LAUDEN PHARMACY, INC. (NPI# 1710012919) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1710012919 |
Entity Type | Organization |
Organization Name | LAUDEN PHARMACY, INC. |
Practice Address |
1820 41st Ave Suite F Capitola CA 95010-2516 |
Practice Telephone | 8314629880 |
Practice Fax Number | 8314629998 |
Mailing Telephone | 8314629880 |
Mailing Fax Number | 8314629998 |
Enumeration Date | 2007-02-21 |
Last Update Date | 2013-03-14 |
Authorized Official Name | DR. MEHRDAD REYHANI (OWNER) |
Authorized Official Telephone | 8314629880 |
Authorized Official Credential | RPH |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 333600000X | Pharmacy | PHY43209 | CA | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | 432090 | 05 |
Street Address |
1820 41ST AVE SUITE F |
City | CAPITOLA |
State | CA |
Zip Code | 95010-2516 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679560197 | Carla Collins Gorum | Pediatrics | 1820 41st Ave, Suite D, Capitola, CA 95010-2516 | 2005-09-29 |
1801334230 | Julia H Greenwood | Nurse Practitioner | 1820 41st Ave, Suite D, Capitola, CA 95010-2516 | 2017-02-06 |
1669811733 | Komal Afzal | Pediatrics | 1820 41st Ave, Suite D, Capitola, CA 95010-2516 | 2013-06-21 |
1134406135 | Shailinder Jeet Singh | Pediatrics | 1820 41st Ave, # 640, Capitola, CA 95010-2516 | 2011-11-04 |
1669702171 | Satu Alisa Larson | Nurse Practitioner | 1820 41st Ave, Suite D, Capitola, CA 95010-2516 | 2010-01-05 |
1053517797 | Dignity Health Medical Foundation | Clinic/Center | 1820 41st Ave, Suite D, Capitola, CA 95010-2516 | 2007-06-21 |
1811090889 | Robert Moler | Pediatrics | 1820 41st Ave, Ste D, Capitola, CA 95010-2516 | 2006-09-06 |
1942283072 | Carmelita Feliciano Cristobal | Pediatrics | 1820 41st Ave, Suite D, Capitola, CA 95010-2516 | 2005-11-22 |
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 | 333600000X |
Grouping | Suppliers |
Classification | Pharmacy |
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
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1114532231 | Prime Rx San Gabriel, Inc. | Pharmacy | 533 W Las Tunas Dr # 102, San Gabriel, CA 91776-1133 | 2020-09-15 |
1164034260 | Tin Rx At The Tower Inc. | Pharmacy | 1801 Colorado Ave Ste 300, Turlock, CA 95382-2708 | 2020-08-19 |
1144831702 | Cameron Michael Rehmani Seraji | Pharmacy | 10542 Villa Del Cerro, Santa Ana, CA 92705-1486 | 2020-08-16 |
1881204907 | Kaiser Foundation Health Plan Inc | Pharmacy | 25821 S Vermont Ave Fl 4, Rm 4049, Harbor City, CA 90710-3518 | 2020-08-04 |
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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.