DR. JOHN MEDINA (NPI# 1598178550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598178550 |
| Entity Type | Individual |
| Full Name | DR. JOHN MEDINA |
| Credential | PHARMD |
| Practice Address |
855 Mono Way Sonora CA 95370-5202 |
| Mailing Address |
2157 Palomino Way Oakdale CA 95361-8267 |
| Practice Telephone | 2095880561 |
| Enumeration Date | 2014-06-07 |
| Last Update Date | 2014-06-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 67448 | CA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225570450 | John Medina | Behavior Technician | 909 Cr 159, Pine Bluffs, WY 82082 | 2016-11-04 |
| 1154760262 | John G Medina | Counselor | 10981 San Diego Mission Rd Ste 110, San Diego, CA 92108-2448 | 2013-06-21 |
| 1396094215 | John Medina | Physical Therapist | 2056 Gallery Ct, Indianapolis, IN 46229-4302 | 2012-09-06 |
| 1528166014 | John Medina | Physician Assistant | 624 W Duarte Rd Ste 203, Arcadia, CA 91007-9262 | 2006-09-20 |
| 1962057372 | John Medina | Pharmacist | 2021 W Pecan St, Pflugerville, TX 78660-3528 | 2019-08-04 |
| 1578881975 | John Medina | Pharmacist | East Highway 18, Pine Ridge, SD 57770 | 2010-05-10 |
| 1730261926 | John A Medina | Rehabilitation Practitioner | 12440 Imperial Hwy, 116, Norwalk, CA 90650-3177 | 2006-10-19 |
| 1770577397 | John Raymond Medina | Physical Therapist | 1720 W Us Highway 19e, Burnsville, NC 28714-8602 | 2005-09-09 |
| Street Address |
855 MONO WAY |
| City | SONORA |
| State | CA |
| Zip Code | 95370-5202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982713434 | Thrifty Payless Inc | Durable Medical Equipment & Medical Supplies | 855 Mono Way, Sonora, CA 95370-5202 | 2006-08-29 |
| 1215582853 | Truong Do | Pharmacist | 855 Mono Way, Sonora, CA 95370-5202 | 2019-08-08 |
| 1356732853 | Erik Suh | Pharmacist | 855 Mono Way, Sonora, CA 95370-5202 | 2015-02-05 |
| 1780921502 | Benjamin M Alger | Pharmacist | 855 Mono Way, Sonora, CA 95370-5202 | 2013-01-14 |
| 1184923013 | Kenneth M Gaines | Pharmacist | 855 Mono Way, Sonora, CA 95370 | 2011-03-17 |
| 1124327119 | Richard A Schweitz | Pharmacist | 855 Mono Way, Sonora, CA 95370-5202 | 2011-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174056089 | Chris Neves | Case Management | 427 N Highway 49, Suite 305, Sonora, CA 95370 | 2017-04-07 |
| 1528433885 | Michael French Dds Dental Corporation | General Acute Care Hospital | 800 Morningstar Dr, Sonora, CA 95370 | 2015-12-11 |
| 1942681465 | Amanda Evans | Registered Nurse | 20111 Cedar Rd North, Sonor, CA 95370 | 2015-06-10 |
| 1043625916 | Cicely Chen | Obstetrics & Gynecology | 900 Greenley Rd, Suite 922 Adventist Health (sierra Ob/, Sonora, CA 95370 | 2014-06-30 |
| 1457781692 | Donnie E Campbell | Homeopath | 63 South Stewart St, Sonora, CA 95370 | 2013-11-26 |
| 1386078186 | Jo Ann M Rascon | Marriage & Family Therapist | 38 N Washington St, Suite F, Sonora, CA 95370 | 2013-08-28 |
| 1831449735 | Sami Rhodes | Case Manager/Care Coordinator | 427 N. Highway 49, Sonora, CA 95370 | 2012-09-18 |
| 1619225273 | Melissa Parrish | Registered Nurse | 20111 Cedar Rd. North, Sonora, CA 95370 | 2012-08-29 |
| 1295033504 | Magdalena Martinez Bauman | Marriage & Family Therapist | 175 Fairview Ln., Sonora, CA 95370 | 2011-03-10 |
| 1588804215 | Holly Gwendolyn Harris | Physical Therapist | 15274 Camino Del Parque Rd. S, Sonora, CA 95370 | 2009-02-20 |
| Find all providers in zip 95370 | ||||
| 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 |
|---|---|---|---|---|
| 1801169016 | Matthew Daniels | Pharmacist | 12134 S Dixie Hwy, Sonora, KY 42776-9739 | 2012-02-18 |
| 1467570556 | Robert L. Fisher | Pharmacist | 20845 Crestwood Ct, Sonora, CA 95370-8749 | 2007-03-27 |
| 1619953528 | Eddie Ray Howard Jr. | Pharmacist | 1045 Mono Way, Sonora, CA 95370-5282 | 2005-12-22 |
| 1780285668 | Sing Rico Wong | Pharmacist | 1101 Sanguinetti Rd, Sonora, CA 95370-6214 | 2020-11-05 |
| 1720608938 | Robert Louis Stone IIi | Pharmacist | 1000 Greenley Rd, Sonora, CA 95370-5200 | 2020-04-17 |
| 1346876760 | Vincent Luong | Pharmacist | 13763 Mono Way, Sonora, CA 95370-8813 | 2020-03-17 |
| 1780221861 | Joo Yeun Seo | Pharmacist | 13763 Mono Way, Sonora, CA 95370-8813 | 2019-12-08 |
| 1235771072 | Ashwini Bagwe | Pharmacist | 1291 Sanguinetti Rd, Sonora, CA 95370-6215 | 2019-10-14 |
| 1578114831 | Daniel Gilbert Daniel | Pharmacist | 1291 Sanguinetti Rd, Sonora, CA 95370-6215 | 2019-09-26 |
| 1215582853 | Truong Do | Pharmacist | 855 Mono Way, Sonora, CA 95370-5202 | 2019-08-08 |
| Find all providers in SONORA | ||||
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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.