ROSE ELLIS


Address: 1800 N California St, Home Infusion Pharmacy, Stockton, CA 95204-6019
Phone: 2094615486

ROSE ELLIS (NPI# 1750363636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1750363636
Entity Type Individual
Full Name ROSE ELLIS
Other Name ROSALIE ELLIS
Credential R.PH.
Practice Address 1800 N California St
Home Infusion Pharmacy
Stockton
CA 95204-6019
Mailing Address 1200 S Sunset Dr
Lodi
CA 95240-5532
Practice Telephone 2094615486
Practice Fax Number 2094616890
Mailing Telephone 2095957147
Mailing Fax Number 2094616890
Enumeration Date 2005-11-16
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
X 183500000X Pharmacist 30597 CA Pharmacy Service Providers
X 1835N1003X Pharmacist
Specialization: Nutrition Support
30597 CA Pharmacy Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA CALIF. LICENSE NUMBER 30597 01

Office Location

Street Address 1800 N CALIFORNIA ST
HOME INFUSION PHARMACY
City STOCKTON
State CA
Zip Code 95204-6019

Providers in the same location

NPI Name Taxonomy Address Enumeration
1619974219 St. Joseph's Surgery Center Lp Clinic/Center 1800 N California St, Ste 1, Stockton, CA 95204-6019 2005-06-28
1679174940 Simon Yeung Pharmacist 1800 N California St, Stockton, CA 95204-6019 2020-11-04
1275140584 Rajwinder K Gill Registered Nurse 1800 N California St, Stockton, CA 95204-6019 2020-09-30
1447865787 Rinky Saini Prasad Registered Nurse 1800 N California St, Stockton, CA 95204-6019 2020-09-14
1821609611 Dustin Tien Le Pharmacist 1800 N California St, Stockton, CA 95204-6019 2020-08-14
1013534254 Nancy Thi Nguyen Speech-Language Pathologist 1800 N California St, Stockton, CA 95204-6019 2020-07-04
1861015646 Sana Mohyud Din Chaudhary Student in an Organized Health Care Education/Training Program 1800 N California St, Stockton, CA 95204-6019 2020-05-27
1942822184 Kenneth Jerome Hainsworth Student in an Organized Health Care Education/Training Program 1800 N California St, Stockton, CA 95204-6019 2020-05-11
1083236368 Chase Rogers Student in an Organized Health Care Education/Training Program 1800 N California St, Stockton, CA 95204-6019 2020-05-10
1093336919 Joel Rabara Respiratory Therapist, Registered 1800 N California St, Stockton, CA 95204-6019 2020-05-01
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1962027524 Kariem Abdelwahed Licensed Vocational Nurse 1630 N. Edison St Stockton Ca, Stockton, CA 95204 2020-06-10
1831730555 Ronnie C Murray Counselor 1947 North California Street, Stockton, CA 95204 2019-10-03
1235614116 Michelle Ann Horn Marriage & Family Therapist 3666 Mission Rd, Stockton, CA 95204 2018-09-26
1356830947 Stockton Pace PACE Provider Organization 582 E. Harding Way, Stockton, CA 95204 2018-05-09
1790228781 Rebecca Phongsa Counselor 1947 North Calfornia Street, Suite B, Stockton, CA 95204 2016-11-23
1700332905 Serim Kang Driver 4222 N Pershing Ave, Suite D2, Stockton, CA 95204 2016-08-28
1033565544 Philip John Brereton Orthotist 466 E Harding Way, Stockton, CA 95204 2016-05-13
1932507522 David Grayson Counselor 1621 Brookside Rd, Stockton, CA 95204 2014-12-12
1174934897 Gurtej Malhi Internal Medicine 1901 N California Street, Stockton, CA 95204 2014-05-15
1396156170 Rajesh Saini Nurse Practitioner 1805 N California St. Suite 102, Stockton, CA 95204 2014-05-14
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Taxonomy Information

Taxonomy Code 183500000X
Grouping Pharmacy Service Providers
Classification Pharmacist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1295341766 Sarah Trinh Pharmacist 1801 E March Ln Ste B280, Stockton, CA 95210-6653 2020-09-21
1629680566 Karla Marina Aguirre Luna Pharmacist 3047 Battleview Pl, Stockton, CA 95209-1623 2020-08-21
1457973372 David Le Pharmacist 9141 Sentinel Ct, Stockton, CA 95212-3211 2020-05-13
1194346163 Nhon Tran Pharmacist 7232 Kelley Dr, Stockton, CA 95207-1117 2020-04-30
1316573249 May Chen Pharmacist 757 Brookside Rd Phs 229, Stockton, CA 95211-0001 2020-03-23
1336787001 Albert Diep Pharmacist 1832 Del Rio Dr, Stockton, CA 95204-1718 2019-12-12
1518464692 Szarisse Fernandez Pharmacist 2040 E. Mariposa Rd., Stockton, CA 95205 2018-04-06
1104272954 William Luther Bennett Pharmacist 1131 Sunnyoak Way, Stockton, CA 95209 2016-05-11
1609239177 Michael Tennant Pharmacist 10560 Lake Point Ave, Stockton, CA 95219-7274 2016-04-01
1811352305 Samra Liaqat Pharmacist 2364 Golden Bear Cir, Stockton, CA 95209-1765 2015-12-28
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Competitor

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City STOCKTON
Zip Code 95204

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Dataset Information

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.

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