ETHAN SHIN (NPI# 1699202366) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699202366 |
| Entity Type | Individual |
| Full Name | ETHAN SHIN |
| Practice Address |
2345 Fair Oaks Blvd Sacramento CA 95825-4708 |
| Practice Telephone | 9164806715 |
| Enumeration Date | 2017-05-12 |
| Last Update Date | 2017-05-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 66278 | CA | Pharmacy Service Providers |
| Street Address |
2345 FAIR OAKS BLVD |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95825-4708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912965641 | Mary Link | Clinical Nurse Specialist | 2345 Fair Oaks Blvd, Sacramento, CA 95825-4708 | 2006-05-03 |
| 1710505003 | Elvira Schumacher | Respiratory Therapist, Registered | 2345 Fair Oaks Blvd, Sacramento, CA 95825-4708 | 2020-07-13 |
| 1255959540 | Teresa Dela Cruz | Respiratory Therapist, Certified | 2345 Fair Oaks Blvd, Sacramento, CA 95825-4708 | 2020-07-13 |
| 1770100240 | Dalisay Banaria | Respiratory Therapist, Registered | 2345 Fair Oaks Blvd, Sacramento, CA 95825-4708 | 2020-07-01 |
| 1952953580 | Tiffany Chu | Pharmacist | 2345 Fair Oaks Blvd, Sacramento, CA 95825-4708 | 2019-07-13 |
| 1063936342 | Leila Inting Munoz | Pharmacist | 2345 Fair Oaks Blvd, Sacramento, CA 95825-4708 | 2017-07-28 |
| 1023544756 | Fatemeh Yousefi | Family Medicine | 2345 Fair Oaks Blvd, Sacramento, CA 95825-4708 | 2017-05-01 |
| 1396279055 | Tara Clever | Pharmacist | 2345 Fair Oaks Blvd, Sacramento, CA 95825-4708 | 2017-04-19 |
| 1700319506 | Maika Tadashi Murashige | Pharmacist | 2345 Fair Oaks Blvd, Sacramento, CA 95825-4708 | 2017-04-07 |
| 1639602741 | Tania Maria Ghalayini | Pharmacist | 2345 Fair Oaks Blvd, Sacramento, CA 95825-4708 | 2017-04-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528667854 | Sarah Claudio | Case Manager/Care Coordinator | 650 Howe Ave # 400-b, Sacramento, CA 95825 | 2020-10-19 |
| 1962009308 | Andrea Isabel Morales | Behavior Technician | 333 University Avenue, Suite 200, Sacramento, CA 95825 | 2020-10-08 |
| 1942810510 | Melissa Marlene Lowndes | Occupational Therapist | 1337 Howe Ave Unit 107, Sacramento, CA 95825 | 2020-08-07 |
| 1780294827 | Travis Elliott Peppers | Case Manager/Care Coordinator | 650 Howe Ave Suite 400-b, 650 Howe Ave Suite 400-b, Sacramento, CA 95825 | 2020-08-04 |
| 1154950327 | Hallie Wenz | Behavior Technician | 333 University Ave Suite #200, Sacramento, CA 95825 | 2020-04-08 |
| 1679105456 | Dr. Page Hudson Dental Corporation | Dentist | 1580 Howe Avenue, Suite A, Sacramento, CA 95825 | 2020-02-10 |
| 1710517891 | Amelia Garnica | Community/Behavioral Health | 720 Howe Avenue, Suite 102, Sacamento, CA 95825 | 2020-01-17 |
| 1427697374 | Anthony Barnes | Social Worker | 2008 Morse Avenue, Commons Building, Sacramento, CA 95825 | 2019-12-24 |
| 1528604519 | Mental Health America of Northern California | Community/Behavioral Health | 720 Howe Ave., Suite 102, Cacramento, CA 95825 | 2019-11-25 |
| 1164068144 | Mental Health America of Northern California | Community/Behavioral Health | 720 Howe Ave. Suite, 102, Sacramento, CA 95825 | 2019-11-25 |
| Find all providers in zip 95825 | ||||
| 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 |
|---|---|---|---|---|
| 1144829128 | Mimi Nguyen | Pharmacist | 9962 Red Tail Hawk Way, Sacramento, CA 95829-9604 | 2020-10-21 |
| 1477160596 | Ravneet Kaur | Pharmacist | 4916 Winamac Dr, Sacramento, CA 95835-1805 | 2020-09-24 |
| 1396370805 | Michelle Cynthia Louie | Pharmacist | 1335 Manzano Way, Sacramento, CA 95831-5419 | 2020-03-04 |
| 1407480346 | Muhammad Usman Bashir | Pharmacist | 8264 Bedford Cove Way, Sacramento, CA 95828-6165 | 2020-03-01 |
| 1013552876 | Trong Nghia Q Tran | Pharmacist | 1325 E Sutter Walk, Sacramento, CA 95816-5925 | 2019-11-15 |
| 1497314223 | Thao Ly | Pharmacist | 6331 Leaf Ave, Sacramento, CA 95831-1618 | 2019-06-06 |
| 1225694623 | Charlene Nguyen | Pharmacist | 5620 Calvine Rd, Sacramento, CA 95823-7249 | 2019-05-13 |
| 1225594013 | Tuan Quoc Nguyen | Pharmacist | 7731 Koyama Ct, Sacramento, CA 95829-6600 | 2019-02-16 |
| 1164987145 | Ali Abbas Ismael Alogaidi | Pharmacist | 2340 Bell St Apt 220, Sacramento, CA 95825-1087 | 2019-02-05 |
| 1750858742 | Saman Hashemi | Pharmacist | 2801 Arden Way # 255143, Sacramento, CA 95825-9904 | 2018-10-27 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95825 |
Please comment or provide details below to improve the information on ETHAN SHIN.
| 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.