DR. SAMIR T MOKADDEM (NPI# 1831472208) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831472208 |
| Entity Type | Individual |
| Full Name | DR. SAMIR T MOKADDEM |
| Credential | PHARMD, BCPS |
| Practice Address |
63 Teton Pines Dr Henderson NV 89074-0697 |
| Practice Telephone | 7024584623 |
| Mailing Telephone | 7024584623 |
| Enumeration Date | 2011-09-22 |
| Last Update Date | 2011-09-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
10104 | NV | Pharmacy Service Providers |
| Street Address |
63 TETON PINES DR |
| City | HENDERSON |
| State | NV |
| Zip Code | 89074-0697 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194349381 | Samuel Taylor Mulford | Physical Therapist | 9070 W.cheyenne Ave, Suite 100, Henderson, NV 89074 | 2020-06-03 |
| 1407369127 | Brenda Thomas | Dental Hygienist | 234 Polar Morning Place, Henderson, NV 89074 | 2017-11-16 |
| 1174036479 | Gail E Evans Wade | Behavioral Analyst | 1445 Stone Lake Cove, Henderson, NV 89074 | 2017-11-08 |
| 1710400957 | Kimberley Houk | Behavioral Analyst | 20 Avenida Picasso, Henderson, NV 89074 | 2017-07-19 |
| 1760911846 | Colin Ono-moore | Physical Therapist | 3 Rising Sun Ct, Henderson, NV 89074 | 2017-06-12 |
| 1851825764 | Ralph Wieder | Dietitian, Registered | 1005 Wigwam Pkwy, 23206, Henderson, NV 89074 | 2017-04-18 |
| 1811421712 | Henderson Long Term Care LLC | Skilled Nursing Facility | 2965 Wigwam Parkway, Henderson, NV 89074 | 2017-04-18 |
| 1275994642 | Malyna Lavarias | Behavioral Analyst | 74 N Pecos Rd., Suite C, Henderson, NV 89074 | 2016-03-14 |
| 1144608290 | Matthew Roderick | Acupuncturist | 2675 Windmill Pkwy Apt 421, Henderson, NV 89074 | 2015-05-08 |
| 1922494764 | Jennifer Romo Santistevan | Pediatrics | 1505 Wigwam Pkwy Ste 230, Henderson, NV 89074 | 2015-04-08 |
| Find all providers in zip 89074 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184264384 | John Etakibuebu | Pharmacist | 2415 Hwy 79 S, Henderson, TX 75652 | 2020-01-15 |
| 1053876698 | Ogonna Ifeoma Ifeanyi | Pharmacist | 2224 Martinique Ave, Henderson, NV 89044-0314 | 2019-02-07 |
| 1255741195 | Nelson M Mwangi | Pharmacist | 276 Fancrest St, Henderson, NV 89052-2330 | 2014-04-30 |
| 1386259810 | Jennifer Johnson | Pharmacist | 401 N Arroyo Grande Blvd, Henderson, NV 89014-3974 | 2020-09-11 |
| 1346854833 | Selina Liang | Pharmacist | 55 S Valle Verde Dr, Henderson, NV 89012-3433 | 2020-09-02 |
| 1730791211 | Son Vo | Pharmacist | 402 2nd St, Henderson, KY 42420-3221 | 2020-08-17 |
| 1356962054 | Janeil Pennal | Pharmacist | 2415 Us Highway 79 S, Henderson, TX 75654-4411 | 2020-05-04 |
| 1730708827 | Lan Nguyen | Pharmacist | 2415 Us Highway 79 S, Henderson, TX 75654-4411 | 2020-04-09 |
| 1063042349 | Katarzyna Swietlicka-wolek | Pharmacist | 1000 N Green Valley Pkwy, Henderson, NV 89074-6170 | 2020-01-24 |
| 1720628373 | Desiree Gomez | Pharmacist | 830 S Boulder Hwy, Henderson, NV 89015-7521 | 2020-01-12 |
| Find all providers in HENDERSON | ||||
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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.