DR. DEBRA MINTZ-SULLIVAN (NPI# 1447649751) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447649751 |
| Entity Type | Individual |
| Full Name | DR. DEBRA MINTZ-SULLIVAN |
| Credential | PHARM.D. |
| Practice Address |
9500 Greenback Ln #26 Folsom CA 95630-2091 |
| Practice Telephone | 9165360352 |
| Enumeration Date | 2015-01-10 |
| Last Update Date | 2015-01-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 12052 | NV | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | 47172 | CA | Pharmacy Service Providers |
| Street Address |
9500 GREENBACK LN #26 |
| City | FOLSOM |
| State | CA |
| Zip Code | 95630-2091 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831724657 | Corrections and Rehabilitation | Pharmacy | 570 E. Natoma Street, Folsom, CA 95630 | 2020-03-12 |
| 1174153027 | Haley Harmon | Nurse Practitioner | 1621 Creekside Dr. Creekside Ob/gyn, Ste. 102, Folsom, CA 95630 | 2020-01-20 |
| 1932741469 | Ruma Ramani Jolly | Speech-Language Pathologist | 250 Mc Adoo Drive, Willow Springs, Apt.911, Folsom, CA 95630 | 2019-10-16 |
| 1750844767 | Sharon Munyaanyi | Registered Nurse | 1600 Creekside Dr Ste 3700, Folsom, CA 95630 | 2019-04-08 |
| 1104308345 | Stephanie Whatley | Optometrist | 2390 E Bidwell St Ste 400, Folsom, CA 95630 | 2018-09-04 |
| 1447746607 | Heather Michellee Thrapp | Behavioral Analyst | 125 Oak Ravine Way, Folsom, CA 95630 | 2018-07-10 |
| 1700370483 | Loretta May Delgado | Behavior Technician | 322 Crow Cany, Folsom, CA 95630 | 2018-06-18 |
| 1417448176 | Sound Support Inc. | Hearing Instrument Specialist | 610 East Bidwell Street, Suite A, Folsom, CA 95630 | 2018-05-29 |
| 1548750144 | Don Peterson Md, Sugical Assisting | General Practice | Mercy Hospital of Folsom (dignity Health Folsom), 1650 Creekside Dr., Folsom, CA 95630 | 2018-05-18 |
| 1245733328 | American Heritage Hospice Inc | Hospice Care, Community Based | 1837 Iron Point Rd Ste 180, Folsom, CA 95630 | 2018-03-14 |
| Find all providers in zip 95630 | ||||
| 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 |
|---|---|---|---|---|
| 1518599745 | Arman Akhavan Azari | Pharmacist | 1035 Folsom Ranch Dr Apt 204, Folsom, CA 95630-5153 | 2020-02-05 |
| 1730727322 | Shirley Lam | Pharmacist | 1012 Doc Day Ct, Folsom, CA 95630-7505 | 2019-12-14 |
| 1033605530 | Veena Kulkarni | Pharmacist | 261 Stonehedge Dr, Folsom, CA 95630-7533 | 2018-07-08 |
| 1568977155 | Mai Ngoc Le | Pharmacist | 180 S Lexington Dr Apt 1021, Folsom, CA 95630-7016 | 2017-12-05 |
| 1265988489 | Jessica Sheffler | Pharmacist | 776 Fratis St, Folsom, CA 95630-9568 | 2016-08-28 |
| 1801269030 | Suzana Fareen Hussein | Pharmacist | 138 Casselman St, Folsom, CA 95630-5422 | 2015-11-10 |
| 1306230479 | Patrick Ferrara I | Pharmacist | 141 Crow Canyon Dr, Folsom, CA 95630 | 2015-03-26 |
| 1467861591 | Andrew Veirs | Pharmacist | 2495 Iron Point Rd, Folsom, CA 95630-8710 | 2014-08-02 |
| 1023429669 | Lorena K Molzahn | Pharmacist | 715 E Bidwell St, Folsom, CA 95630-3341 | 2014-05-16 |
| 1043631328 | Sogol Moghadam | Pharmacist | 884 Farley Ct, Folsom, CA 95630 | 2014-01-03 |
| Find all providers in FOLSOM | ||||
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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.