PHUONG LAI (NPI# 1649744962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649744962 |
| Entity Type | Individual |
| Full Name | PHUONG LAI |
| Practice Address |
909 Grand Ave San Rafael CA 94901-3505 |
| Mailing Address |
956 Woodside Rd Apt 20 Redwood City CA 94061-3642 |
| Practice Telephone | 4152581649 |
| Mailing Telephone | 9165040543 |
| Enumeration Date | 2019-01-21 |
| Last Update Date | 2019-01-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 79323 | CA | Pharmacy Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 330 Bon Air Ctr, Greenbrae, CA 949043017 | 4154619093 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467651646 | Phuong M Lai | Psychologist | 3200 Adeline St, Berkeley, CA 94703-2407 | 2007-07-17 |
| Street Address |
909 GRAND AVE |
| City | SAN RAFAEL |
| State | CA |
| Zip Code | 94901-3505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760427900 | Elephant Pharmacy Operating Corp | Pharmacy | 909 Grand Ave, San Rafael, CA 94901-3505 | 2006-06-20 |
| 1942725882 | Crystal E Adams | Pharmacist | 909 Grand Ave, San Rafael, CA 94901-3505 | 2017-08-12 |
| 1407379340 | Subramaniam Ramachandran | Pharmacist | 909 Grand Ave, San Rafael, CA 94901-3505 | 2017-07-23 |
| 1881907939 | Garfield Beach Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 909 Grand Ave, San Rafael, CA 94901-3505 | 2010-07-19 |
| 1881781698 | Anne J. Wardell | Pharmacist | 909 Grand Ave, San Rafael, CA 94901 | 2006-10-05 |
| 1619068251 | Ingrid Helene Gelman | Pharmacist | 909 Grand Ave, San Rafael, CA 94901-3505 | 2006-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780207134 | Marianne Haissman Stefancic | Marriage & Family Therapist | 409 Forbes Ave., San Rafael, CA 94901 | 2020-05-20 |
| 1093292765 | Marin Community Clinic | Clinic/Center | 411 4th Strteet, Suite A, San Rafael, CA 94901 | 2018-07-25 |
| 1275052516 | Laura Ellen Silverstein | Marriage & Family Therapist | 600 Fifth Avenue, San Rafael, CA 94901 | 2017-09-19 |
| 1689101107 | Marin Family Recovery | Clinic/Center | 1209 Third St. Ste 4, San Rafael, CA 94901 | 2017-05-15 |
| 1376070011 | Tencia Beavers-sanchez | Counselor | 710 C Street Suite#8, Marin Outpatient&recoveryservices, Sanrafael, CA 94901 | 2017-05-12 |
| 1326584905 | Jamie Waterman | Emergency Medical Technician, Basic | 675 Sir Francis Drake Blvd, Kentfield, CA 94901 | 2017-01-06 |
| 1295270676 | Stephen Marks | Counselor | 900 Fifth Avenue, Suite 150, ; San Rafael, CA 94901 | 2016-12-21 |
| 1497299812 | Vesna Sturman | Psychologist | 712 D St Ste L, San Rafael, CA 94901 | 2016-12-05 |
| 1063955771 | Carol Dutton Hollenberg | Behavior Technician | 503 D St., San Rafael, CA 94901 | 2016-11-29 |
| 1083069447 | Bay Area Community Resources | Community/Behavioral Health | 103 Shoreline Parkway, San Rafael, CA 94901 | 2016-05-04 |
| Find all providers in zip 94901 | ||||
| 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 |
|---|---|---|---|---|
| 1386112951 | Jessica Robinson | Pharmacist | 350 Northgate One, San Rafael, CA 94903-3415 | 2018-11-12 |
| 1225554470 | I-kuan Hsu | Pharmacist | 100 Smith Ranch Rd Fl 2, San Rafael, CA 94903-5552 | 2017-08-19 |
| 1558725168 | Tashi Gonpo | Pharmacist | 1500 Northgate Dr, San Rafael, CA 94903-3671 | 2016-04-09 |
| 1851718498 | Mayra Guzman | Pharmacist | 950 Las Gallinas Av, San Rafael, CA 94903 | 2014-03-20 |
| 1093144594 | Tiffany Deering | Pharmacist | 9 Diego Dr, San Rafael, CA 94903-2367 | 2013-11-05 |
| 1285063172 | Elham Barkhordari-bafoghi | Pharmacist | 1030 Cresta Way, Apt # 3, San Rafael, CA 94903-4842 | 2013-11-01 |
| 1194093351 | Jessica Anne Clubb | Pharmacist | 950 Las Gallinas Ave, Safeway Pharmacy, San Rafael, CA 94903 | 2011-12-02 |
| 1922308345 | Frank Peter Tarantino | Pharmacist | 485 Pinewood Dr, San Rafael, CA 94903-1331 | 2010-11-02 |
| 1740592492 | Dennis Philip Schafer | Pharmacist | 471 3rd St, San Rafael, CA 94901-3576 | 2010-07-10 |
| 1669606984 | Nicole Marie Clausen | Pharmacist | 1525 Francisco Blvd E Ste 2, San Rafael, CA 94901-5560 | 2009-05-14 |
| Find all providers in SAN RAFAEL | ||||
| City | SAN RAFAEL |
| Zip Code | 94901 |
Please comment or provide details below to improve the information on PHUONG LAI.
| 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.