo | Pharmacist | 400 Muir Road, Martinez, CA 94553 | 2017-03-23 |
| 1407209802 | Gabrielle B De Los Reyes | Dentist | 1124 Arnold Drive #100, Martinez, CA 94553 | 2016-07-20 |
| 1619334745 | Randal Du | Pharmacist | 200 Muir Rd, Hacienda Bldg, Rm H1b18, Martinez, CA 94553 | 2016-01-20 |
| 1417329947 | Suja Samuel | Registered Nurse | 597 Center Avenue, Suite 200-a, Martinez, CA 94553 | 2015-10-23 |
| Find all providers in zip 94553 | ||||
| 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 |
|---|---|---|---|---|
| 1245880830 | Gabrielle Do | Pharmacist | 2253 Spring Water Dr, Martinez, GA 30907-3469 | 2019-09-16 |
| 1174033872 | Cherisse M Edwards | Pharmacist | 3977 High Chaparral Dr, Martinez, GA 30907-5109 | 2017-10-07 |
| 1457882243 | Ut Nguyen | Pharmacist | 400 Muir Rd, Martinez, CA 94553 | 2017-03-23 |
| 1346771144 | Irene Kuo | Pharmacist | 400 Muir Road, Martinez, CA 94553 | 2017-03-23 |
| 1962958850 | Andrew James Knutsen | Pharmacist | 4571 Alhambra Way, Martinez, CA 94553-4458 | 2016-08-30 |
| 1619334745 | Randal Du | Pharmacist | 200 Muir Rd, Hacienda Bldg, Rm H1b18, Martinez, CA 94553 | 2016-01-20 |
| 1184053308 | Suzie Wong | Pharmacist | 200 Muir Rd Bldg Rmh1e17, Martinez, CA 94553-4614 | 2013-11-07 |
| 1780951152 | Ela D Amin | Pharmacist | 500 Furys Ferry Rd, Martinez, GA 30907-7900 | 2011-11-29 |
| 1942584925 | Robert Cary Russ | Pharmacist | 672 Fury's Ferry Road, Martinez, GA 30907-8945 | 2011-10-07 |
| 1750664256 | Fu-kwo Patrick Kong | Pharmacist | 6680 Alhambra Ave # 171, Martinez, CA 94553-6105 | 2011-09-21 |
| Find all providers in MARTINEZ | ||||
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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.