MEDICAL PLAZA PHARMACY INC (NPI# 1972615086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972615086 |
| Entity Type | Organization |
| Organization Name | MEDICAL PLAZA PHARMACY INC |
| Other Organization Name | HOOVER PHARMACY |
| Practice Address |
211 Quarry Rd Ste 108 Palo Alto CA 94304-1416 |
| Mailing Address |
211 Quarry Rd Ste 108, M/c 5998 Palo Alto CA 94304 |
| Practice Telephone | 6503262300 |
| Practice Fax Number | 6503262351 |
| Mailing Telephone | 6503262300 |
| Mailing Fax Number | 6503262351 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-10-19 |
| Authorized Official Name | JONATHAN HAN (COO) |
| Authorized Official Telephone | 6503262300 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHY45166 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 1997900 | 01 | |
| CA | PHY45166 | 05 |
| Other Name | Type Code |
|---|---|
| Hoover Pharmacy | Doing Business As Name - Organization |
| MEDICAL PLAZA PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689767030 | Medical Plaza Pharmacy Inc | Pharmacy | 13725 Northwest Blvd, Suite 130, Corpus Christi, TX 78410-5127 | 2006-09-30 |
| Street Address |
211 QUARRY RD STE 108 |
| City | PALO ALTO |
| State | CA |
| Zip Code | 94304-1416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154944122 | Michelle Chinn | Pharmacist | 211 Quarry Rd Ste 108, Palo Alto, CA 94304-1416 | 2020-05-25 |
| 1609404003 | Radika Roselyn Naidu | Pharmacist | 211 Quarry Rd Ste 108, Palo Alto, CA 94304-1416 | 2020-03-31 |
| 1457984072 | Christine Kung Yu | Pharmacist | 211 Quarry Rd Ste 108, Palo Alto, CA 94304-1416 | 2020-02-21 |
| 1356823553 | Derek Ma | Pharmacist | 211 Quarry Rd Ste 108, Palo Alto, CA 94304-1416 | 2018-09-04 |
| 1023590445 | Eric Fujii | Pharmacist | 211 Quarry Rd Ste 108, Palo Alto, CA 94304-1416 | 2018-08-31 |
| 1679054076 | Mallory Ignacio | Pharmacist | 211 Quarry Rd Ste 108, Mail Code 5998, Palo Alto, CA 94304 | 2018-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477170611 | Richard Engdahl | Specialist/Technologist, Other | 820 Quarry Road, Mc1078 Hf006, Palo Alo, CA 94304 | 2020-07-04 |
| 1720603582 | Lily Wenya Zhou | Psychiatry & Neurology | 780 Welch Road, Suite 350, Stanford Stroke Center, Palo Alto, CA 94304 | 2020-06-08 |
| 1033738521 | Perry Seo Choi | Student in an Organized Health Care Education/Training Program | Dept of Cardiothoracic Surgery, Falk Building, 870 Quarry Rd, Palo Alto, CA 94304 | 2020-04-14 |
| 1073150355 | Tara Mcdermott | Nurse Practitioner | 500 Pasteur Drive, Cardiovascular Intensive Care Unit, Palo Alto, CA 94304 | 2019-12-05 |
| 1811542723 | Mark Henry Chubb | Pediatrics | Stanford Children's Health, 725 Welch Road, Palo Alto, CA 94304 | 2019-08-07 |
| 1194285114 | Cora Steindl | Nurse Practitioner | 300 Pasteur Drive Rm H2512, Stanford, CA 94304 | 2019-03-25 |
| 1407333057 | Deborah Menet Landi | Social Worker | Lucile Packard Children's Hospital Stanford, 725 Welch, Mc 5933, Palo Alto, CA 94304 | 2018-07-26 |
| 1982100798 | Jonathan Hootman | Student in an Organized Health Care Education/Training Program | 900 Quarry Road Extension, Palo Alto, CA 94304 | 2018-04-02 |
| 1093234254 | Adam C Maclellan | Psychiatry & Neurology | Stanford Stroke Center, 780 Welch Road, Suite 350, Palo Alto, CA 94304 | 2017-09-19 |
| 1194248153 | Chanel Beaudoin Cloutier | Plastic Surgery | 770 Welch Road, Suite 400, Palo Alto, CA 94304 | 2017-07-21 |
| Find all providers in zip 94304 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
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| 1811930084 | Longs Drug Stores California LLC | Pharmacy | 855 El Camino Real, Palo Alto, CA 94301-2305 | 2006-06-14 |
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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.