Thaiane Porto Hensch, RPH, MBA

Primary specialty

Ambulatory Care PharmacistTaxonomy code 1835P2201X

License

65159 Issued in CA

Practice address

401 Bicentennial Way
Santa Rosa, CA 95403-2149

Phone

(707) 393-3606

NPI assigned

Oct 4, 2015

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Business Administration, Registered Pharmacist

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1443916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443916800000",
    "number": "1225408180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 BICENTENNIAL WAY",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954032149",
            "telephone_number": "707-393-3606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 BICENTENNIAL WAY",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954032149",
            "telephone_number": "707-393-3606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENSCH",
        "first_name": "THAIANE",
        "middle_name": "PORTO",
        "credential": "RPH, MBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-04",
        "last_updated": "2015-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "121181",
            "primary": false
        },
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "CA",
            "license": "65159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabriela Henry, MSW, ASW
• Hazel Henry
• Kristine Mary Henry, NP
• Michael David Henry, LMFT
• Moss Henry, MFT
• Jenelyn V Hensel
• Jennifer Henshaw-Lefever, PA, O.T.
• Liza Henty-Clark, OTR/L
• Kiri Herchold, D.D.S.
• Jay H Herdt, L. AC.

• Ambulatory Care Pharmacist in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Ambulatory Care Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.