DR. CAMILLE ROSE GRANT (NPI# 1912209032) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912209032 |
| Entity Type | Individual |
| Full Name | DR. CAMILLE ROSE GRANT |
| Credential | PHARM.D. |
| Practice Address |
4601 Dale Rd Modesto CA 95356-9718 |
| Mailing Address |
2109 Preston Ln Modesto CA 95355-2626 |
| Practice Telephone | 2097356950 |
| Mailing Telephone | 2093800929 |
| Enumeration Date | 2010-11-22 |
| Last Update Date | 2010-11-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RPH 61143 | CA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083019624 | Camille Grant | Licensed Practical Nurse | 5556 Broaview Rd. Apt3123, Parma, OH 44134 | 2014-10-24 |
| 1356603393 | Camille Grant | Registered Nurse | 650 Baychester Ave, Bronx, NY 10475-1756 | 2012-06-14 |
| Street Address |
4601 DALE RD |
| City | MODESTO |
| State | CA |
| Zip Code | 95356-9718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912998311 | Stephen Matthew Willey | Physical Therapist | 4601 Dale Rd, Modesto, CA 95356 | 2005-11-03 |
| 1760098263 | Paola Ramirez | Behavior Technician | 4601 Dale Rd, Modesto, CA 95356-9718 | 2020-09-20 |
| 1538772678 | Roy Choi | Pharmacist | 4601 Dale Rd, Modesto, CA 95356-9718 | 2020-08-28 |
| 1730797499 | Donna Cruz | Pharmacist | 4601 Dale Rd, Modesto, CA 95356-9718 | 2020-07-20 |
| 1538777487 | Kyle Wesley Hopson | Physical Therapist | 4601 Dale Rd, Modesto, CA 95356-9718 | 2020-07-16 |
| 1376176313 | Su Jin Yeo | Pharmacist | 4601 Dale Rd, Modesto, CA 95356-9718 | 2020-02-18 |
| 1972135580 | Tran Huyen Smernes | Pharmacist | 4601 Dale Rd, Modesto, CA 95356-9718 | 2020-02-11 |
| 1740827534 | Evelyn Kwong | Pharmacist | 4601 Dale Rd, Modesto, CA 95356-9718 | 2019-11-29 |
| 1467000463 | Oanh Hoang Nguyen Phan | Nurse Practitioner | 4601 Dale Rd, Modesto, CA 95356-9718 | 2019-09-03 |
| 1598311227 | Janine Grace Lastimosa Tennant | Pharmacist | 4601 Dale Rd, Modesto, CA 95356-9718 | 2019-08-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649809021 | Amelia E Delgadillo | Licensed Vocational Nurse | 501 Triangle Rd, Modesto, CA 95356 | 2020-04-07 |
| 1689220279 | Meagan Veneman | Physical Medicine & Rehabilitation | 125 Hogue Rd, Modesto, CA 95356 | 2019-08-10 |
| 1497131213 | Hermes Guardian Transport | Non-emergency Medical Transport (VAN) | 4221 Erin Way, Modesto, CA 95356 | 2015-08-04 |
| 1811373640 | Melissa Ruiz | Marriage & Family Therapist | 5815 Stoddard Rd Suite 600, Modesto, CA 95356 | 2015-08-04 |
| 1922242866 | Lifecare Solutions Inc | Durable Medical Equipment & Medical Supplies | 500 Glass Ln Ste H, Modesto, CA 95356 | 2009-04-22 |
| 1659541647 | Ashley Allison Streeter | Dentist | 556 Lyell Dr, Modesto, CA 95356 | 2008-03-05 |
| 1265636013 | Margaret Kathleen Grisell | Orthopaedic Surgery | 4601 Dale Ave, Kaiser Modesto Medical Center, Orthopedic Surgery, Modesto, CA 95356 | 2007-06-14 |
| 1841412111 | Bobby Gene Boswell | Specialist/Technologist | 3908 Vintage Cove, Modesto, CA 95356 | 2007-05-03 |
| 1598892861 | Merritt Radiological Medical Group Inc | Radiology | 526 Charity Way, Modesto, CA 95356 | 2007-02-27 |
| 1396871091 | Michael Steven Beck | Social Worker | 4640 Spyres Way, Building B, Suite 7, Modesto, CA 95356 | 2007-02-26 |
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| 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 |
|---|---|---|---|---|
| 1033778964 | Surjit Mann | Pharmacist | 2100 Standiford Ave Ste B1, Modesto, CA 95350-6523 | 2019-06-13 |
| 1255998548 | Hemalia Safi | Pharmacist | 901 N Carpenter Rd Ste 30, Modesto, CA 95351-1301 | 2019-05-22 |
| 1265945208 | Elaine Christine George-pardini | Pharmacist | 1541 Florida Ave Ste P, Modesto, CA 95350-4438 | 2017-11-13 |
| 1902334311 | Herbert Cho | Pharmacist | 400 Paradise Rd, Modesto, CA 95351-3105 | 2017-05-30 |
| 1689100497 | Amber Rafiq | Pharmacist | 2917 Essie Way, Modesto, CA 95355-8726 | 2017-05-11 |
| 1255879433 | George Do | Pharmacist | 1524 Mchenry Ave Ste 445, Modesto, CA 95350-4573 | 2017-02-07 |
| 1922542505 | Richard Damon Olson | Pharmacist | 3201 Villagio Ct, Modesto, CA 95355-9009 | 2016-12-15 |
| 1871958132 | Vinay Kumar | Pharmacist | 3900 Viader Dr, Modesto, CA 95356-0394 | 2015-12-30 |
| 1174994271 | Joshua Logan Wiegand | Pharmacist | 1216 Mist Flower Ct, Modesto, CA 95355-2912 | 2015-10-14 |
| 1003297805 | Angela Huynh | Pharmacist | 500 Gayle Ave Apt 109, Modesto, CA 95350-4237 | 2015-06-17 |
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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.