SUSAN LEE BRISTOW (NPI# 1619252129) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619252129 |
| Entity Type | Individual |
| Full Name | SUSAN LEE BRISTOW |
| Credential | PHARMD |
| Practice Address |
7000 Auburn Blvd Citrus Heights CA 95621-4342 |
| Practice Telephone | 9165604002 |
| Practice Fax Number | 9165604023 |
| Mailing Telephone | 9165604002 |
| Mailing Fax Number | 9165604023 |
| Enumeration Date | 2011-10-15 |
| Last Update Date | 2011-10-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 33499 | CA | Pharmacy Service Providers |
| Street Address |
7000 AUBURN BLVD |
| City | CITRUS HEIGHTS |
| State | CA |
| Zip Code | 95621-4342 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346350998 | Costco Wholesale Corporation | Pharmacy | 7000 Auburn Blvd, Citrus Heights, CA 95621 | 2006-08-30 |
| 1336756022 | Hannah Minette Mangahas Roque | Pharmacist | 7000 Auburn Blvd, Citrus Heights, CA 95621-4342 | 2020-09-26 |
| 1427441690 | Costco Wholesale Corporation | Hearing Aid Equipment | 7000 Auburn Blvd, Citrus Heights, CA 95621-4342 | 2015-03-12 |
| 1871983460 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 7000 Auburn Blvd, Citrus Heights, CA 95621-4342 | 2015-02-03 |
| 1750673703 | Uyen Do | Pharmacist | 7000 Auburn Blvd, Citrus Heights, CA 95621-4342 | 2011-05-10 |
| 1205155496 | Joseph John Selenski Jr. | Pharmacist | 7000 Auburn Blvd, Citrus Heights, CA 95621-4342 | 2010-05-27 |
| 1316003585 | Anh-loan Le Concepcion | Optometrist | 7000 Auburn Blvd, Citrus Heights, CA 95621-4342 | 2006-12-29 |
| 1124181359 | Christine Charlotte Mann | Pharmacy Technician | 7000 Auburn Blvd, Citrus Heights, CA 95621-4342 | 2006-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730612474 | Teaching Autistic Children, Inc | Behavioral Analyst | 6400 Tupelo Drive, Citrus Heights, CA 95621 | 2017-04-10 |
| 1164962023 | Elizabeth Devan | Behavior Technician | 6400 Tupelo Dr., Citrus Heights, CA 95621 | 2017-02-27 |
| 1407395940 | Jana Kenney | Counselor | 7327 #8 Auburn Oaks Court, Citrus Heights, CA 95621 | 2017-02-16 |
| 1306192026 | Steven C. Hammer, D.c. Professional Chiropractic Corp | Chiropractor | 6009 Auburn Blvd Ste 120, Citrus Heights, CA 95621 | 2012-07-31 |
| 1407131832 | Jason Court Richey | Pharmacist | 6144 Dewey Drive, Citrus Heights, CA 95621 | 2011-10-17 |
| 1184817488 | Robert Berry Mcvaugh | Marriage & Family Therapist | 6006 Broken Arrow Court, Citrus Heights, CA 95621 | 2007-08-21 |
| 1639379829 | Juliano Bianchi | Marriage & Family Therapist | 3650 A Auburn Blvd, Suite 200, Sacramento, CA 95621 | 2007-07-25 |
| 1043356785 | Louis J Orlando | Family Medicine | 5959 Greenback Lane Ste 210, Citrus Heights, CA 95621 | 2007-01-29 |
| 1578628483 | Wal-mart Stores, Inc. | Technician/Technologist | 7010 Auburn Blvd, Citrus Heights, CA 95621 | 2006-12-22 |
| 1417011461 | Rami Kaur Basrai | Dentist | 7001 Greenback Lane, Citrus Heights, CA 95621 | 2006-12-21 |
| Find all providers in zip 95621 | ||||
| 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 |
|---|---|---|---|---|
| 1457990632 | Abdulla Nabil Nafia Alsalihi | Pharmacist | 12801 Fair Oaks Blvd Apt 102, Citrus Heights, CA 95610-5177 | 2020-01-05 |
| 1073166955 | Nagi Attia | Pharmacist | 7460 Tiara Way Apt D, Citrus Heights, CA 95610-3058 | 2019-07-19 |
| 1356800866 | Mohamad Amr Mohamad Abdelham Eldash | Pharmacist | 12801 Fair Oaks Blvd Apt 482, Citrus Heights, CA 95610-5221 | 2019-03-14 |
| 1932644283 | Sonia Bains | Pharmacist | 7812 Cottingham Ct, Citrus Heights, CA 95610-3075 | 2016-12-22 |
| 1528501467 | David Roland Rogers | Pharmacist | 6301 Misty Wood Way, Citrus Heights, CA 95621-3504 | 2016-11-26 |
| 1144632209 | Arizo Wilson | Pharmacist | 7847 Lichen Dr, Citrus Heights, CA 95621-1074 | 2014-05-23 |
| 1134488042 | Anthony Robert Bricchetti | Pharmacist | 7000 Auburn Blvd # 771, Citrus Heights, CA 95621-4342 | 2012-05-11 |
| 1407131832 | Jason Court Richey | Pharmacist | 6144 Dewey Drive, Citrus Heights, CA 95621 | 2011-10-17 |
| 1972898864 | Jessica Lyne Cudmore | Pharmacist | 5800 Birdcage St, Citrus Heights, CA 95610-6800 | 2011-06-18 |
| 1871810895 | Loan Mong Le | Pharmacist | 8501 Auburn Blvd, Citrus Heights, CA 95610-0315 | 2010-04-29 |
| Find all providers in CITRUS HEIGHTS | ||||
| City | CITRUS HEIGHTS |
| Zip Code | 95621 |
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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.