DR. MICHAEL LEE HENDERSON JR. (NPI# 1033180914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033180914 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL LEE HENDERSON JR. |
| Credential | PHARM.D. |
| Practice Address |
221 W Heron St Aberdeen WA 98520 |
| Mailing Address |
615 North Ninth Street Montesano WA 98563-2100 |
| Practice Telephone | 3605328743 |
| Practice Fax Number | 3605380063 |
| Mailing Telephone | 3602492661 |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2018-05-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 19639 | WA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972858165 | Michael Henderson | Behavioral Analyst | 251 Tanglewood Dr, Southern Pines, NC 28387-4323 | 2012-07-13 |
| 1205158615 | Michael S Henderson | Pharmacist | 4501 66th St N, Kenneth City, FL 33709-4923 | 2010-02-26 |
| 1366501231 | Michael Daniel Henderson | Technician/Technologist | 10365 S E Hwy 441, Belleview, FL 34420 | 2006-12-07 |
| 1780759340 | Michael Larry Henderson | Counselor | 1650 Mission St Ste 218, San Francisco, CA 94103-2414 | 2006-11-21 |
| 1730262262 | Michael Steven Henderson | Dentist | 39833 Traditions Dr, Northville, MI 48168-9498 | 2006-10-20 |
| 1659465193 | Michael Toledo Henderson | Marriage & Family Therapist | 6518 Lonetree Blvd, Suite 172, Rocklin, CA 95765-5874 | 2006-10-02 |
| 1770698565 | Michael James Henderson | Social Worker | 433 Main, Suite 4b, Kalispell, MT 59901 | 2006-08-20 |
| 1265423594 | Michael G Henderson | Physician Assistant | 165 W Commerce Dr, Belle Plaine, MN 56011-2911 | 2005-11-04 |
| 1144219585 | Michael David Henderson | Internal Medicine | 2360 1st St, Napa, CA 94559-2239 | 2005-10-18 |
| 1407340730 | Michael James Henderson | Nurse Practitioner | 380 Chase Ave, Walla Walla, WA 99362-2924 | 2018-06-20 |
| Street Address |
221 W HERON ST |
| City | ABERDEEN |
| State | WA |
| Zip Code | 98520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053967695 | Kayla Mielke | Pharmacist | 221 W Heron St, Aberdeen, WA 98520-6224 | 2019-08-09 |
| 1679973861 | Sheldon Anthony James | Pharmacist | 221 W Heron St, Aberdeen, WA 98520-6224 | 2014-08-26 |
| 1205123270 | Courtney Morgan Quinby | Pharmacist | 221 W Heron St, S1546, Aberdeen, WA 98520-6224 | 2011-06-29 |
| 1164723847 | Frank William Bushell Jr. | Pharmacist | 221 W Heron St, Aberdeen, WA 98520-6224 | 2010-11-11 |
| 1699704619 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 221 W Heron St, Aberdeen, WA 98520-6224 | 2006-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740755354 | Wchs, Inc. | Clinic/Center | 516 East 1st Street, Aberdeen, WA 98520 | 2018-10-10 |
| 1518454180 | Katie Cutshaw | Counselor | 1700 Cherry Street, Suite C, Aberdeen, WA 98520 | 2018-04-18 |
| 1629587738 | Robert Williams | Counselor | Catholic Community Services, 403 West State Street, Suite 206, Aberdeen, WA 98520 | 2017-09-21 |
| 1174032296 | Amy D Tyler | Peer Specialist | 403 W State Street, Ste 206, Aberdeen, WA 98520 | 2017-09-20 |
| 1073032819 | Amanda Leona Franklin | Counselor | 2700 Simpson Ave, Suite 101, Aberdeen, WA 98520 | 2017-09-13 |
| 1184141152 | Chrystal Lynn Beckley | Counselor | 2700 Simpson Avenue Suite 101, Aberdeen, WA 98520 | 2017-08-29 |
| 1285158923 | Josh Butler | Technician/Technologist | 1718 Sumner Ave, Aberdeen, WA 98520 | 2017-08-02 |
| 1386165553 | Melvin Taylor | Counselor | 311 South I Street, Aberdeen, WA 98520 | 2017-06-28 |
| 1164870267 | Kelly Knittle | Counselor | 4820 She-nah-num Dr. Se, Olympia, WA 98520 | 2016-05-31 |
| 1437570249 | Aberdeen Therapy Works | Occupational Therapist | 100 S. I Street, Suite 205, Aberdeen, WA 98520 | 2013-12-20 |
| Find all providers in zip 98520 | ||||
| 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 |
|---|---|---|---|---|
| 1215537238 | Brant Haase | Pharmacist | 406 N 2nd St, Aberdeen, SD 57401-2707 | 2020-10-28 |
| 1154960821 | Sidney Steven Odom | Pharmacist | 105 Courtyard Cir, Aberdeen, NC 28315-3850 | 2019-12-30 |
| 1215579776 | Isabel Liberato | Pharmacist | 1129 Route 34, Aberdeen, NJ 07747-2166 | 2019-10-16 |
| 1265995823 | Quentin Clifford Bury | Pharmacist | 1409 6th Ave Se Ste 2, Aberdeen, SD 57401-4950 | 2019-04-10 |
| 1609309616 | Wende Benson | Pharmacist | 508 N Broadway St, Aberdeen, WA 98520-3934 | 2017-04-06 |
| 1407229149 | Randall T Higgins | Pharmacist | 17 Waverly Pl, Aberdeen, NJ 07747-1817 | 2015-11-03 |
| 1104245620 | Dwight D. Wallace | Pharmacist | 44 S. Main St, Aberdeen, ID 83210 | 2014-04-11 |
| 1437583861 | Sevag Dishakjian | Pharmacist | 11109 Us 15-501, Unit 1804, Aberdeen, NC 28315-2306 | 2013-08-21 |
| 1952733164 | Marija Mikulskis Cavana | Pharmacist | 11109 Us Highway 15 501, Unit 1804, Aberdeen, NC 28315-2366 | 2013-07-30 |
| 1255614806 | Osama Afifi | Pharmacist | 24 Courtland Ln, Aberdeen, NJ 07747-2212 | 2011-09-21 |
| Find all providers in ABERDEEN | ||||
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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.