TRACY KAY COZZOLINO (NPI# 1083739296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083739296 |
| Entity Type | Individual |
| Full Name | TRACY KAY COZZOLINO |
| Practice Address |
1141 Beach Dr E Port Orchard WA 98366-4937 |
| Mailing Address |
7070 Se Mckinley St Port Orchard WA 98366-8446 |
| Practice Telephone | 3608954687 |
| Practice Fax Number | 3608954482 |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183700000X | Pharmacy Technician | VA00041465 | WA | Pharmacy Service Providers |
| Street Address |
1141 BEACH DR E |
| City | PORT ORCHARD |
| State | WA |
| Zip Code | 98366-4937 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538159702 | State of Washington, Washington Veterans Homes | Assisted Living Facility | 1141 Beach Dr E, Port Orchard, WA 98366-4937 | 2005-10-27 |
| 1104437565 | Kelli Ann Beckman | Dental Hygienist | 1141 Beach Dr E, Port Orchard, WA 98366-4937 | 2020-08-11 |
| 1578106662 | Nova Riemer | Dietitian, Registered | 1141 Beach Dr E, Port Orchard, WA 98366-4937 | 2019-10-22 |
| 1669015731 | Timothy P Heran | 1141 Beach Dr E, Port Orchard, WA 98366-4937 | 2019-10-22 | |
| 1881019115 | Kayla M Shelton | Nutritionist | 1141 Beach Dr E, Port Orchard, WA 98366 | 2014-02-24 |
| 1558634642 | James H Bryan Jr. | Pharmacist | 1141 Beach Dr E, Port Orchard, WA 98366-4937 | 2012-02-20 |
| 1780862110 | Robert M Mobus | Pharmacist | 1141 Beach Dr E, Port Orchard, WA 98366-4937 | 2008-02-07 |
| 1205011723 | Margaret A Conley | Registered Nurse | 1141 Beach Dr E, Port Orchard, WA 98366-4937 | 2008-01-03 |
| 1255455291 | Celeste Michele Wandke | Pharmacy Technician | 1141 Beach Dr E, Port Orchard, WA 98366-4937 | 2007-03-16 |
| 1801929989 | Albert Joseph Slater | Pharmacist | 1141 Beach Dr E, Port Orchard, WA 98366-4937 | 2007-03-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003423302 | Teresa M Derouin | Speech-Language Pathologist | Harbor Speech Pathology, 463 Tremont St W Suite 110, Port Orchard, WA 98366 | 2020-09-30 |
| 1316591217 | Martin Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 8079 E Main Street, Suite 101, Port Orchard, WA 98366 | 2019-07-29 |
| 1952822660 | Kristian Thomas Workman Haskins | Hearing Instrument Specialist | 1328 Colchester Drive S.e., Port Orchard, WA 98366 | 2017-07-03 |
| 1013466929 | Jenna Olafson | Counselor | 414 Front St. N, Issaquah, WA 98366 | 2016-10-04 |
| 1063884534 | Laurine Burrer | Licensed Practical Nurse | 2874 Se Lund Ave, Port Orchard, WA 98366 | 2015-10-23 |
| 1346640836 | Karen Diane Thompson | Pharmacy Technician | 1800 Sidney Ave, Apt 1-201, Port Orchard, WA 98366 | 2014-09-03 |
| 1588912042 | Celeste Kyle Interrante | Physical Therapy Assistant | 2051 Pottery Ave., Port Orchard, WA 98366 | 2012-08-15 |
| 1013227339 | Christine Davis | Massage Therapist | 1800 Se Mile Hill Drive, Suite 150, Port Orchard, WA 98366 | 2010-10-20 |
| 1932421724 | Mary Jo Stump | Physical Therapy Assistant | 2051 Pottery Avenue, Port Orchard, WA 98366 | 2010-02-19 |
| 1669707626 | Shannon Mary Baurichter | Speech-Language Pathologist | 1230 Bay St, Port Orchard, WA 98366 | 2009-10-08 |
| Find all providers in zip 98366 | ||||
| Taxonomy Code | 183700000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacy Technician |
| A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. |
| Notes: Source: Pharmacy Technician Certification Board, www.ptcb.org [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912305343 | Hana Weatherly | Pharmacy Technician | 10878 Sidney Rd Sw, Port Orchard, WA 98367-7067 | 2014-12-17 |
| 1346640836 | Karen Diane Thompson | Pharmacy Technician | 1800 Sidney Ave, Apt 1-201, Port Orchard, WA 98366 | 2014-09-03 |
| 1619091642 | Monica Joy Messer | Pharmacy Technician | 4690 Se Conifer Park Dr Apt B201, Port Orchard, WA 98366-2147 | 2007-03-16 |
| 1255455291 | Celeste Michele Wandke | Pharmacy Technician | 1141 Beach Dr E, Port Orchard, WA 98366-4937 | 2007-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619583887 | Wannipat Herz | Pharmacy Technician | 14427 12th Dr Se, Mill Creek, WA 98012-1385 | 2020-09-22 |
| 1851905855 | Colleen Terese Coleman | Pharmacy Technician | 110 W South Hill Rd, Sunnyside, WA 98944-9172 | 2020-09-07 |
| 1255966560 | Jamie Ann Sessums | Pharmacy Technician | 1015 E Cozza Dr Apt 81, Spokane, WA 99208-6656 | 2020-03-06 |
| 1366089666 | Peter Nguyen | Pharmacy Technician | 914 East Jefferson Street, Campion Hall, Seattle, WA 98122 | 2019-12-05 |
| 1700422565 | Senny Wu | Pharmacy Technician | 5209 20th Ave S, Seattle, WA 98108-1906 | 2019-11-26 |
| 1780220640 | Hoang S Nguyen | Pharmacy Technician | 6724 38th Ave S, Seattle, WA 98118-3208 | 2019-11-25 |
| 1205471976 | Nicole J Lefebvre | Pharmacy Technician | 9600 College Way N, Seattle, WA 98103-3514 | 2019-11-16 |
| 1982249637 | Meuy Nai Saetern | Pharmacy Technician | 3810 S Sunnyview Dr, Seattle, WA 98118-5253 | 2019-11-16 |
| 1043866197 | Sheila Grace Alegre Mahinay | Pharmacy Technician | 3405 S 176th St Apt Unit211, Seatac, WA 98188-4048 | 2019-08-14 |
| 1275198772 | Francisco Jaciel Villanueva | Pharmacy Technician | 4690 Alma Rd Ne, Moses Lake, WA 98837-3793 | 2019-05-09 |
| Find all providers with the same taxonomy | ||||
| City | PORT ORCHARD |
| Zip Code | 98366 |
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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.