MISS IDA RAGOJO SOMERA


Address: 4774 West Lane, Apt 154, Stockton, CA 95210
Phone: 2094739170

MISS IDA RAGOJO SOMERA (NPI# 1780930404) 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) 1780930404
Entity Type Individual
Full Name MISS IDA RAGOJO SOMERA
Credential RPH
Practice Address 4774 West Lane
Apt 154
Stockton
CA 95210
Mailing Address 7620 N El Dorado St
Apt 154
Stockton
CA 95207
Practice Telephone 2094739170
Practice Fax Number 2094739174
Mailing Telephone 2094781598
Enumeration Date 2012-07-31
Last Update Date 2012-07-31
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 183500000X Pharmacist 65492 CA Pharmacy Service Providers

Office Location

Street Address 4774 WEST LANE
APT 154
City STOCKTON
State CA
Zip Code 95210

Providers in the same location

NPI Name Taxonomy Address Enumeration
1184851578 Thrifty Payless Inc Durable Medical Equipment & Medical Supplies 4774 West Lane, Stockton, CA 95210-0000 2009-06-12

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1548631260 Rachel Standley Substance Abuse Rehabilitation Facility 8017 El Cajon St, Stockton, CA 95210 2015-10-08
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1942633318 Kimberly Ruiz Dizon Physician Assistant 1530 E Hammer Ln, Stockton, CA 95210 2013-08-20
1285920983 Supplemental Health Care Preferred Provider Organization 8425 Kiltie Wy, Stockton, CA 95210 2011-06-22
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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 95210

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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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