VICTORIA FREBERG (NPI# 1821636663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821636663 |
| Entity Type | Individual |
| Full Name | VICTORIA FREBERG |
| Practice Address |
4110 Guadalupe St Austin TX 78751-4223 |
| Practice Telephone | 5124192768 |
| Practice Fax Number | 5124192788 |
| Mailing Telephone | 5124192768 |
| Mailing Fax Number | 5124192788 |
| Enumeration Date | 2019-12-11 |
| Last Update Date | 2019-12-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 51805 | TX | Pharmacy Service Providers |
| Y | 1835G0303X |
Pharmacist Specialization: Geriatric |
51805 | TX | Pharmacy Service Providers |
| Street Address |
4110 GUADALUPE ST |
| City | AUSTIN |
| State | TX |
| Zip Code | 78751-4223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619972411 | Eulon Ross Taylor | Psychiatry & Neurology | 4110 Guadalupe St, Austin State Hospital, Austin, TX 78751-4223 | 2005-06-17 |
| 1396359261 | Laura Adzoa Kumordzie | Nurse Practitioner | 4110 Guadalupe St, Austin, TX 78751-4223 | 2020-09-08 |
| 1154943462 | Lyndsay Brooks | Psychologist | 4110 Guadalupe St, Austin, TX 78751-4223 | 2020-05-08 |
| 1427684133 | Tanya Marie Escobar | Occupational Therapist | 4110 Guadalupe St, Austin, TX 78751-4223 | 2020-03-14 |
| 1891272449 | Vidisha Rohit Paranjpe | Dietitian, Registered | 4110 Guadalupe St, Austin, TX 78751-4223 | 2018-07-26 |
| 1205388337 | Bayo Olaoye | Nurse Practitioner | 4110 Guadalupe St, Austin, TX 78751-4223 | 2016-10-24 |
| 1265807028 | Ann Wilson | Pharmacist | 4110 Guadalupe St, Austin, TX 78751-4223 | 2015-12-04 |
| 1447625298 | Sara Jane Vershaw | Pharmacist | 4110 Guadalupe St, Austin, TX 78751-4223 | 2015-12-04 |
| 1679947204 | Escania Nichole Hoyt | Registered Nurse | 4110 Guadalupe St, Austin, TX 78751-4223 | 2015-11-19 |
| 1376925636 | Lurinda Nichole Paulsen | Registered Nurse | 4110 Guadalupe St, Aps-6, Room 1208, Austin, TX 78751-4223 | 2015-06-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235657867 | Joy Miller | Social Worker | 4920 N Ih 35 Suite 110, Austin, TX 78751 | 2017-09-04 |
| 1053859306 | Metabolic Therapy Inc. | Pharmacy | 4103 Avenue D, Austin, TX 78751 | 2017-02-07 |
| 1316390438 | Hillary Guest | Speech-Language Pathologist | 5406 Middle Fiskville Rd Apt 410, Austin, TX 78751 | 2016-07-14 |
| 1891151866 | Simonek Vision, Pllc | Optometrist | 1000 E. 41st Street, Suite 120, Austin, TX 78751 | 2016-01-06 |
| 1750771911 | Angela Ziskis | Psychologist | 4110 Gualdalupe Street, Building 794, Specialty Services, Austin, TX 78751 | 2015-01-27 |
| 1750783841 | Lizette Araujo | Psychologist | 5225 North Lamar Blvd., Austin, TX 78751 | 2014-09-19 |
| 1013323724 | Matrix Therapy, LLC | Clinic/Center | 5204 Avenue F, Austin, TX 78751 | 2014-07-02 |
| 1215281738 | Elizabeth Ann White | Clinical Nurse Specialist | 818 East 53rd Street, Austin, TX 78751 | 2012-11-06 |
| 1619259934 | Samir K Momin | Dentist | 1000 E 41st Street, Suite 230, Austin, TX 78751 | 2011-09-13 |
| 1467740753 | Gary G. Plakias | Technician, Other | 5400 N Lamar Blvd, 206b, Austin, TX 78751 | 2011-07-20 |
| Find all providers in zip 78751 | ||||
| Taxonomy Code | 1835G0303X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Geriatric |
| A pharmacist who is certified in geriatric pharmacy practice is designated as a "Certified Geriatric Pharmacist" (CGP). To become certified, candidates are expected to be knowledgeable about principles of geriatric pharmacotherapy and the provision of pharmaceutical care to the elderly. |
| Notes: Source: Commission for Certification in Geriatric Pharmacy (www.ccgp.org) [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134632706 | Gary Victor Friedman | Pharmacist | 4411 Spicewood Springs Road #1111, Austin, TN 78759 | 2017-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013527779 | James Michael Varnell | Pharmacist | 1900 Silkwood Ct, Keller, TX 76248-8471 | 2020-08-06 |
| 1497378673 | Billy James Poteet | Pharmacist | 5234 89th St, Lubbock, TX 79424-3548 | 2020-05-22 |
| 1780249516 | Jason Branson Sutton | Pharmacist | 3313 Essex Dr # 200, Richardson, TX 75082-9714 | 2019-05-07 |
| 1447758503 | Lyndsi White | Pharmacist | 302 Kylie Ct, Sulphur Springs, TX 75482-6633 | 2018-01-24 |
| 1750891412 | Craig Alan Inman | Pharmacist | 4717 W Wedgefield Rd, Granbury, TX 76049-4042 | 2017-10-09 |
| 1760855704 | Glen Anderson | Pharmacist | 31 Tennis Village Dr, Heath, TX 75032-5995 | 2015-11-12 |
| 1205255429 | Douglas Bryan Smock | Pharmacist | 3313 Essex Drive, Ste 200, Richardson, TX 75082 | 2014-04-15 |
| 1659718971 | Angela Klaire Bazaldua | Pharmacist | 1616 S Kentucky St Ste A140, Amarillo, TX 79102-5215 | 2013-05-28 |
| 1083954044 | Aketi Sturghill | Pharmacist | 4514 Rosemont Ave, Grand Prairie, TX 75052-3536 | 2013-02-27 |
| 1154665768 | J and D Pharmacy | Pharmacist | 12895 Josey Ln., #111, Farmers Branch, TX 75234 | 2012-11-20 |
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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.