DR. GLEN JAMES KOHNZ (NPI# 1063057701) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063057701 |
| Entity Type | Individual |
| Full Name | DR. GLEN JAMES KOHNZ |
| Practice Address |
1005 N Stratford Rd Moses Lake WA 98837-3512 |
| Mailing Address |
1921 Legendary Ln Se East Wenatchee WA 98802-9401 |
| Practice Telephone | 5097658979 |
| Mailing Telephone | 6187890308 |
| Enumeration Date | 2019-11-15 |
| Last Update Date | 2019-11-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PH60928071 | WA | Pharmacy Service Providers |
| Street Address |
1005 N STRATFORD RD |
| City | MOSES LAKE |
| State | WA |
| Zip Code | 98837-3512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528005873 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 1005 N Stratford Rd, Moses Lake, WA 98837-1574 | 2006-06-02 |
| 1528666237 | Mitchell Hesse | Pharmacist | 1005 N Stratford Rd, Moses Lake, WA 98837-3512 | 2020-10-14 |
| 1598249161 | Troy Forrest Cole | Pharmacist | 1005 N Stratford Rd, Moses Lake, WA 98837-3512 | 2018-09-19 |
| 1134477714 | Venkata Kasyap Bhogaraju | Pharmacist | 1005 N Stratford Rd, Moses Lake, WA 98837 | 2012-08-29 |
| 1942566047 | Celeste Ann Campos | Pharmacy Technician | 1005 N Stratford Rd, Moses Lake, WA 98837-1574 | 2012-04-03 |
| 1821364837 | Srinivasa Suri Repalle | Pharmacist | 1005 N Stratford Rd, Moses Lake, WA 98837-1574 | 2012-03-24 |
| 1740207869 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 1005 N Stratford Rd, Moses Lake, WA 98837-3512 | 2006-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316447097 | Lateef Ajani Olaniyan | Pharmacist | 2709 W Broadway Avenue, Southgate Pharmacy, Moses Lake, WA 98837 | 2018-02-19 |
| 1982117651 | Amanda M Cross | Massage Therapist | 2200 S. Maiers Rd., Suite B, Moses Lake, WA 98837 | 2017-11-15 |
| 1962928200 | E & H Holdings, LLC | Family Medicine | 708 E Penn St, Moses Lake, WA 98837 | 2017-08-18 |
| 1912366881 | Tara L Zamarron | Nurse Practitioner | 1550 S. Pioneer Way, Samaritan Family Physicians, Moses Lake, WA 98837 | 2016-02-19 |
| 1124401732 | Christian Mmadibuobu Okafor | Dentist | 605 South Coolidge Street, Moses Lake Community Health Center, Moses Lake, WA 98837 | 2015-06-30 |
| 1790182004 | Tari Ann Devaney | Dental Hygienist | 605 Coolidge Drive, Moses Lake, WA 98837 | 2014-12-02 |
| 1356746150 | Anna Marie Peterson | Counselor | 814 S. Wilder St., Moses Lake, WA 98837 | 2014-10-23 |
| 1699119495 | Geoffrey T. Ping D.d.s. and Asia Dela Cruz D.d.s. Pllc | Dentist | 800 N. Stratford Rd., Moses Lake, WA 98837 | 2013-04-23 |
| 1831433325 | George Kenyon Exeter | Physical Therapy Assistant | 817 E Plum Ave, Moses Lake, WA 98837 | 2012-11-21 |
| 1114219698 | Sound Oxygen Service Inc | Durable Medical Equipment & Medical Supplies | 1010 S Pioneer Way Ste C, Moses Lake, WA 98837 | 2011-05-03 |
| Find all providers in zip 98837 | ||||
| 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 |
|---|---|---|---|---|
| 1104300821 | Oluwaseun Adetola Osonuga | Pharmacist | 2232 W Neppel St, Moses Lake, WA 98837-2833 | 2018-09-18 |
| 1316447097 | Lateef Ajani Olaniyan | Pharmacist | 2709 W Broadway Avenue, Southgate Pharmacy, Moses Lake, WA 98837 | 2018-02-19 |
| 1629335104 | Alexa Michelle Stransky | Pharmacist | 12992 Road 12 Ne, Moses Lake, WA 98837-9394 | 2012-04-20 |
| 1407180201 | John Rackham | Pharmacist | 500 S Pioneer Way, Moses Lake, WA 98837-1812 | 2009-09-25 |
| 1730188616 | Jamie M. Bowers | Pharmacist | 605 S Coolidge St, Moses Lake, WA 98837-1893 | 2005-07-21 |
| 1528666237 | Mitchell Hesse | Pharmacist | 1005 N Stratford Rd, Moses Lake, WA 98837-3512 | 2020-10-14 |
| 1285270660 | Sydney Bouchey | Pharmacist | 500 S Pioneer Way, Moses Lake, WA 98837-1812 | 2019-11-20 |
| 1821559659 | Kevin Lyle Devine | Pharmacist | 200 E Broadway Ave, Moses Lake, WA 98837-1718 | 2019-03-26 |
| 1174098891 | Jesse Lee Luhman | Pharmacist | 500 S Pioneer Way, Moses Lake, WA 98837-1812 | 2018-10-09 |
| 1598249161 | Troy Forrest Cole | Pharmacist | 1005 N Stratford Rd, Moses Lake, WA 98837-3512 | 2018-09-19 |
| Find all providers in MOSES LAKE | ||||
| City | MOSES LAKE |
| Zip Code | 98837 |
Please comment or provide details below to improve the information on DR. GLEN JAMES KOHNZ.
| 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.