MR. MATTHEW AARON BRAZER (NPI# 1073864310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073864310 |
Entity Type | Individual |
Full Name | MR. MATTHEW AARON BRAZER |
Credential | RPH |
Practice Address |
2828 Chad Dr Eugene OR 97408-7336 |
Practice Telephone | 5413425701 |
Practice Fax Number | 5412852016 |
Mailing Telephone | 5413425701 |
Mailing Fax Number | 5412852016 |
Enumeration Date | 2012-09-26 |
Last Update Date | 2015-12-31 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 183500000X | Pharmacist | 10091 | OR | Pharmacy Service Providers |
Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
10091 | OR | Pharmacy Service Providers |
Street Address |
2828 CHAD DR |
City | EUGENE |
State | OR |
Zip Code | 97408-7336 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679683205 | Costco Wholesale Corporation | Pharmacy | 2828 Chad Dr, Eugene, OR 97408 | 2006-08-30 |
1083155584 | Adam Karmally | Pharmacist | 2828 Chad Dr, Eugene, OR 97408-7336 | 2017-03-16 |
1891145900 | Kelsey Bertrie Evans | Optometrist | 2828 Chad Dr, Eugene, OR 97408-7336 | 2016-06-20 |
1033502083 | Costco Wholesale Corporation | Hearing Aid Equipment | 2828 Chad Dr, Eugene, OR 97408-7336 | 2015-03-16 |
1427448067 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 2828 Chad Dr, Eugene, OR 97408-7336 | 2015-02-04 |
1114359338 | David Thanh Nguyen | Pharmacist | 2828 Chad Dr, Eugene, OR 97408-7336 | 2013-07-31 |
1336414051 | Thomas W Alexander | Pharmacist | 2828 Chad Dr, Eugene, OR 97408-7336 | 2012-03-13 |
1740555770 | Jennifer Rebecca Gray | Pharmacist | 2828 Chad Dr, Eugene, OR 97408-7336 | 2012-03-08 |
1114291143 | Marilyn France | Pharmacist | 2828 Chad Dr, Eugene, OR 97408-7336 | 2012-03-08 |
1780958934 | Vanaja Reddy Manda | Pharmacist | 2828 Chad Dr, Eugene, OR 97408-7336 | 2012-03-06 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619575008 | Janna Marie Check | Physician Assistant | 3555 Chad Drive, Eugene, OR 97408 | 2020-10-16 |
1376181982 | Quentin Rowan | Counselor | 91150 Industrial Way, Coburg, OR 97408 | 2019-12-13 |
1659918621 | Nicholas Andrew Sparks | Counselor | 91150coburg Industrial Way, Coburg, OR 97408 | 2019-12-09 |
1629619267 | Suzan Marie Farr | Counselor | 91150 Coburg Industrial Lane, Coburg, OR 97408 | 2019-10-04 |
1629538608 | Shawn Michael Feddersen | Hearing Instrument Specialist | 1020 Green Acres Rd #8, Eugene, OR 97408 | 2019-03-25 |
1427513241 | Margaret Elizabeth Desroches | Registered Nurse | Delta Oaks Community Health Center, 1022 Green Acres Rd., Eugene, OR 97408 | 2019-02-06 |
1295218527 | Stephen Duane Sawyer | Counselor | 91150 N Coburg Industrial Way, Coburg, OR 97408 | 2018-09-12 |
1003339466 | Carly M. Peterschmidt, Dmd, LLC | Clinic/Center | 622 E 22nd Avenue, Suite A, Eugene, OR 97408 | 2017-07-18 |
1821549536 | Eugene Urgent Care | Clinic/Center | 1800 Coburg Rd., Eugene, OR 97408 | 2016-10-18 |
1851752232 | Nicole Marie Westbrook | Chiropractor | 90971 S Willamette St, Coburg, OR 97408 | 2016-03-14 |
Find all providers in zip 97408 |
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 |
---|---|---|---|---|
1538627377 | Jacquelyn Jessica Lansing | Pharmacist | 33190 Bloomberg Rd, Eugene, OR 97405-9609 | 2019-03-12 |
1447522347 | Sheri Cannell | Pharmacist | 1515 Oak St., Eugene, OR 97401 | 2012-02-08 |
1154800589 | Jody Lynn Coburn | Pharmacist | 1560 Coburg Rd, Eugene, OR 97401-4802 | 2018-08-07 |
1467823625 | Julie Dewsnup | Pharmacist | 1232 University of Oregon, Eugene, OR 97403-1205 | 2015-10-14 |
1447620976 | Marie Dorsey | Pharmacist | 1966 Garden Ave, Eugene, OR 97403-1933 | 2015-09-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194385674 | Joseph Lee Combee | Pharmacist | 4956 Sw Aster St, Corvallis, OR 97333-1367 | 2019-06-17 |
1972097699 | Nathan Daniel Hoover | Pharmacist | 1401 North 10th Ave, Stayton, OR 97383 | 2018-06-16 |
1083119994 | Timothy Warren Evans | Pharmacist | 2714 Harbeck Rd, Grants Pass, OR 97527-5630 | 2018-03-24 |
1144737677 | Matthew Ito | Pharmacist | 5805 Sw Delker Rd, Tualatin, OR 97062-7753 | 2018-01-05 |
1588178701 | Daniel Hendrickson | Pharmacist | 503 Sw 5th Avenue, Portland, OR 97204 | 2017-11-27 |
1336662204 | Jenny French | Pharmacist | 9427 Sw Barnes Rd Ste 295, Portland, OR 97225-6652 | 2017-07-21 |
1104378199 | Derek Andrus | Pharmacist | 5717 Nw 138th, Portland, OR 97230 | 2016-10-26 |
1841747649 | Richard Bennett | Pharmacist | 425 Burlwood Ave N, Monmouth, OR 97361-2252 | 2016-09-09 |
1316390008 | Timothy L Lichlyter | Pharmacist | 2924 Siskiyou Blvd Ste 102, Medford, OR 97504-8194 | 2016-07-18 |
1245695956 | M. Katherine Welch | Pharmacist | 3228 Sw Water Ave, Portland, OR 97239-4632 | 2015-12-22 |
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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.