MICHAEL TENNANT (NPI# 1609239177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609239177 |
| Entity Type | Individual |
| Full Name | MICHAEL TENNANT |
| Credential | PHARM.D. |
| Practice Address |
10560 Lake Point Ave Stockton CA 95219-7274 |
| Practice Telephone | 9164790790 |
| Mailing Telephone | 9164790790 |
| Enumeration Date | 2016-04-01 |
| Last Update Date | 2016-04-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 69073 | CA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114287489 | Michael D Tennant | Chiropractor | 853 Main St, Nucla, CO 81424-0454 | 2012-05-21 |
| 1689738437 | Michael L Tennant | Optometrist | 7601 S Cicero Ave, Chicago, IL 60652-1022 | 2006-12-19 |
| Street Address |
10560 LAKE POINT AVE |
| City | STOCKTON |
| State | CA |
| Zip Code | 95219-7274 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821568494 | Vanessa Paola Uribe Morales | Behavior Technician | 3620 Hammer Lane, Stockton, CA 95219 | 2018-11-27 |
| 1306316930 | Zulema Cecilia Santana | Behavior Technician | 3620 W. Hammer Ln, Stockton, CA 95219 | 2018-11-27 |
| 1699245241 | Tiana Gonzalez | Behavior Technician | 3620 W. Hammer Ln., Stockton, CA 95219 | 2018-11-27 |
| 1609346220 | Kelly Morales | Behavior Technician | 3620 W Hammer Lane, Stockton, CA 95219 | 2018-11-26 |
| 1336619956 | Mouagoleah Her | Behavior Technician | 3620 W. Hammer Lane, Stockton, CA 95219 | 2018-11-26 |
| 1750837985 | Alexsandra Trejo | Marriage & Family Therapist | 6707 Embarcadero Drive, Stockton, CA 95219 | 2016-08-28 |
| 1659764397 | Integrated Pain Treatment Center | Pain Medicine | 4312 Feather River Drive, Suite C, Stockton, CA 95219 | 2015-03-05 |
| 1790180859 | Mary Karen Papagolos | Marriage & Family Therapist | 2800 W March Ln Ste 473, Stockton, CA 95219 | 2014-10-30 |
| 1932535648 | Morton Rothbard | Urology | 4673 Pine Valley Cir., Stockton, CA 95219 | 2013-09-26 |
| 1033482591 | Michelle M Rutherford | Physical Therapist | 10200 Trinity Pkwy Ste 205, Stockton, CA 95219 | 2012-02-14 |
| Find all providers in zip 95219 | ||||
| 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 |
|---|---|---|---|---|
| 1295341766 | Sarah Trinh | Pharmacist | 1801 E March Ln Ste B280, Stockton, CA 95210-6653 | 2020-09-21 |
| 1629680566 | Karla Marina Aguirre Luna | Pharmacist | 3047 Battleview Pl, Stockton, CA 95209-1623 | 2020-08-21 |
| 1457973372 | David Le | Pharmacist | 9141 Sentinel Ct, Stockton, CA 95212-3211 | 2020-05-13 |
| 1194346163 | Nhon Tran | Pharmacist | 7232 Kelley Dr, Stockton, CA 95207-1117 | 2020-04-30 |
| 1316573249 | May Chen | Pharmacist | 757 Brookside Rd Phs 229, Stockton, CA 95211-0001 | 2020-03-23 |
| 1336787001 | Albert Diep | Pharmacist | 1832 Del Rio Dr, Stockton, CA 95204-1718 | 2019-12-12 |
| 1518464692 | Szarisse Fernandez | Pharmacist | 2040 E. Mariposa Rd., Stockton, CA 95205 | 2018-04-06 |
| 1104272954 | William Luther Bennett | Pharmacist | 1131 Sunnyoak Way, Stockton, CA 95209 | 2016-05-11 |
| 1811352305 | Samra Liaqat | Pharmacist | 2364 Golden Bear Cir, Stockton, CA 95209-1765 | 2015-12-28 |
| 1871958702 | Roy Rocero Jr. | Pharmacist | 2613 Fleury Way, Stockton, CA 95210-3238 | 2015-12-18 |
| Find all providers in STOCKTON | ||||
Please comment or provide details below to improve the information on MICHAEL TENNANT.
| 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.