ZELDIA HOUSTON DEWALT (NPI# 1861025025) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1861025025 |
Entity Type | Individual |
Full Name | ZELDIA HOUSTON DEWALT |
Practice Address |
1107 Shaver St Pasadena TX 77506-4405 |
Practice Telephone | 7135346665 |
Practice Fax Number | 7135346676 |
Mailing Telephone | 7135346665 |
Enumeration Date | 2020-02-17 |
Last Update Date | 2020-02-17 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 183500000X | Pharmacist | 25318 | TX | Pharmacy Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | IMMUNIZATION AND POINT OF CARE TESTING | 25318 | 01 |
TX | PHARMACIST LICENSE | 25318 | 01 |
Street Address |
1107 SHAVER ST |
City | PASADENA |
State | TX |
Zip Code | 77506-4405 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922025030 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 1107 Shaver St, Pasadena, TX 77506-4405 | 2006-07-16 |
1346840709 | Edward William Servin | Pharmacist | 1107 Shaver St, Pasadena, TX 77506-4405 | 2020-10-27 |
1205483963 | Caroline Nguyen | Pharmacist | 1107 Shaver St, Pasadena, TX 77506-4405 | 2019-08-19 |
1033765714 | Manuel Vera | Pharmacist | 1107 Shaver St, Pasadena, TX 77506-4405 | 2019-08-17 |
1043724537 | James Nkansah | Pharmacist | 1107 Shaver St, Pasadena, TX 77506-4405 | 2017-11-21 |
1003284324 | Toan Phan | Pharmacist | 1107 Shaver St, Pasadena, TX 77506-4405 | 2015-09-02 |
1235221888 | Wal-mart Stores Texas, Lp | Technician/Technologist | 1107 Shaver St, Pasadena, TX 77506-4405 | 2006-09-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699315390 | Burke Childrens Pllc | Pediatrics | 900 West Jackson Ave, Suite 170, Pasadena, TX 77506 | 2020-01-10 |
1285276741 | Concepcion Salamanca | Technician | 507 Live Oak St., Pasadena, TX 77506 | 2019-10-16 |
1194217919 | Thanh Ngoc Phan | Pharmacist | 927 E Shaw, Pasadena, TX 77506 | 2018-06-06 |
1073022091 | Memorial Hermann Community Benefit Corporation | Clinic/Center | 400 Park Ln, Suite M, Pasadena, TX 77506 | 2017-09-21 |
1386080844 | Effie Juanita Wilkerson | Pharmacist | 927 East Shaw Rd, Pasadena, TX 77506 | 2013-05-10 |
1083988307 | Benjamin F Contreras | Dentist | 1027 Main Street, Suite A, Pasadena, TX 77506 | 2012-03-05 |
1386950699 | Yen Hoang Nguyen | Pharmacist | 927 East Shaw Road, Pasadena, TX 77506 | 2010-08-24 |
1104065135 | Rashmi Rode | Family Medicine | 927 E Shaw St, Pasadena, TX 77506 | 2009-02-15 |
1265687974 | Preethi Vijay Nambi | Internal Medicine | 927, E Shaw Road, Pasadena, TX 77506 | 2008-11-21 |
1841364676 | Dino J. Demetriou | Chiropractor | 1120 Pasadena Blvd, Pasadena, TX 77506 | 2006-11-20 |
Find all providers in zip 77506 |
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 |
---|---|---|---|---|
1740889211 | Hyunji Lee | Pharmacist | 8107 Governor Ritchie Highway, Pasadena, MD 21122 | 2020-10-25 |
1619576618 | Phuong Ha | Pharmacist | 8107 Ritchie Hwy, Pasadena, MD 21122-6917 | 2020-10-21 |
1164031167 | Vivian Chu I | Pharmacist | 3160 E Del Mar Blvd # 100, Pasadena, CA 91107-4649 | 2020-07-26 |
1013557115 | Cindy Phun | Pharmacist | 3383 E Foothill Blvd, Pasadena, CA 91107 | 2020-01-07 |
1215575063 | Avedis Sarkisian | Pharmacist | 1855 N Fair Oaks Ave # 2, Pasadena, CA 91103-1620 | 2019-12-11 |
1508320466 | Minsun Shin | Pharmacist | 43 Harkness Ave # 2, Pasadena, CA 91106-2004 | 2019-01-24 |
1881161974 | Antranig Kaprielian | Pharmacist | 2445 E Del Mar Blvd Apt 402, Pasadena, CA 91107-6110 | 2018-10-27 |
1518453794 | Ma Fatima Paguio | Pharmacist | 139 S Los Robles Ave Unit 103, Pasadena, CA 91101-2488 | 2018-07-10 |
1891285110 | Michelle Birmingham | Pharmacist | 847 N Mar Vista Ave, Pasadena, CA 91104-4659 | 2018-05-11 |
1851890719 | Deborah Bodnar | Pharmacist | 8241 Bayside Dr, Pasadena, MD 21122-5703 | 2018-02-06 |
Find all providers in PASADENA |
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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.