Dr. Annette Van (NPI# 1750985057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider Identifier (NPI) | 1750985057 |
| Entity Type | Individual |
| Full Name | Dr. Annette Van |
| Credential | PHARMD |
| Gender | Female |
| Practice Address |
922 N Broad St Philadelphia PA 19130-1604 |
| Practice Telephone | 2152327681 |
| Mailing Address |
1617 Poplar St Apt 504 Philadelphia PA 19130-1885 |
| Sole Proprietor | No, this individual is not a Sole Proprietor |
| Enumeration Date | 2020-11-26 |
| Last Update Date | 2020-11-26 |
| Primary | Taxonomy | Classification | Taxonomy Group | License Number | State |
|---|---|---|---|---|---|
| Yes | 183500000X | Pharmacist | Pharmacy Service Providers | RP454526 | PA |
| No | 183500000X | Pharmacist | Pharmacy Service Providers | 26028674A | IN |
| 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 |
|---|---|---|---|---|
| 1568068914 | Connor Ems | Pharmacist | 300 Packer Ave, Philadelphia, PA 19148 | 2020-12-10 |
| 1598361917 | Alphonse Karl Cobbina | Pharmacist | 1514 W Westmoreland St Apt 2, Philadelphia, PA 19140-5021 | 2020-12-10 |
| 1699370734 | Laura Hallisey | Pharmacist | 3400 Civic Center Blvd Rm 101w, Philadelphia, PA 19104-5127 | 2020-12-04 |
| 1386249209 | Jacara Mccoy | Pharmacist | 1051 South St, Philadelphia, PA 19147-1910 | 2020-11-30 |
| 1720682875 | Adriana Makarukha | Pharmacist | 1424-26 Chestnut St, Philadelphia, PA 19102 | 2020-11-29 |
| 1841894094 | Tony Vo | Pharmacist | 5843 Rising Sun Ave, Philadelphia, PA 19120-1144 | 2020-11-29 |
| 1922602119 | Insung Hwang | Pharmacist | 1717 N 12th St # Stunitf, Philadelphia, PA 19122-2503 | 2020-11-28 |
| 1568066736 | Danny Yang | Pharmacist | 7520 City Ave, Philadelphia, PA 19151-2101 | 2020-11-27 |
| 1992308886 | Kim Peng | Pharmacist | 490 N Broad St Ste 100, Philadelphia, PA 19130-4321 | 2020-11-21 |
| 1699378497 | Richard Yu | Pharmacist | 1919 Market St Ste 150, Philadelphia, PA 19103-1491 | 2020-11-16 |
| Find all providers in PHILADELPHIA | ||||
| Street Address |
922 N BROAD ST |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19130-1604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912518226 | Karen Dybner-madero | Psychologist | 2201 Pennsylvania Avenue, The Parkway House, Suite 101, Philadelphia, PA 19130 | 2020-08-11 |
| 1689213456 | Nora Marie Corbett | Physical Therapist | 1714 Fairmount Avenue, Philadelphia, PA 19130 | 2019-12-27 |
| 1104470665 | Thibault Counseling LLC | Clinic/Center | 2049 North Street, Philadelphia, PA 19130 | 2019-08-01 |
| 1619444577 | Rebecca Boova | Dietitian, Registered | 1644 Francis St, #3, Philadelphia, PA 19130 | 2018-10-30 |
| 1184191108 | Sharon Marie Thompson | Nurse Practitioner | School District of Philadelphia/school Health Services, 440 North Broad Street, Philadelphia, PA 19130 | 2018-10-29 |
| 1861918542 | Theresa Mary Thompson | Dental Hygienist | Delaware Valley Community Health, 1412 Fairmount Avenue, Philadelphia, PA 19130 | 2017-08-15 |
| 1023539806 | Marina France | Social Worker | 2401 Pennsylvania Ave Ste 1a2, Philadelphia, PA 19130 | 2017-06-30 |
| 1619425063 | Sarah Nash | Dietitian, Registered | 420 North 20th Street, Philadelphia, PA 19130 | 2016-09-14 |
| 1154737757 | Julia Ferrence | Social Worker | 2305 Fairmount Avenue, Philadelphia, PA 19130 | 2014-07-03 |
| 1811319924 | Larry H Goldberg | Internal Medicine | 2441 Olive Street, Philadelphia, PA 19130 | 2014-01-08 |
| Find all providers in zip 19130 | ||||
| City | PHILADELPHIA |
| Zip Code | 19130 |
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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.