COLLEEN OLIVIA D'AMICO (NPI# 1053894519) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053894519 |
| Entity Type | Individual |
| Full Name | COLLEEN OLIVIA D'AMICO |
| Credential | PHARMD |
| Practice Address |
611 12th Ave S Seattle WA 98144 |
| Mailing Address |
611 12th Ave S Seattle WA 98144-2007 |
| Practice Telephone | 2063249360 |
| Mailing Telephone | 2063249360 |
| Enumeration Date | 2018-09-11 |
| Last Update Date | 2019-07-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | A1-0005251 | DE | Pharmacy Service Providers |
| Y | 1835P2201X |
Pharmacist Specialization: Ambulatory Care |
PH60958837 | WA | Pharmacy Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 401 Buster Rd, Toppenish, WA 989489792 | 5098651703 |
| Street Address |
611 12TH AVE S |
| City | SEATTLE |
| State | WA |
| Zip Code | 98144 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598743106 | Debra Martha Fischer | Nurse Practitioner | 611 12th Ave S, Seattle, WA 98144-1910 | 2006-01-04 |
| 1336773951 | Korlette Karmell Bird | Counselor | 611 12th Ave S, Seattle, WA 98144-2007 | 2020-02-24 |
| 1902430424 | Krista Denise Hanley | Counselor | 611 12th Ave S, Seattle, WA 98144-2007 | 2020-02-24 |
| 1205300316 | David Gehlbach-wilson | Counselor | 611 12th Ave S, Seattle, WA 98144-2007 | 2019-01-11 |
| 1942770409 | Kelly Leonora Russell | Counselor | 611 12th Ave S, Seattle, WA 98144-2007 | 2018-11-27 |
| 1689143836 | Jeffrey Lane Mitchell | Counselor | 611 12th Ave S, Seattle, WA 98144-2007 | 2018-11-16 |
| 1033688288 | Roberta L Fletcher | Counselor | 611 12th Ave S, Seattle, WA 98144-2007 | 2018-11-16 |
| 1932674074 | Sarah Yankton Hill | Dentist | 611 12th Ave S, Seattle, WA 98144-2007 | 2018-10-04 |
| 1760994370 | Melinda Garay | Registered Nurse | 611 12th Ave S, Seattle, WA 98144-2007 | 2017-11-05 |
| 1184140691 | Meekyung Joo | Pharmacist | 611 12th Ave S, Seattle, WA 98144-1910 | 2017-08-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558975235 | Miranda Plummer | Counselor | 2122 S Jackson Street, Seattle, WA 98144 | 2020-09-01 |
| 1891337457 | Alyson Paris | Counselor | 2100 24th Ave S, Suite 260, Seattle, WA 98144 | 2019-10-15 |
| 1912558370 | Marco Antonio Medina Sotelo | Counselor | 113 23rd Avenue South, Seattle, WA 98144 | 2019-09-26 |
| 1952865909 | John Thomas Hogan | Counselor | 1600 S Lane, Seattle, WA 98144 | 2019-01-23 |
| 1134693856 | Kimo Martin | Peer Specialist | 1600 Lane St, Seattle, WA 98144 | 2019-01-15 |
| 1952875791 | Rainier Chiropractic Accident and Injury Ps | Massage Therapist | 2326 Rainier Ave S, Ste B, Seattle, WA 98144 | 2019-01-15 |
| 1174097083 | Seann M Combs | Counselor | 1600 S Lane St, Seattle, Wa 98144, Seattle, WA 98144 | 2019-01-14 |
| 1922571587 | Cristina Wirkala | Registered Nurse | Crisis Solutions Center, 1600 South Lane Street, Seattle, WA 98144 | 2019-01-07 |
| 1215405162 | Vickie Barron | Counselor | 3401 Rainier Ave S, Suite B, Seattle, WA 98144 | 2018-11-08 |
| 1164906509 | Julie Seddon Cabell | Counselor | Central Youth and Family Services, 1901 Mlk Jr Way S., Seattle, WA 98144 | 2018-09-21 |
| Find all providers in zip 98144 | ||||
| Taxonomy Code | 1835P2201X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Ambulatory Care |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in the provision of integrated, accessible health care services by pharmacists and is accountable for addressing medication needs, developing sustained partnerships with patients, and practicing in the context of family and community. |
| Notes: Source: Board of Pharmacy Specialties, www.bpsweb.org [7/1/2015: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528611720 | Pia Angelica Dizon | Pharmacist | 925 Seneca St, Seattle, WA 98101-2742 | 2019-07-17 |
| 1306315080 | Anum Rizvi | Pharmacist | 1100 9th Ave, Seattle, WA 98101-2756 | 2018-11-25 |
| 1598249344 | Arshin Azarnik | Pharmacist | 4025 Delridge Way Sw, Seattle, WA 98106-1249 | 2018-09-18 |
| 1922581784 | Neda Nourbakhsh | Pharmacist | 325 9th Avenue, Adult Medicine Clinic, Seattle, WA 98104 | 2018-09-07 |
| 1922594480 | Helen S Do | Pharmacist | 822 20th Ave, Seattle, WA 98122-4734 | 2018-07-09 |
| 1124512918 | Mulumebet Wubishet | Pharmacist | 822 20th Ave, Seattle, WA 98122-4734 | 2018-06-15 |
| 1609384874 | Lena Perry | Pharmacist | 747 Broadway, Seattle, WA 98122 | 2018-01-22 |
| 1023566346 | Megan Schmidt-warnecke | Pharmacist | 601 Broadway, Seattle, WA 98122-5330 | 2016-09-15 |
| 1710357983 | Jessica Pong | Pharmacist | 325 9th Ave, Seattle, WA 98104-2420 | 2015-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245839935 | Zackary Beard | Pharmacist | 17700 Se 272nd St # 100, Covington, WA 98042-4951 | 2020-10-22 |
| 1073110581 | Vince Pinaroc | Pharmacist | 4545 Pt Fosdick Dr Nw Ste 250, Gig Harbor, WA 98335-1700 | 2020-10-07 |
| 1881212751 | Jordan C Smith | Pharmacist | 105 W 8th Ave # 350e, Spokane, WA 99204-2302 | 2020-07-08 |
| 1255976056 | Olusegun Adesesan Bamgbelu | Pharmacist | Memorial Cornerstone Pharmacy, 4003 Creekside Loop, Yakima, WA 98908 | 2019-11-15 |
| 1922586023 | Kimberly Jane Comito | Pharmacist | 1002 15th St Sw Ste 101, Auburn, WA 98001-6502 | 2018-07-31 |
| 1760974315 | Rachna Burman I | Pharmacist | 1708 Yakima Ave Ste 20, Tacoma, WA 98405-5307 | 2018-05-30 |
| 1942792676 | John K Guffey | Pharmacist | 12607 Se Mill Pain Blvd, Vancouver, WA 98684-4098 | 2018-05-30 |
| 1790297232 | Racha Aldughli | Pharmacist | 1901 S Union Ave Ste 7009, Tacoma, WA 98405-1702 | 2017-10-24 |
| 1881104297 | Beverly Moua | Pharmacist | 207 E Stanley St, Granite Falls, WA 98252-8480 | 2017-10-11 |
| 1992220214 | Rachel Ann Alm | Pharmacist | 525 Lilly Rd Ne Ste 204, Olympia, WA 98506-5101 | 2017-08-08 |
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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.