DR. MIRABELLE CLAUDINE KAMDJIO MIYO (NPI# 1518460021) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518460021 |
| Entity Type | Individual |
| Full Name | DR. MIRABELLE CLAUDINE KAMDJIO MIYO |
| Practice Address |
9700 Copper Lake Ct Elk Grove CA 95624-4711 |
| Practice Telephone | 9165099994 |
| Mailing Telephone | 9165099994 |
| Enumeration Date | 2018-03-10 |
| Last Update Date | 2018-03-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 78299 | CA | Pharmacy Service Providers |
| Street Address |
9700 COPPER LAKE CT |
| City | ELK GROVE |
| State | CA |
| Zip Code | 95624-4711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194363721 | Sanam Adela Baidar | Behavior Technician | 9170 Dino Dr, Ste 170, Elk Grove, CA 95624 | 2019-12-13 |
| 1134686041 | Hannah Marie Hamm | Behavior Technician | 9701 Dino Drive, Suite 170, Elk Grove, CA 95624 | 2019-02-27 |
| 1538624259 | Amnah Sattar | Assistant Behavior Analyst | 9701 Dino Dr, Elk Grove, CA 95624 | 2019-02-06 |
| 1740793470 | Sheena Maharaj | Marriage & Family Therapist | 9008 Elk Grove Blvd Ste 11, Elk Grove, CA 95624 | 2017-11-16 |
| 1598285595 | Jessica Russo | Behavior Technician | 8672 Cycladic Ct, Elk Grove, CA 95624 | 2017-06-21 |
| 1982137568 | Jamie Kofoed | Behavioral Analyst | 9355 E Stockton Blvd Ste 100, Elk Grove, CA 95624 | 2017-04-10 |
| 1154878742 | Dorian Elaine Buckner | Counselor | 9355 E. Stockton Blvd., Elk Grove, CA 95624 | 2016-09-01 |
| 1447635529 | David Johnson | Student in an Organized Health Care Education/Training Program | 9666 Kent St, Elk Grove, CA 95624 | 2015-07-30 |
| 1760862437 | Harpreet Singh | Student in an Organized Health Care Education/Training Program | 8617 Orison Ct, Elk Grove, CA 95624 | 2015-06-08 |
| 1942698253 | Noah Shapiro | Social Worker | 9140 Bradshaw Rd, Elf Grove, CA 95624 | 2015-01-08 |
| Find all providers in zip 95624 | ||||
| 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 |
|---|---|---|---|---|
| 1679192371 | Amara Igwe | Pharmacist | 8915 Serravilla Way, Elk Grove, CA 95758-6325 | 2020-04-13 |
| 1346889979 | Zohal Badria Nadi | Pharmacist | 9308 E Lake Dr, Elk Grove, CA 95758-4508 | 2019-12-30 |
| 1750928776 | Khang Duy Nguyen | Pharmacist | 6116 Travo Way, Elk Grove, CA 95757-2801 | 2019-12-09 |
| 1467005835 | Steve Bryant Carter | Pharmacist | 9080 Quail Terrace Way, Elk Grove, CA 95624-4003 | 2019-07-24 |
| 1639636350 | Patricia Shakarian | Pharmacist | 9589 Four Winds Dr Apt 113, Elk Grove, CA 95758-7136 | 2019-02-28 |
| 1992206353 | Tanya Gates | Pharmacist | 10311 Pedra Do Sol Way, Elk Grove, CA 95757-3471 | 2018-02-21 |
| 1295244549 | Alyssa Namba | Pharmacist | 9846 Selva Way, Elk Grove, CA 95757-8251 | 2017-09-28 |
| 1336674639 | Steven Quan | Pharmacist | 9046 Laguna Lake Way, Elk Grove, CA 95758-4218 | 2017-04-24 |
| 1104350842 | Trang T Nguyen | Pharmacist | 8878 Garrity Dr, Elk Grove, CA 95624-4073 | 2017-04-19 |
| 1730613605 | Rakhee Sudhribhai Patel | Pharmacist | 10059 Stiller Ct, Elk Grove, CA 95757-1686 | 2017-04-17 |
| Find all providers in ELK GROVE | ||||
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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.