MARIA CECILIA MATIBAG (NPI# 1972028314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972028314 |
| Entity Type | Individual |
| Full Name | MARIA CECILIA MATIBAG |
| Credential | RPH |
| Practice Address |
1400 W Kenneth Rd Glendale CA 91201-1422 |
| Mailing Address |
3209 Community Ave La Crescenta CA 91214-2602 |
| Practice Telephone | 8182424158 |
| Practice Fax Number | 8182478593 |
| Mailing Telephone | 8186426390 |
| Enumeration Date | 2017-08-07 |
| Last Update Date | 2018-06-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 69135 | CA | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PHARMACIST LISCENSE | RPH69135 | 01 |
| Street Address |
1400 W KENNETH RD |
| City | GLENDALE |
| State | CA |
| Zip Code | 91201-1422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144365776 | Sanders Drug Co Inc | Pharmacy | 1400 W Kenneth Rd, Glendale, CA 91201-1422 | 2007-02-21 |
| 1699313023 | Syuzanna Stepanyan | Pharmacist | 1400 W Kenneth Rd, Glendale, CA 91201-1422 | 2019-12-16 |
| 1881248375 | Seta Setrak | Pharmacy Technician | 1400 W Kenneth Rd, Glendale, CA 91201-1422 | 2019-08-01 |
| 1922540392 | Kenneth Rx Inc | Pharmacy | 1400 W Kenneth Rd, Glendale, CA 91201-1422 | 2016-11-16 |
| 1801141528 | Robert Stephen Lipp | Pharmacist | 1400 W Kenneth Rd, Glendale, CA 91201-1422 | 2012-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801406046 | Blue Sky Hospice Care, Inc. | Hospice Care, Community Based | 1915 West Glen Oaks Blvd Ste 101b, Glendale, CA 91201 | 2020-08-03 |
| 1093350993 | Accumed Inc | Pharmacy | 1851 Flower Street, Glendale, CA 91201 | 2019-11-14 |
| 1790249852 | Susanna Margaryan Md A Medical Corporation | Clinic/Center | 1511 W. Glendale Ave., Glendale, CA 91201 | 2019-01-23 |
| 1831688860 | Vera Hospice, Inc. | Hospice Care, Community Based | 1927 1/2 W. Glenoaks Blvd, Glendale, CA 91201 | 2018-05-04 |
| 1396256939 | Universal Care Group Inc | Home Health | 1516 W Glenoaks Blvd Suite C, Glendale, CA 91201 | 2017-10-23 |
| 1427474642 | Brecka Walker | Social Worker | 1400 Glenwood Rd, Apt 109, Glendale, CA 91201 | 2014-03-12 |
| 1720422447 | Hmayak Manasyan | General Practice | 1712 E Colorado Blvd, Pasadena, CA 91201 | 2013-04-24 |
| 1730451469 | Divine Care Lm Hospice | Hospice Care, Community Based | 1440 Flower St. Suite A, Glendale, CA 91201 | 2012-01-26 |
| 1225255201 | Mikhail Blinchik | Internal Medicine | 777-a Flower Street, Glendale, CA 91201 | 2007-04-19 |
| 1801906920 | Brian Conlan | Counselor | 6425 San Fernando Rd, Glendale, CA 91201 | 2006-08-30 |
| Find all providers in zip 91201 | ||||
| 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 |
|---|---|---|---|---|
| 1831703503 | Anabel Ebrahimi | Pharmacist | 1030 S Glendale Ave Ste 101, Glendale, CA 91205-2866 | 2020-09-01 |
| 1235743055 | Aleen Marcoosi | Pharmacist | 418 E Glenoaks Blvd Ste 102, Glendale, CA 91207-2093 | 2020-08-31 |
| 1114539673 | Gary Karapet Karapetyan | Pharmacist | 1415 Dorothy Dr, Glendale, CA 91202-1611 | 2020-08-17 |
| 1144832692 | Arsineh Mesrkhani | Pharmacist | 330 Concord St Apt E, Glendale, CA 91203-2811 | 2020-08-17 |
| 1619595261 | Cari Schultz | Pharmacist | 1633 W Bender Rd Apt 6b, Glendale, WI 53209-3821 | 2020-07-09 |
| 1215564273 | Mark Hoffman | Pharmacist | 5419 N 80th Ln, Glendale, AZ 85303-5517 | 2020-03-26 |
| 1548897515 | Anasheh Navasarkian | Pharmacist | 348 W Chevy Chase Dr Apt 29, Glendale, CA 91204-2244 | 2020-03-26 |
| 1922632587 | Jasmine Dockery | Pharmacist | 5400 N Port Washington, Glendale, WI 53217 | 2020-02-23 |
| 1275165391 | Michael Bardi | Pharmacist | 800 S Central Ave Ste 101a, Glendale, CA 91204-4375 | 2020-02-06 |
| 1487292942 | Victoria Chipeva | Pharmacist | 1538 Raymond Ave, Glendale, CA 91201-1213 | 2019-12-16 |
| Find all providers in GLENDALE | ||||
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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.