BREANNE GALLAGHER (NPI# 1639732563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639732563 |
| Entity Type | Individual |
| Full Name | BREANNE GALLAGHER |
| Credential | PHARMD |
| Practice Address |
1750 41st Ave Capitola CA 95010-2503 |
| Mailing Address |
318 Linden St Santa Cruz CA 95062-1022 |
| Practice Telephone | 8314760400 |
| Enumeration Date | 2019-04-16 |
| Last Update Date | 2019-04-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835N0905X |
Pharmacist Specialization: Nuclear |
67335 | CA | Pharmacy Service Providers |
| Street Address |
1750 41ST AVE |
| City | CAPITOLA |
| State | CA |
| Zip Code | 95010-2503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104860543 | Longs Drug Stores California LLC | Durable Medical Equipment & Medical Supplies | 1750 41st Ave, Capitola, CA 95010-2503 | 2006-06-16 |
| 1942809397 | Devan Amaral | Pharmacist | 1750 41st Ave, Capitola, CA 95010-2503 | 2020-10-17 |
| 1780291625 | Truc Le | Pharmacist | 1750 41st Ave, Capitola, CA 95010-2503 | 2020-09-24 |
| 1235775032 | Michael Tran | Pharmacist | 1750 41st Ave, Capitola, CA 95010-2503 | 2019-11-27 |
| 1992359236 | Amanda Joy Stallings | Pharmacist | 1750 41st Ave, Capitola, CA 95010-2503 | 2019-07-25 |
| 1922660265 | Tina Yen Truong | Pharmacist | 1750 41st Ave, Capitola, CA 95010-2503 | 2019-07-08 |
| 1205499571 | Lawrence E. Urman | Pharmacist | 1750 41st Ave, Capitola, CA 95010-2503 | 2019-04-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609436641 | Suzanne Lerner | Psychologist | 720a Capitola Ave, Capitola, CA 95010 | 2019-06-20 |
| 1801351317 | Michael Stephen Quinn | Chiropractor | 720 A- Capitola Ave, Capitola, CA 95010 | 2019-02-08 |
| 1053885194 | Health In Mind P.C. | Psychiatry & Neurology | 610 Capitola Ave, Capitola, CA 95010 | 2019-01-11 |
| 1427547355 | Jerry Wallace Fulford | Massage Therapist | 4170 Gross Rd. Extension, Suite 6, Capitola, CA 95010 | 2018-05-07 |
| 1457730293 | Cpap Experts LLC | Durable Medical Equipment & Medical Supplies | 820 Bay Ave #203a, Capitola, CA 95010 | 2015-05-26 |
| 1972904241 | Molly Chaudoir | Acupuncturist | 4170 Gross Rd. Ext., Suite 6, Santa Cruz, CA 95010 | 2014-09-05 |
| 1245598374 | Stan C Wolken | Dentist | 4770 Capitola Rd, Capitola, CA 95010 | 2012-04-26 |
| 1104103399 | Jacinda Ann Maurer | Registered Nurse | 4725 Grace Street, Apt. 1, Capitola, CA 95010 | 2011-11-16 |
| 1508043225 | Brian J. Schabel, Dds, Ms & Vivian H. Chan, Dds, Ms, Inc. | Dentist | 1830 41st Ave., Capitola, CA 95010 | 2008-01-24 |
| 1609066679 | Sandra Polakoff | Marriage & Family Therapist | 519 Capitola Avenue, Suite B, Capitola, CA 95010 | 2007-07-26 |
| Find all providers in zip 95010 | ||||
| Taxonomy Code | 1835N0905X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Nuclear |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in procurement, compounding, quality control testing, dispensing, distribution, and monitoring of radiopharmaceuticals. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified title, added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386268688 | An Luong | Pharmacist | 6140 Bristol Pkwy, Culver City, CA 90230-6604 | 2020-06-02 |
| 1750742821 | Katherine Lee Seifert | Pharmacist | 1036 Waterbury Ln, Ventura, CA 93001-3842 | 2016-03-16 |
| 1104145671 | Tommy Ralph Thompson | Pharmacist | 4004 Foothills, Roseville, CA 95747 | 2010-05-24 |
| 1992086359 | Sharon Rose Masleid | Pharmacist | 3801 Miranda Ave, Petnet Solutions Drc Bldg. 102 Rm. 125, Palo Alto, CA 94304-1207 | 2011-08-30 |
| 1992892251 | Leslie Stephen Yamada | Pharmacist | 11301 Wilshire Blvd, Nuclear Medicine Service 115, Los Angeles, CA 90073-1003 | 2006-10-06 |
Please comment or provide details below to improve the information on BREANNE GALLAGHER.
| 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.