DR. PEGGY S ODEGARD (NPI# 1083719322) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083719322 |
| Entity Type | Individual |
| Full Name | DR. PEGGY S ODEGARD |
| Credential | PHARMD, BCPS, CDE |
| Practice Address |
1959 Ne Pacific St # 357630 Seattle WA 98195-0001 |
| Mailing Address |
9415 Ne 14th St Clyde Hill WA 98004-3438 |
| Practice Telephone | 2065430760 |
| Practice Fax Number | 2065433835 |
| Mailing Telephone | 4154511827 |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
13784 | WA | Pharmacy Service Providers |
| Street Address |
1959 NE PACIFIC ST # 357630 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98195-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730700741 | Christian Van Rooyen | Student in an Organized Health Care Education/Training Program | 1951 Pacific Street, Seattle, WA 98195 | 2020-04-30 |
| 1720608235 | Alexander John Arnold | Psychiatry & Neurology | 1959 Ne Pacific St, Rr650, Seattle, WA 98195 | 2020-04-24 |
| 1588127138 | Scott Boop | Student in an Organized Health Care Education/Training Program | Department of Neurological Surgery, 1959 Ne Pacific St, Box Number 356470, Seattle, WA 98195 | 2019-04-10 |
| 1275093973 | Elizabeth Grace Knoff Floodeen | Oral & Maxillofacial Surgery | University of Washington Department of Surgery, 1959 Ne Pacific Street, Seattle, WA 98195 | 2019-03-20 |
| 1780174722 | Matias Eduardo Czerwonko Pupi | Student in an Organized Health Care Education/Training Program | 1959 Ne Pacific Street (university of Washington Depart, Seattle, WA 98195 | 2018-05-15 |
| 1235636143 | Caitlin Aiko Harrington | Student in an Organized Health Care Education/Training Program | University of Washington Internal Medicine Residency, Seattle, WA 98195 | 2018-04-07 |
| 1851897243 | Natalie Miller | Student in an Organized Health Care Education/Training Program | University of Washington Medical Center 1959 Ne Pacific, Seattle, WA 98195 | 2018-04-04 |
| 1386140978 | Elena Luisa Pellicer | Student in an Organized Health Care Education/Training Program | Univ of Washington Dept of Obgyn, 1959 Ne Pacific St., Seattle, WA 98195 | 2018-04-02 |
| 1407386824 | Sherry S Wang | Radiology | Uw Radiology, 1959 Ne Pacific Street, Box 357115, Seattle, WA 98195 | 2017-06-18 |
| 1932638137 | Maziar Riazy | Student in an Organized Health Care Education/Training Program | 1959 Ne Pacific Street, Rm Ne110, University of Washington Medical Center - Pathology, Seattle, WA 98195 | 2017-06-09 |
| Find all providers in zip 98195 | ||||
| Taxonomy Code | 1835P1200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacotherapy |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295858934 | Jeffrey B Purcell | Pharmacist | 325 9th Ave Box 359885, Seattle, WA 98104-2499 | 2007-04-09 |
| 1780762450 | Peter Q Huynh | Pharmacist | 1959 Ne Pacific Ave, Pharmacy Dept, University of Washington Medical Center, Seattle, WA 98195 | 2006-11-01 |
| 1588629588 | Nancy N Chang | Pharmacist | Seattle Cancer Care Alliance, 825 Eastlake Ave. E, Seattle, WA 98109 | 2006-04-20 |
| 1457329013 | Elaine S Pappas | Pharmacist | 206 3rd Ave S, Pioneer Square Clinic Pharmacy, Seattle, WA 98104-2697 | 2006-03-09 |
| 1790767671 | Don Gruntowicz | Pharmacist | 3101 Western Ave Ste 100, Genelex Corporation, Seattle, WA 98121-3017 | 2005-11-16 |
| 1891791448 | Eric M Harvey | Pharmacist | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2005-06-27 |
| 1073175543 | Hend Al Barry | Pharmacist | 5300 Tallman Ave Nw, Seattle, WA 98107 | 2019-07-03 |
| 1982190534 | Virginia Yu | Pharmacist | 747 Broadway, Seattle, WA 98122-4379 | 2018-07-06 |
| 1750807756 | Paul Cornelison | Pharmacist | 1660 S Columbian Way # 119, Seattle, WA 98108-1532 | 2017-08-21 |
| 1003260035 | Teresa O'sullivan | Pharmacist | 1959 Ne Pacific St, Seattle, WA 98195-7630 | 2016-04-15 |
| Find all providers in SEATTLE | ||||
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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.