ZUOM DEREK WANKAH (NPI# 1154915791) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154915791 |
| Entity Type | Individual |
| Full Name | ZUOM DEREK WANKAH |
| Gender | Male |
| Credential | PHARMD |
| Practice Address | 918 Bandera Rd San Antonio TX 78228-4923 |
| Practice Telephone | 2105360576 |
| Mailing Address | 918 Bandera Rd San Antonio TX 78228-4923 |
| Mailing Telephone | 2105360576 |
| Certification Date | 2021-02-24 |
| Enumeration Date | 2021-02-24 |
| Last Update Date | 2021-02-24 |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | Group | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | 52429 | TX | Suppliers | |
| Y | 183500000X | Pharmacist | 52429 | TX | Pharmacy Service Providers |
| Identifier | State | Issuer | Type Code |
|---|---|---|---|
| 52429 | TX | INSURANCE | Other |
| Endpoint Type | Endpoint | Affiliation | Affiliation Address | Use | Content |
|---|---|---|---|---|---|
| Direct Messaging Address | zdw000a.s03058.us@wal-mart.com (work email) | Wal-Mart Stores Texas LLC | 918 Bandera Rd, San Antonio, TX 782284923 | Health Information Exchange (HIE) | CSV |
| Street Address | 918 BANDERA RD |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78228-4923 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881237279 | Jude C Iwuala | Pharmacist | 918 Bandera Rd, San Antonio, TX 78228-4923 | 2019-10-18 |
| 1093194946 | Wal-Mart Stores Texas, LLC · Walmart Vision Center 30-3058 | Technician/Technologist · Optician | 918 Bandera Rd, San Antonio, TX 78228-4923 | 2015-05-26 |
| 1396139234 | Wal-Mart Stores Texas LLC · Walmart Pharmacy 10-3058 | Durable Medical Equipment & Medical Supplies | 918 Bandera Rd, San Antonio, TX 78228-4923 | 2015-03-27 |
| 1154762672 | Acute Vision Pllc | Optometrist | 918 Bandera Rd, San Antonio, TX 78228-4923 | 2013-07-12 |
| 1598915399 | Diana Iraseli Ramirez | Optometrist | 918 Bandera Rd., San Antonio, TX 78228-2097 | 2008-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457914897 | Celso Villagran | Nurse Practitioner · Family | 902 Bandera Rd, San Antonio, TX 78228-4923 | 2019-04-22 |
| 1740721265 | Maria Margarita Lozano | Nurse Practitioner · Family | 902 Bandera Rd, San Antonio, TX 78228-4923 | 2017-03-16 |
| 1407229644 | Melissa Marie Sedillo | Nurse Practitioner · Family | 902 Bandera Rd, San Antonio, TX 78228-4923 | 2015-11-10 |
| 1336544485 | Scott Eric Hudnall | Nurse Practitioner · Family | 902 Bandera Rd, San Antonio, TX 78228-4923 | 2014-10-31 |
| 1417391467 | Ana Lucia Siu Chang | Family Medicine | 902 Bandera Rd, San Antonio, TX 78228-4923 | 2013-04-22 |
| 1184964694 | Gmg Health Systems Associates, Pa · Gonzaba Medical Group | Durable Medical Equipment & Medical Supplies | 902 Bandera Rd, San Antonio, TX 78228-4923 | 2013-02-20 |
| 1609120187 | Robert L Bonar | Physical Medicine & Rehabilitation | 902 Bandera Rd, San Antonio, TX 78228-4923 | 2012-11-05 |
| 1417211558 | Juan Carlos Cardenas Rosales | Internal Medicine | 902 Bandera Rd, San Antonio, TX 78228-4923 | 2012-07-03 |
| 1720342124 | Maria Adriana Sustayta | Physician Assistant | 902 Bandera Rd, San Antonio, TX 78228-4923 | 2012-06-29 |
| 1417222423 | Joel Christopher Remandaban | Physical Therapist | 902 Bandera Rd, San Antonio, TX 78228-4923 | 2012-03-09 |
| Find all providers in zip 78228-4923 | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548827595 | Paam Care, LLC. | Assisted Living Facility | 322 Early Trail, San Antonio, TX 78228 | 2019-05-24 |
| 1770064206 | Isabel Cristina Moreno | Licensed Vocational Nurse | 5419 Shivalik Way, San Antonio, TX 78228 | 2018-08-23 |
| 1518485028 | Winter Guerrero | Counselor · Addiction (Substance Use Disorder) | 3615 Culebra Rd, San Antonio, TX 78228 | 2017-09-05 |
| 1841728912 | R & R Home Caregivers, LLC | Technician · Personal Care Attendant | 4414 Centerview Dr., Suite 140, San Antonio, TX 78228 | 2017-06-01 |
