EDRIC ODUCA (NPI# 1821581380) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821581380 |
| Entity Type | Individual |
| Full Name | EDRIC ODUCA |
| Practice Address |
2396 Brookhaven Dr Chino Hills CA 91709-1734 |
| Practice Telephone | 9095736766 |
| Enumeration Date | 2018-06-10 |
| Last Update Date | 2018-06-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 77282 | CA | Pharmacy Service Providers |
| Street Address |
2396 BROOKHAVEN DR |
| City | CHINO HILLS |
| State | CA |
| Zip Code | 91709-1734 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881295384 | Jimmy Nguyen Dds Inc | Dentist | 13089 Peyton Dr. Ste. B, Chino Hills, CA 91709 | 2020-11-03 |
| 1811501166 | Carla Rita Rambo | Specialist/Technologist | 14772 Pineline Ave, Chino Hills, CA 91709 | 2020-09-03 |
| 1164071684 | Julia Grienitz | Physician Assistant | 3110 Chino Ave Ste 150b, Chino Hills, CA 91709 | 2019-09-06 |
| 1063992014 | Bonifacio Coronel Fontanilla | Respiratory Therapist, Certified | 2363 Scenic Ridge Dr, Chino Hills, CA 91709 | 2018-08-20 |
| 1174023832 | William George Kyriakakos | Counselor | 3782 Daisy Dr, Chino Hills, CA 91709 | 2018-02-19 |
| 1538677604 | Qurban Dental Corproation | Dentist | 15850 Soquel Canyon Pkwy, Suite A, Chino Hills, CA 91709 | 2018-01-11 |
| 1184131831 | Jacqueline Davidson | Specialist/Technologist | 14255 Peyton Dr., Chino Hills, CA 91709 | 2018-01-03 |
| 1508384702 | Jessica Suwan | Nurse Practitioner | 15403 Aqueduct Lane, Chino Hills, CA 91709 | 2017-09-07 |
| 1750809240 | Livewell Therapy, Inc. | Counselor | 5861 Pine Ave., Chino Hills, CA 91709 | 2017-09-05 |
| 1982122776 | Corey Robert Tiller | Physician Assistant | 1737 Walnut Creek Drive, Chino Hills, CA 91709 | 2017-09-01 |
| Find all providers in zip 91709 | ||||
| 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 |
|---|---|---|---|---|
| 1710590096 | Thi Ngoc Ngo | Pharmacist | 15920 Pomona Rincon Rd Unit 5607, Chino Hills, CA 91709-5524 | 2020-08-26 |
| 1063039493 | Kayla Arakaki | Pharmacist | 3100 Chino Hills Pkwy Unit 1234, Chino Hills, CA 91709-4298 | 2020-07-01 |
| 1285259366 | Quyen L Nguyen | Pharmacist | 16710 Elk Horn Ave, Chino Hills, CA 91709-7936 | 2020-06-14 |
| 1952948960 | Dilip Aka Durgesh J Tilala | Pharmacist | 15867 High Knoll Dr Unit 80, Chino Hills, CA 91709-4273 | 2019-12-09 |
| 1396389979 | Zaw Thura | Pharmacist | 14673 Willow Creek Ln, Chino Hills, CA 91709-4732 | 2019-11-06 |
| 1518512995 | Melissa Nuesa | Pharmacist | 3957 Driftwood St, Chino Hills, CA 91709-1922 | 2019-08-02 |
| 1396214888 | Jesse Perez II | Pharmacist | 14794 Velvet St, Chino Hills, CA 91709-2067 | 2018-11-14 |
| 1235618760 | Doris Fong | Pharmacist | 1781 Mill Stream Dr, Chino Hills, CA 91709-4882 | 2018-08-07 |
| 1215436753 | Amy Tang | Pharmacist | 16842 Rosemary Ln, Chino Hills, CA 91709-2332 | 2018-02-11 |
| 1922519586 | Agam Amar Amin | Pharmacist | 2843 Hawk Rd, Chino Hills, CA 91709-3481 | 2017-10-22 |
| Find all providers in CHINO HILLS | ||||
| City | CHINO HILLS |
| Zip Code | 91709 |
Please comment or provide details below to improve the information on EDRIC ODUCA.
| 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.