DR. HEATHER MARIE POL (NPI# 1538577523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1538577523 |
Entity Type | Individual |
Full Name | DR. HEATHER MARIE POL |
Credential | PHARM.D. |
Practice Address |
2100 Peabody Rd Vacaville CA 95687-6639 |
Practice Telephone | 7074510182 |
Mailing Telephone | 7074510182 |
Enumeration Date | 2014-07-23 |
Last Update Date | 2015-08-19 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 183500000X | Pharmacist | 66271 | CA | Pharmacy Service Providers |
Street Address |
2100 PEABODY RD |
City | VACAVILLE |
State | CA |
Zip Code | 95687-6639 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407925605 | Yuen Pao Chen | Internal Medicine | 2100 Peabody Rd, Vacaville, CA 95687 | 2006-11-06 |
1366960056 | Anh Do | Pharmacist | 2100 Peabody Rd, Vacaville, CA 95687-6639 | 2017-09-01 |
1881128296 | Mariana Lotersztain | Internal Medicine | 2100 Peabody Rd, Vacaville, CA 95687-6639 | 2017-04-13 |
1417405366 | Daniel Ramos | Physician Assistant | 2100 Peabody Rd, Vacaville, CA 95687-6639 | 2016-09-20 |
1972953297 | Michael Gonzaga | Family Medicine | 2100 Peabody Rd, Vacaville, CA 95687-6639 | 2016-06-17 |
1396152104 | Shashank Gopal Agarwal | Psychiatry & Neurology | 2100 Peabody Rd, Vacaville, CA 95687-6639 | 2014-07-14 |
1851710255 | Margaret Tuyetmai Le | Pharmacist | 2100 Peabody Rd, Vacaville, CA 95687-6639 | 2014-04-14 |
1902235070 | Rachel Dubruyne | Social Worker | 2100 Peabody Rd, Vacaville, CA 95687-6639 | 2013-11-08 |
1508206830 | Judith Mudge Herman | Psychologist | 2100 Peabody Rd, Vacaville, CA 95687-6639 | 2013-07-01 |
1992045454 | Theodore Long | Social Worker | 2100 Peabody Rd, Vacaville, CA 95687-6639 | 2013-02-20 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992311815 | Azul Center for Integration | Community/Behavioral Health | 186 Isle Royal Circle, Vacaville, CA 95687 | 2020-09-16 |
1740813062 | Adenike C. Ogunleye | Nurse Practitioner | California Medical Facility, 1600, California Drive, Fairfield, CA 95687 | 2020-02-14 |
1972165249 | Jean Callaghan-hoskins | Behavior Technician | 614 Harvard Ave, Vacaville, CA 95687 | 2019-07-08 |
1508338054 | Integrative Foot and Ankle Center | Durable Medical Equipment & Medical Supplies | 600 Nut Tree Rd Ste 210, Vacaville, CA 95687 | 2018-12-21 |
1164930640 | Alicia Nicole Gambetti | Family Medicine | 241 Nut Tree Rd., Vacaville, CA 95687 | 2018-01-18 |
1437564051 | Errie D. Bohanon | Social Worker | 1600 California St, Vacaville, CA 95687 | 2014-06-23 |
1467715177 | Patrick Fisher | Urology | 770 Mason Sst, Vacaville, CA 95687 | 2012-06-18 |
1285991968 | Tshering Wangmo Bhutia | Psychiatry & Neurology | 1600 California Drive, Department of Corrections & Reha, California Medicine Family, Psychiatry, Inpatient Progr, Vacaville, CA 95687 | 2012-04-18 |
1043589294 | Mantena and Ghazal Dental Corporation | Dentist | 110 Nut Tree Parkway, Vacaville, CA 95687 | 2011-12-16 |
1346527074 | Jason Michael Vojkufka | Physical Therapist | 585 Nut Tree Court, Vacaville, CA 95687 | 2011-11-09 |
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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 |
---|---|---|---|---|
1437692043 | Ahmed Abdi Ali | Pharmacist | 1 Quality Drive, Mob-b 1st Flr, 24 Hrs Pharmacy, Vacaville, CA 95688 | 2016-11-30 |
1275085672 | Anna Maria Leon Guerrero | Pharmacist | 1085 Syracuse Cir, Vacaville, CA 95687-4683 | 2016-11-01 |
1396293676 | Baqara Yoder | Pharmacist | 701 Beythe Ln, Vacaville, CA 95687-5613 | 2016-09-15 |
1134576242 | Ralph Crowder | Pharmacist | 555 Shady Glen Ave, Vacaville, CA 95688-2566 | 2016-05-18 |
1134530975 | Haeja Koh | Pharmacist | 3061 Alamo Dr, Vacaville, CA 95687-6394 | 2014-05-14 |
1578909495 | Michael J Nguyen | Pharmacist | 317 Sage Sparrow Cir, Vacaville, CA 95687-7752 | 2013-05-18 |
1841548302 | Rosalind Montgomery | Pharmacist | 1000 Allison Dr Apt 201, Vacaville, CA 95687-4989 | 2012-08-15 |
1073884599 | Brian Lehman | Pharmacist | 7354 Timm Rd, Vacaville, CA 95688-9636 | 2012-01-13 |
1386921641 | Amardeep Kori | Pharmacist | 300 Frisbie Cir, Vacaville, CA 95688-8812 | 2011-11-14 |
1508926379 | Mark Thomas Riley | Pharmacist | 536 Boone Drive, Vacaville, CA 95687 | 2006-12-11 |
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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.