ROGER T HOLBROOK (NPI# 1902892425) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902892425 |
| Entity Type | Individual |
| Full Name | ROGER T HOLBROOK |
| Credential | RPH |
| Practice Address |
90 N Ashwood Ave Ventura CA 93003-1810 |
| Mailing Address |
211 N Brookshire Ave Ventura CA 93003-2405 |
| Practice Telephone | 8056424135 |
| Practice Fax Number | 8056429117 |
| Mailing Telephone | 8056424135 |
| Mailing Fax Number | 8056429117 |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RPH25044 | CA | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BOARD OF PHARMACY | RPH25044 | 01 |
| Street Address |
90 N ASHWOOD AVE |
| City | VENTURA |
| State | CA |
| Zip Code | 93003-1810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295721736 | Thomas Shilton Corporation | Durable Medical Equipment & Medical Supplies | 90 N Ashwood Ave, Ventura, CA 93003-1810 | 2005-09-20 |
| 1962629501 | California Complete Care Network | Pharmacist | 90 N Ashwood Ave, Ventura, CA 93003-1810 | 2007-04-18 |
| 1639165392 | Donald Lewis Finch | Pharmacist | 90 N Ashwood Ave, Ventura, CA 93003-1810 | 2005-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124645924 | Community Memorial Health System | Pharmacy | 2790 Loma Vista Road, Ventura, CA 93003 | 2020-06-29 |
| 1730702952 | Sarah Manon Begert | Student in an Organized Health Care Education/Training Program | 300 Hillmont Ave., Bldg 340, Ste 201, Ventura, CA 93003 | 2020-05-21 |
| 1033763677 | Ashley Danielle Aguilar | Counselor | 5740 Ralston Suite 100, Ventura, CA 93003 | 2019-08-01 |
| 1730747239 | Azadeh Ellsworth | Nurse Practitioner | 1752 S Victoria Ave Ste 250, Ventura, CA 93003 | 2019-05-31 |
| 1992275556 | Melissa Marie Cole | Social Worker | 4949 Market St, Ventura, CA 93003 | 2018-11-27 |
| 1851868400 | Weldon Acupuncture Professional Corporation | Acupuncturist | 3737 Telegraph Road, Suite F, Ventura, CA 93003 | 2018-10-31 |
| 1952876468 | Isabella Florencia Gallegos | Specialist/Technologist | 1857 Knoll Dr., Ventura, CA 93003 | 2018-10-11 |
| 1437645421 | Jill Huang Wong | Psychologist | 3585 Maple St Ste 248, Ventura, CA 93003 | 2018-07-02 |
| 1346735156 | Lisa Ngoc Thi Nguyen | Student in an Organized Health Care Education/Training Program | 147 N. Brent Street, Ventura, CA 93003 | 2018-06-25 |
| 1457845331 | Khloe Frank | Student in an Organized Health Care Education/Training Program | 300 Hillmont Ave, Bldg 340, Suite 201, Ventura, CA 93003 | 2018-06-14 |
| Find all providers in zip 93003 | ||||
| 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 |
|---|---|---|---|---|
| 1447633003 | Fernando Maldonado IIi | Pharmacist | 9308-b Telephone Rd, Ventura, CA 93004 | 2015-07-01 |
| 1770964686 | Lori Dibenedetto | Pharmacist | 1073 N Ventura Ave, 203, Ventura, CA 93001-4700 | 2015-06-16 |
| 1275929044 | Jill Bell | Pharmacist | 4601 Campus St, Ventura, CA 93003-3821 | 2015-04-08 |
| 1871996041 | Isaias Isaac | Pharmacist | 2005 Washington Dr, Ventura, CA 93003-7436 | 2014-10-02 |
| 1619238755 | Ryan William Russell | Pharmacist | 5574 Everglades St Ste A, Ventura, CA 93003-6542 | 2012-06-05 |
| 1346535374 | Maryam Ahmadpour | Pharmacist | 641 Mills Road, Ventura, CA 93003 | 2011-06-17 |
| 1558656587 | Andrea Vazquez Cornelio | Pharmacist | 200 South Wells Rd., Ventura, CA 93007 | 2011-06-17 |
| 1881905990 | Marlein Iskandar | Pharmacist | 2738 E. Thompson Blvd., Ventura, CA 93003 | 2010-06-24 |
| 1174763510 | Kyung Sook Chang | Pharmacist | 3700 Dean Dr Unit 1008, Ventura, CA 93003-3272 | 2009-02-25 |
| 1528218096 | Ellen Ann Soto | Pharmacist | 2738 E Thompson Blvd, Ventura, CA 93003-2719 | 2008-09-22 |
| Find all providers in VENTURA | ||||
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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.