DR. TINA M BENKENDORFER (NPI# 1619093770) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619093770 |
| Entity Type | Individual |
| Full Name | DR. TINA M BENKENDORFER |
| Credential | PHARM.D. |
| Practice Address |
200 N Douglas St Bldg #210 El Segundo CA 90245-4616 |
| Practice Telephone | 3106532873 |
| Mailing Telephone | 3106532873 |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 41541 | CA | Pharmacy Service Providers |
| Street Address |
200 N DOUGLAS ST BLDG #210 |
| City | EL SEGUNDO |
| State | CA |
| Zip Code | 90245-4616 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679847263 | Bernard Valentin | Social Worker | 200 N Douglas St, 210, El Segundo, CA 90245-4616 | 2012-02-29 |
| 1548584378 | Brian Caleb Greer | Military Health Care Provider | 200 N Douglas St, El Segundo, CA 90245-4616 | 2010-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366058976 | Britt'nee Cornelius | Massage Therapist | 222 North PCh, Suite 2000, El Segundo, CA 90245 | 2020-09-18 |
| 1750913778 | Laurie Ann Scoppetto | Dietitian, Registered | 482 N Aviation Blvd, El Segundo, CA 90245 | 2020-02-07 |
| 1972135283 | A Dabrowska Dds, Inc | Dentist | 390 N. Pacific Coast Hwy #1050, El Segundo, CA 90245 | 2020-02-05 |
| 1578023057 | Miles Bertumen | Pharmacist | 283 N Aviation Blvd, Building 210, El Segundo, CA 90245 | 2019-03-21 |
| 1831673201 | Kriss L. Killam | Marriage & Family Therapist | 302 W. Grand Ave., Suite 9, El Segundo, CA 90245 | 2018-09-20 |
| 1811487911 | Bright Light Recovery | Substance Abuse Rehabilitation Facility | 218 Concord St, Suite C, El Segundo, CA 90245 | 2018-05-14 |
| 1265950448 | Sarah Yuriko Mizuki | Physician Assistant | 390 N PCh, Suite 1000, El Segundo, CA 90245 | 2017-09-07 |
| 1326586462 | Jlp Interpreting Services | Interpreter | 963 Virginia St #5, El Segundo, CA 90245 | 2017-02-09 |
| 1619351707 | El Segundo Dermatology, Inc. | Specialist | 713 N Douglas St., El Segundo, CA 90245 | 2015-07-17 |
| 1083956635 | 24hr Homecare, LLC | Home Health | 200 N. Pacific Coast Highway, Suite 300, El Segundo, CA 90245 | 2013-03-21 |
| Find all providers in zip 90245 | ||||
| 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 |
|---|---|---|---|---|
| 1114560679 | Erin Toy Wong | Pharmacist | 2010 Rosecrans Ave, Suite 3230, El Segundo, CA 90245-4750 | 2019-10-28 |
| 1578023057 | Miles Bertumen | Pharmacist | 283 N Aviation Blvd, Building 210, El Segundo, CA 90245 | 2019-03-21 |
| 1407260946 | Milena Andrade Vaughn | Pharmacist | 543 E Walnut Ave, El Segundo, CA 90245-2454 | 2014-06-12 |
| 1326316720 | Kris S. Syn | Pharmacist | 331 North Sepulveda Blvd, El Segundo, CA 90245 | 2011-12-13 |
| 1053694240 | Paul A Harris | Pharmacist | 331 N Sepulveda Blvd, El Segundo, CA 90245-4444 | 2011-09-23 |
| 1861618902 | Laura Bautista Abernathy | Pharmacist | 220 E Grand Ave, El Segundo, CA 90245-3827 | 2007-04-17 |
| 1609822519 | St. Antony Pharmacy Inc. | Pharmacist | 310 E Grand Ave Ste 105, El Segundo, CA 90245-3871 | 2006-05-25 |
| 1013528983 | Jamie Thuy | Pharmacist | 331 N Pacific Coast Hwy, El Segundo, CA 90245-4444 | 2020-08-13 |
| 1417414798 | Xuan T Duong | Pharmacist | 331 N Pacific Coast Hwy, El Segundo, CA 90245-4444 | 2019-02-22 |
| 1336653310 | Brian Van Nguyen | Pharmacist | 220 E Grand Ave, El Segundo, CA 90245-3827 | 2017-11-29 |
| Find all providers in EL SEGUNDO | ||||
| City | EL SEGUNDO |
| Zip Code | 90245 |
Please comment or provide details below to improve the information on DR. TINA M BENKENDORFER.
| 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.