CYNTHIA LYNN FONG (NPI# 1396045589) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396045589 |
| Entity Type | Individual |
| Full Name | CYNTHIA LYNN FONG |
| Credential | BS PHARMACY |
| Practice Address |
4770 Riverdale Rd Memphis TN 38141-8529 |
| Practice Telephone | 9017567408 |
| Practice Fax Number | 9017583650 |
| Mailing Telephone | 9017567408 |
| Mailing Fax Number | 9017583650 |
| Enumeration Date | 2010-10-22 |
| Last Update Date | 2020-02-10 |
| 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 |
0000010156 | TN | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467795500 | Cynthia Fong | Counselor | 144 Lily Dr, Maumelle, AR 72113-5826 | 2013-03-27 |
| 1508264524 | Cynthia Fong | Pharmacist | 2928 Ramco St Ste 100, West Sacramento, CA 95691-6406 | 2014-12-08 |
| 1194902270 | Cynthia Fong | Social Worker | 2595 International Blvd, Oakland, CA 94601-1509 | 2008-01-30 |
| 1649346511 | Cynthia Uyemoto Fong | Physical Therapist | 270 International Cir, San Jose, CA 95119-1100 | 2006-11-24 |
| Street Address |
4770 RIVERDALE RD |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38141-8529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184658817 | Kroger Limited Partnership I | Durable Medical Equipment & Medical Supplies | 4770 Riverdale Rd, Memphis, TN 38141-8529 | 2006-07-10 |
| 1497055230 | Thomas Randall Guntharp | Pharmacist | 4770 Riverdale Rd, Memphis, TN 38141-8529 | 2010-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245845148 | Hopeful Strands LLC | Prosthetic/Orthotic Supplier | 5852 Sunny Morning Dr, Memphis, TN 38141 | 2020-09-09 |
| 1285107581 | Monique Bonita Robinson | Counselor | 5004 Pheasant Run Ln, Memphis, TN 38141 | 2019-01-09 |
| 1366979098 | Cross Medical Primary Care | Family Medicine | 6222 E. Shelby Drive, Memphis, TN 38141 | 2017-05-12 |
| 1619403870 | Cross Medical Primary Care | Family Medicine | 6222 East Shelby Drive, Memphis, TN 38141 | 2017-05-10 |
| 1326464330 | Tammy Hulbert | Day Training/Habilitation Specialist | 5416 Gardendale St., Memphis, TN 38141 | 2014-03-14 |
| 1083912836 | Best Care LLC | In Home Supportive Care | 6945 Waters Bend Cove, Memphis, TN 38141 | 2011-03-03 |
| 1114239845 | New Image Life Coaches & Associates | Health Educator | 4334 Snow Mass Lane, Memphis, TN 38141 | 2010-07-10 |
| 1235278607 | Markesha L Woods | Counselor | 123 Please Contact, Memphis, TN 38141 | 2007-02-05 |
| 1083141717 | Cross Medical Primary Care | Clinic/Center | 6222 E. Shelby Drive, Memphis, TN 38141 | 2017-05-12 |
| 1104218312 | Ashley Byrd | Nurse Practitioner | 6222 E Shelby Dr, Memphis, TN 38141 | 2015-02-25 |
| Find all providers in zip 38141 | ||||
| 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 |
|---|---|---|---|---|
| 1194322081 | Sarah Murphy | Pharmacist | 800 Ridge Lake Blvd Ste 100, Memphis, TN 38120-9442 | 2020-10-05 |
| 1649799339 | Benjamin Duhart Jr. | Pharmacist | 1265 Union Avenue- Methodist University Hospital, Ground Floor Pharmacy Administration, Memphis, TN 38104 | 2017-09-13 |
| 1942660899 | Michael Bailey | Pharmacist | 1759 Union Ave, Memphis, TN 38104-6143 | 2016-03-03 |
| 1124463021 | Katie Joy Suda | Pharmacist | 881 Madison Ave # 340, Memphis, TN 38163-0001 | 2013-05-06 |
| 1366791808 | Amirio Jonte Armour | Pharmacist | 1760 Moriah Woods, Suite 2, Memphis, TN 38117 | 2012-08-30 |
| 1952617805 | Teresa Ann Perkins | Pharmacist | 799 Truse Pkwy, Memphis, TN 38117-5354 | 2010-08-28 |
| 1265039077 | Ashley Michael | Pharmacist | 1212 E Shelby Dr, Memphis, TN 38116-7124 | 2020-10-05 |
| 1356952972 | Justin J Macklin | Pharmacist | 3670 Riverdale Rd, Memphis, TN 38115-5400 | 2020-08-17 |
| 1871102624 | Jake Trigg | Pharmacist | 3860 Austin Peay Hwy, Memphis, TN 38128-2501 | 2020-07-28 |
| 1992314272 | Ian Etheridge | Pharmacist | 800 Ridge Lake Blvd, Memphis, TN 38120-9427 | 2020-07-23 |
| Find all providers in MEMPHIS | ||||
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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.