| 1053846097 | Miguel Angel Hernandez | Counselor · Addiction (Substance Use Disorder) | 3615 Culebra Road, San Antonio, TX 78228 | 2017-04-27 |
| 1841724424 | Amber Fragoso | Specialist/Technologist · Athletic Trainer | 1 Camino Sanata Maria, San Antonio, TX 78228 | 2017-04-20 |
| 1184175937 | John Amundson IIi | Counselor | 4243 E Piedras Dr # 100, San Antonio, TX 78228 | 2016-10-17 |
| 1215487475 | Compassus Op of Texas LLC · Compassus - San Antonio | Hospice Care, Community Based | 4242 E Piedras Dr, Suite 200, San Antonio, TX 78228 | 2016-10-11 |
| 1033669452 | Nahvia Henry | Case Manager/Care Coordinator | 2939 W Woodlawn Ave, San Antonio, TX 78228 | 2016-10-10 |
| 1407220130 | Jessica Marie Hernandez-Benavidez | Counselor · Professional | 2939 W. Woodlawn, Buidling 2, San Antonio, TX 78228 | 2015-11-18 |
| Find all providers in zip 78228 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| 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: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205435138 | N.p. Consultants Viii, LLC | 2115 Pleasanton Rd Ste 100, San Antonio, TX 78221-1300 | 2020-10-21 | |
| 1336755958 | Derma Dash Services, LLC | 4742 Dodge St, San Antonio, TX 78217-3749 | 2020-09-18 | |
| 1124643549 | Anthony Victor Fermin | 6825 Bandera Rd, San Antonio, TX 78238-1359 | 2020-06-11 | |
| 1598387201 | Cantex Continuing Care Network LLC | 8122 Datapoint Dr Ste 403, San Antonio, TX 78229-3276 | 2020-05-15 | |
| 1023630274 | H-E-B, Lp · Heb Specialty Pharmacy #701 | 3503 Fredericksburg Rd Ste 450, San Antonio, TX 78201-3969 | 2020-05-11 | |
| 1972153914 | Complete Solutions Rx LLC | 145 Lanark Dr, San Antonio, TX 78218-1821 | 2019-09-11 | |
| 1992263859 | Nextdoor Pharmacy Inc | 15614 Huebner Rd Ste 101, San Antonio, TX 78248-0993 | 2019-03-08 | |
| 1154893600 | Optum Pharmacy 704, Inc. | 5627 University Hts Ste 108, San Antonio, TX 78249-3583 | 2018-12-21 | |
| 1891279915 | Medfusion Pharmacy | 8812 Broadway St Ste A, San Antonio, TX 78217-6318 | 2018-09-25 | |
| 1871074740 | Babcock Pharmacy LLC · Premier Pharmacy | 2425 Babcock Rd Ste 108a, San Antonio, TX 78229-4899 | 2018-08-28 | |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78228 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134471683 | Gamaliel Choh Zuom | Home Health Aide | 11 Joyceton Ter, Upper Marlboro, MD 20774-1490 | 2012-10-09 |
| 1336219989 | Tsang Derek Fong Lau · Derek Lau | Dentist | 1180 Route 46 West, #209, Parsippany, NJ 07054 | 2006-11-09 |
| 1952752180 | Derek Tew · Derek Elden Tew | Dentist | 1012 S 40th Ave, Yakima, WA 98908-3804 | 2016-06-29 |
| 1730640954 | Derek Scott Young Jr. · Derek Scott Stambaugh Jr. | Student in an Organized Health Care Education/Training Program | Dept. of Internal Medicine Msc 10-5550, 1 University of New Mexico, Albuquerque, NM 87131 | 2019-03-29 |
| 1245692490 | Derek Huu Huynh · Derek Huu Huynh | Pharmacist | 8200 Long Beach Blvd, Unit D-2, South Gate, CA 90280-2057 | 2016-03-27 |
| 1609088152 | Derek Leighton · Steven Derek Leighton | Counselor · Professional | 3534 Bee Cave Rd, #114, West Lake Hills, TX 78746-5468 | 2007-05-05 |
| 1427341098 | Ming Cheong Derek Chan · M.c. Derek Chan | Obstetrics & Gynecology | 7128 Bayview Dr, Sodus Point, NY 14555-9501 | 2011-05-16 |
| 1972736825 | Derek M Aube-Marchant · Derek M Marchant | Physician Assistant | 3950 E Robinson Rd, Suite 207, Buffalo, NY 14228-2041 | 2009-08-26 |
| 1548623341 | Derek Blau · Derek Chandler Blau | Pharmacist | 8501 W 95th St, Overland Park, KS 66212-3220 | 2016-03-30 |
| 1013145275 | Derek Adrian Andelloux · Derek Adrian Mailloux | Family Medicine | 3461 S County Trl, E Greenwich, RI 02818-1465 | 2009-06-26 |
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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.