JACK ROY BARKER (NPI# 1063861318) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063861318 |
| Entity Type | Individual |
| Full Name | JACK ROY BARKER |
| Practice Address |
3521 Nw Samaritan Dr Ste 202 Corvallis OR 97330-4744 |
| Mailing Address |
365 Meadowlark Ct Se Albany OR 97322-6470 |
| Practice Telephone | 5417685225 |
| Mailing Telephone | 8057202608 |
| Enumeration Date | 2016-06-07 |
| Last Update Date | 2018-03-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
RPH-0016166 | OR | Pharmacy Service Providers |
| Street Address |
3521 NW SAMARITAN DR STE 202 |
| City | CORVALLIS |
| State | OR |
| Zip Code | 97330-4744 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447536818 | Anthony Robert Stricker | Pharmacist | 3521 Nw Samaritan Dr Ste 202, Corvallis, OR 97330-4744 | 2011-10-28 |
| 1306456587 | Kristopher Holmes | Pharmacist | 3521 Nw Samaritan Dr Ste 202, Corvallis, OR 97330-4744 | 2020-08-03 |
| 1275196024 | Yasmin May Nejad | Pharmacist | 3521 Nw Samaritan Dr Ste 202, Corvallis, OR 97330-4744 | 2019-04-17 |
| 1891236428 | Christopher Lehman | Pharmacist | 3521 Nw Samaritan Dr Ste 202, Corvallis, OR 97330-4744 | 2017-03-15 |
| 1770949109 | Miriam Nwaele | Pharmacist | 3521 Nw Samaritan Dr Ste 202, Corvallis, OR 97330-4744 | 2016-01-14 |
| 1043675382 | Good Samaritan Hospital Corvallis | Pharmacist | 3521 Nw Samaritan Dr Ste 202, Corvallis, OR 97330-4744 | 2015-12-30 |
| 1427413814 | Cathryn Peters | Pharmacist | 3521 Nw Samaritan Dr Ste 202, Corvallis, OR 97330-4744 | 2015-12-29 |
| 1295190684 | Thomas Allan Doane | Pharmacist | 3521 Nw Samaritan Dr Ste 202, Corvallis, OR 97330-4744 | 2015-12-29 |
| 1114382504 | Roger Simoson | Pharmacist | 3521 Nw Samaritan Dr Ste 202, Corvallis, OR 97330-4744 | 2015-12-29 |
| 1598120982 | Linda Kay Bault | Pharmacist | 3521 Nw Samaritan Dr Ste 202, Corvallis, OR 97330-4744 | 2015-12-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235754912 | Miya Claborn | Counselor | 4495 Se Hwy 20, Corvallis, OR 97330 | 2020-06-09 |
| 1548889017 | Greydi Olvera | Counselor | Childrens Farm Home 4455 Ne Hwy 20, Corvallius, OR 97330 | 2020-04-14 |
| 1053953992 | Andie Marie Gaipo | Counselor | 4455 Ne Hwy 20 - Children's Farm Home, Corvallis, OR 97330 | 2019-10-11 |
| 1740847177 | Stephen Jack Eccles | Behavior Technician | Trillium Children's Farm Home, 4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-05-21 |
| 1750944815 | Tiffany Rene Flinchpaugh | Counselor | Children's Farm Home 4455 Hwy 20, Corvallis, OR 97330 | 2019-04-15 |
| 1679035455 | Isaiah Mile Cassidy | Counselor | Children's Farm Home-4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-04-02 |
| 1982168399 | Haylee Cramblit | Counselor | Children's Farm Home 4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-01-30 |
| 1457835365 | Ashley Alyn Couch | Counselor | 4455 Hwy 20 Corvallis 97330, Corvallis, OR 97330 | 2018-09-18 |
| 1104318898 | Megan Gerding | Technician, Other | 996 Nw Circle Blvd Suite 103, Corvallis, OR 97330 | 2018-05-30 |
| 1700377108 | Pacific Hearing Services | Audiologist | 975 Nw Spruce Ave, Suite #101, Corvallis, OR 97330 | 2018-05-22 |
| Find all providers in zip 97330 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194385674 | Joseph Lee Combee | Pharmacist | 4956 Sw Aster St, Corvallis, OR 97333-1367 | 2019-06-17 |
| 1881910412 | Mercy Chipman | Pharmacist | 3077 Se Everglade St, Corvallis, OR 97333-3111 | 2010-04-07 |
| 1588281257 | Caleigh Remington | Pharmacist | 3620 Nw Samaritan Dr Ste 203, Corvallis, OR 97330-4714 | 2020-06-29 |
| 1164064036 | Santon Mmbali Shagavah | Pharmacist | 3600 Nw Samaritan Dr, Corvallis, OR 97330-3737 | 2019-10-11 |
| 1770125775 | Joy Marie Wagner | Pharmacist | 3600 Nw Samaritan Dr, Corvallis, OR 97330-3737 | 2019-10-10 |
| 1851932339 | Joshua Michael Mellander | Pharmacist | 3600 Nw Samaritan Dr, Corvallis, OR 97330-3737 | 2019-10-04 |
| 1669013603 | Kimberly Ann Bryan | Pharmacist | 3600 Nw Samaritan Dr, Good Samaritan Hospital Inpatient Pharmacy, Corvallis, OR 97330-3737 | 2019-10-01 |
| 1003466442 | Melissa Marie Elliott | Pharmacist | 501 Nw Elks Dr Ste 100, Corvallis, OR 97330-3757 | 2019-09-18 |
| 1205344033 | Amber Tillitt | Pharmacist | 3640 Nw Samaritan Dr Ste 210, Corvallis, OR 97330 | 2018-01-15 |
| 1790206100 | Craig Ellis Brauer | Pharmacist | 3521 Nw Samaritan Dr Ste 201, Corvallis, OR 97330-4744 | 2017-07-06 |
| Find all providers in CORVALLIS | ||||
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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.