WILLETTE IWATANI (NPI# 1932407491) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932407491 |
| Entity Type | Individual |
| Full Name | WILLETTE IWATANI |
| Practice Address |
43621 Pacific Commons Blvd Fremont CA 94538-3809 |
| Practice Telephone | 5108971119 |
| Mailing Telephone | 5108971119 |
| Enumeration Date | 2011-03-08 |
| Last Update Date | 2011-03-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
RPH41287 | CA | Pharmacy Service Providers |
| Street Address |
43621 PACIFIC COMMONS BLVD |
| City | FREMONT |
| State | CA |
| Zip Code | 94538-3809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093825697 | Costco Wholesale Corporation | Pharmacy | 43621 Pacific Commons Blvd, Fremont, CA 94538 | 2006-08-30 |
| 1235524778 | Nicholas Ho | Pharmacist | 43621 Pacific Commons Blvd, Fremont, CA 94538-3809 | 2015-04-01 |
| 1033502208 | Costco Wholesale Corporation | Hearing Aid Equipment | 43621 Pacific Commons Blvd, Fremont, CA 94538-3809 | 2015-03-12 |
| 1114317799 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 43621 Pacific Commons Blvd, Fremont, CA 94538-3809 | 2015-02-03 |
| 1033531496 | Stella Betelia | Pharmacist | 43621 Pacific Commons Blvd, Fremont, CA 94538-3809 | 2014-01-19 |
| 1972883411 | Jose Jorge Amador | Pharmacist | 43621 Pacific Commons Blvd, Fremont, CA 94538-3809 | 2011-08-27 |
| 1760780456 | Alka Avinash Korgaonkar | Pharmacist | 43621 Pacific Commons Blvd, Fremont, CA 94538-3809 | 2011-03-04 |
| 1932241502 | Jenny Tseng | Optometrist | 43621 Pacific Commons Blvd, Fremont, CA 94538-3809 | 2007-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699394460 | Bay Area Kidney Care Medical Group Inc. | Clinic/Center | 39370 Mozart Terrace Unit 106, Fremont, CA 94538 | 2020-04-13 |
| 1740847284 | Gloria Ann Federico | Behavior Technician | 39210 State St., Suite 220 Fremont, Ca 94538, Fremont, CA 94538 | 2019-05-21 |
| 1093270688 | Timothy Lorne Haynes | Chiropractor | 3775 Beacon Ave., Suite 200, Fremont, CA 94538 | 2019-02-07 |
| 1902370067 | Nicole Sandoval | Counselor | 39155 Liberty St Suite E500, Fremont, CA 94538 | 2019-01-11 |
| 1497225015 | Megan Galban | Behavior Technician | 39210 State St. Suite 220, Fremont, CA 94538 | 2018-11-27 |
| 1780154302 | Karla Patricia Plascencia | Behavior Technician | 39210 State Street Suite 220, Fremont, CA 94538 | 2018-11-27 |
| 1215407846 | Sydney J Torrens | Behavior Technician | 39210 State St. Suite 220 Fremont, Ca 94538, Fremont, CA 94538 | 2018-11-27 |
| 1932676277 | Jarah Harvan | Psychologist | 1999 Mowry Ave Ste F, Fremont, CA 94538 | 2018-10-24 |
| 1205321965 | Chien Shien Yang Md Inc | Psychiatry & Neurology | 1860 Mowry Ave Ste 301a, Fremont, CA 94538 | 2018-06-26 |
| 1912416199 | Advanced Interventional Surgical Center | Clinic/Center | 3077 Stevenson Blvd, Fremont, CA 94538 | 2017-09-20 |
| Find all providers in zip 94538 | ||||
| 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 |
|---|---|---|---|---|
| 1679859136 | Hetal U Sheth | Pharmacist | 280 Chantecler Dr, Fremont, CA 94539-4908 | 2011-10-28 |
| 1013215698 | Rahat Katyal | Pharmacist | 790 Saltillo Pl, Fremont, CA 94536-7636 | 2011-03-07 |
| 1851926265 | Alex Jg Hamilton | Pharmacist | 1531 N Bell St, Fremont, NE 68025-3536 | 2020-03-05 |
| 1972140085 | Richard Wendal Barmore Jr. | Pharmacist | 322 E 22nd St, Fremont, NE 68025-2608 | 2019-12-08 |
| 1215590716 | Crystal Situ | Pharmacist | 4020 Fremont Hub, Fremont, CA 94538-1322 | 2019-04-19 |
| 1841781150 | Katherine Tran | Pharmacist | 2000 Mowry Ave, Fremont, CA 94538-1746 | 2018-05-22 |
| 1053786053 | Loan Hoang | Pharmacist | 39400 Paseo Padre Pkwy, Fremont, CA 94538-2310 | 2015-12-02 |
| 1376911016 | Jaskirat Kaur Bindra | Pharmacist | 37323 Fremont Blvd, Fremont, CA 94536-3702 | 2015-09-11 |
| 1346484375 | Jeanne Louise Feikema | Pharmacist | 30 E Main St, Fremont, MI 49412-1244 | 2009-04-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376142430 | Daria Mohazzab Hosseinian | Pharmacist | 450 E Spring St Ste 11, Long Beach, CA 90806-1625 | 2020-10-20 |
| 1235745100 | Ngoc Tran | Pharmacist | 10371 Luders Ave, Garden Grove, CA 92843-3213 | 2020-09-16 |
| 1275143752 | Sherine Ann Legge | Pharmacist | 17 Westchester Ct, Trabuco Canyon, CA 92679-4955 | 2020-08-09 |
| 1922618412 | Ashley Keane Hayes | Pharmacist | 6551 E El Pulcro St, Long Beach, CA 90815-2302 | 2020-08-09 |
| 1750991543 | Priyankumar Arvind Patel | Pharmacist | 2339 S G St, Fresno, CA 93721-3425 | 2020-08-05 |
| 1912521261 | Sharon Jung | Pharmacist | 851 Langholm Way, Riverside, CA 92508-6075 | 2020-06-02 |
| 1710500376 | Christine Nguyen | Pharmacist | 2248 E Nyon Ave, Anaheim, CA 92806-4634 | 2020-05-18 |
| 1134740582 | Cj3m Corporation | Pharmacist | 2626 El Camino Real Ste A, Carlsbad, CA 92008-1253 | 2020-04-27 |
| 1629607775 | Tiffany Chang | Pharmacist | 213 Quarry Rd Rm 2726a, Palo Alto, CA 94304-1416 | 2020-04-01 |
| 1124655782 | Noor Mikhail | Pharmacist | 220 W Main St Ste 102, El Cajon, CA 92020-3462 | 2020-03-24 |
| Find all providers with the same taxonomy | ||||
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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.