DR. JAMES A MATOZA (NPI# 1124387030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1124387030 |
Entity Type | Individual |
Full Name | DR. JAMES A MATOZA |
Credential | PHARM. D. |
Practice Address |
1200 Harrison Ave Centralia WA 98531-1853 |
Practice Telephone | 3608072014 |
Mailing Telephone | 3608072014 |
Enumeration Date | 2012-05-11 |
Last Update Date | 2012-05-11 |
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 |
PH 00046851 | WA | Pharmacy Service Providers |
Street Address |
1200 HARRISON AVE |
City | CENTRALIA |
State | WA |
Zip Code | 98531-1853 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174099139 | Brooke Alexis B Henninger | Pharmacist | 1200 Harrison Ave, Centralia, WA 98531-1853 | 2018-10-17 |
1144744368 | Jean Remy Mutumwa | Pharmacist | 1200 Harrison Ave, Centralia, WA 98531-1853 | 2017-07-29 |
1588190458 | Arinze Paul Agbapuru | Pharmacist | 1200 Harrison Ave, Centralia, WA 98531-1853 | 2017-05-11 |
1700259694 | Youngsoo Kim | Pharmacist | 1200 Harrison Ave, Centralia, WA 98531-1853 | 2015-11-02 |
1023487949 | Hardik Ajudia | Pharmacist | 1200 Harrison Ave, Centralia, WA 98531-1853 | 2015-09-21 |
1659770410 | Jeongmin Kim | Pharmacist | 1200 Harrison Ave, Centralia, WA 98531-1853 | 2014-08-18 |
1053602748 | Janet Eileen Granger | Pharmacist | 1200 Harrison Ave, Centralia, WA 98531-1853 | 2011-04-28 |
1578854311 | Onileola Mayowa Ilesanmi | Pharmacist | 1200 Harrison Ave, Centralia, WA 98531-1853 | 2011-04-27 |
1134238454 | Thrifty Payless Inc | Durable Medical Equipment & Medical Supplies | 1200 Harrison Ave, Centralia, WA 98531-1853 | 2006-08-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306462205 | Jelisa Renae Thomas | Counselor | 3510 Steelhammer Ln, Centralia, WA 98531 | 2020-06-17 |
1205498607 | Jennifer Kristine Mcglynn Paterno | Counselor | 2428 W. Reynods Ave, Centralia, WA 98531 | 2019-07-05 |
1538646328 | Adam Jeffrey Moore | Counselor | 3510 Steelhammer Lane, Centralia, WA 98531 | 2018-07-24 |
1144706698 | Euijeong Kim | Occupational Therapist | Rehabilitation Therapies, 914 S. Scheuber Rd, Centralia, WA 98531 | 2018-07-18 |
1104315266 | Margaret Fowler Floyd | Registered Nurse | Centralia High School, 813 Eshom Road, Centralia, WA 98531 | 2018-05-04 |
1124545777 | Samantha Michelle Moody | Speech-Language Pathologist | Centralia School District, 2320 Borst Ave, Centralia, WA 98531 | 2017-08-24 |
1821520289 | Alexa Franks | Behavior Technician | 2428 West Reynolds Ave., Centralia, WA 98531 | 2017-04-03 |
1023559861 | Brandy Michelle Peterson | Counselor | 135 W. Main Steet, Centralia, WA 98531 | 2017-03-13 |
1841738812 | Graceful Healing Naturopathic | Naturopath | 219 N Tower Ave, Suite 304, Centralia, WA 98531 | 2017-02-09 |
1043681513 | Angela Naillon | Counselor | 2428 West Reynolds, Centralia, WA 98531 | 2015-10-09 |
Find all providers in zip 98531 |
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 |
---|---|---|---|---|
1487053229 | Kathryn Haproff | Pharmacist | 914 S Scheuber Rd, Centralia, WA 98531-9027 | 2014-08-18 |
1366880148 | Wendy Sue Kinkead | Pharmacist | 105 S Allen St, Centralia, MO 65240-1303 | 2013-06-13 |
1528406311 | Michael Alan Kinkead | Pharmacist | 105 S Allen St, Centralia, MO 65240-1303 | 2013-06-13 |
1033472089 | David Allen Dietrick | Pharmacist | 914 S Scheuber Rd, Centralia, WA 98531-9027 | 2012-06-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891395760 | Evelyn Tong | Pharmacist | 4229 122nd Ave Se, Bellevue, WA 98006-1915 | 2020-10-29 |
1356985345 | Nancy Celine Tran | Pharmacist | 906 S 38th Ct, Renton, WA 98055-5897 | 2019-11-01 |
1265087654 | Valorie Swensen | Pharmacist | 4500 Harrison St, Bellingham, WA 98229-3323 | 2019-08-02 |
1982110805 | Derek Matlock | Pharmacist | 3715 Ocean Beach Hwy # 2, Longview, WA 98632-4801 | 2017-12-15 |
1659880938 | Hazel Ann Feist | Pharmacist | 14406 Nw 20th Ave, Vancouver, WA 98685-8007 | 2017-09-29 |
1528586732 | Mayumi Robbins | Pharmacist | 410 9th Ave N Fl 7, Seattle, WA 98109-4708 | 2017-09-07 |
1699293688 | Jin Man Choe | Pharmacist | 105 W 8th Ave Ste 350, Spokane, WA 99204-2312 | 2017-08-30 |
1821457813 | Marie Cermak | Pharmacist | 12333 Ne 130th Ln # Lane415, Kirkland, WA 98034-7467 | 2016-02-18 |
1902281959 | Carmen Joy Berg | Pharmacist | 2320 South Salnave Road, Medical Lake, WA 99022 | 2015-07-20 |
1639574981 | Loi Chau | Pharmacist | 601 Broadway Rm 117, Seattle, WA 98122-5330 | 2014-10-29 |
Find all providers with the same taxonomy |
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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.