MATTHEW LEE GARDNER (NPI# 1134783434) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134783434 |
| Entity Type | Individual |
| Full Name | MATTHEW LEE GARDNER |
| Credential | PHARMD |
| Practice Address |
413 Lilly Rd Ne Olympia WA 98506-5133 |
| Mailing Address |
1367 Sunrise Vista Ln Sw Tumwater WA 98512-0407 |
| Practice Telephone | 3604937411 |
| Mailing Telephone | 3604771649 |
| Enumeration Date | 2019-04-23 |
| Last Update Date | 2019-04-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PH60007069 | WA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518423151 | Matthew Gardner | Physician Assistant | 1307 Federal St Ste 301, Pittsburgh, PA 15212-4769 | 2019-02-19 |
| 1528562634 | Matthew Darnell Gardner | Pharmacy Technician | 4500 S Lancaster Rd, Dallas, TX 75216-7167 | 2018-03-22 |
| 1588016661 | Matthew Joseph Gardner | Anesthesiologist Assistant | 8900 North Kendall Drive, Baptist Hospital of Miami, Miami, FL 33176-2118 | 2016-07-12 |
| 1912123134 | Matthew Paul Gardner | Orthopaedic Surgery | 800 N 1st St, Springfield, IL 62702-3719 | 2007-04-17 |
| Street Address |
413 LILLY RD NE |
| City | OLYMPIA |
| State | WA |
| Zip Code | 98506-5133 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437157674 | Michael J Menen | Internal Medicine | 413 Lilly Rd Ne, Olympia, WA 98506-5133 | 2005-07-12 |
| 1558962209 | Anieska Timms | Registered Nurse | 413 Lilly Rd Ne, Olympia, WA 98506-5133 | 2020-11-07 |
| 1134737653 | Ngoc-van Thi Tran | Speech-Language Pathologist | 413 Lilly Rd Ne, Olympia, WA 98506-5133 | 2020-07-21 |
| 1780292714 | Paola Von Oelffen | Student in an Organized Health Care Education/Training Program | 413 Lilly Rd Ne, Olympia, WA 98506-5133 | 2020-07-15 |
| 1013542885 | Raffy Jatamosa | Registered Nurse | 413 Lilly Rd Ne, Olympia, WA 98506-5133 | 2020-03-11 |
| 1811522766 | Kaman Lindgren | Registered Nurse | 413 Lilly Rd Ne, Olympia, WA 98506-5133 | 2020-03-10 |
| 1497389886 | Phuong Le | Registered Nurse | 413 Lilly Rd Ne, Olympia, WA 98506-5133 | 2020-02-25 |
| 1679107239 | Tamara Eklund | Registered Nurse | 413 Lilly Rd Ne, Olympia, WA 98506-5133 | 2020-02-23 |
| 1598307878 | Alisa Singratanakul | Pharmacist | 413 Lilly Rd Ne, Olympia, WA 98506-5133 | 2019-10-08 |
| 1528615192 | Anh Phuong Ho | Pharmacist | 413 Lilly Rd Ne, Olympia, WA 98506-5133 | 2019-08-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477185460 | Chloe Harper | Technician, Other | 3443 Lilly Rd Se, Ste B, Olympia, WA 98506 | 2020-02-07 |
| 1912543539 | Jessica Marie Radakovich | Licensed Practical Nurse | 3426 Mary Elder Rd, Olympia, WA 98506 | 2019-11-19 |
| 1669014973 | Arlene Josephine Adams | Registered Nurse | 413 Lily Rd Ne, Olympia, WA 98506 | 2019-10-09 |
| 1861999120 | Debra Delores Barker | Licensed Practical Nurse | 3710 South Bay Rd Ne, Olympia, WA 98506 | 2018-04-12 |
| 1801304431 | Michelle Warner | Nurse Practitioner | 205 Lilly Rd Ne Ste A1, Olympia, WA 98506 | 2018-01-17 |
| 1396258364 | Institute for Family Development | Community/Behavioral Health | 204 Quince St. Ne, Suite 200, Olympia, WA 98506 | 2017-11-13 |
| 1083137715 | Cameron Kunkel | Specialist/Technologist | 2512 20th Ave Ne, Olympia, WA 98506 | 2017-07-25 |
| 1184144768 | Trevor Shane Kwan | Family Medicine | 525 Lilly Road Ne, Olympia, WA 98506 | 2017-06-23 |
| 1073043212 | Michael H Harburg | Behavior Technician | 3857 Martin Way Ne, Olympia, WA 98506 | 2017-06-19 |
| 1780114371 | Priscilla Kangyang Jadu | Counselor | 3857 Martin Way E., Olympia, WA 98506 | 2017-06-15 |
| Find all providers in zip 98506 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891341715 | Meridan Kimball Pickett | Pharmacist | 4040 Gull Harbor Rd Ne, Olympia, WA 98506-2457 | 2019-08-15 |
| 1811467384 | James Perrou | Pharmacist | 400 Yauger Way Sw Ste B, Olympia, WA 98502-8140 | 2018-11-28 |
| 1861910978 | Thao Vi Tran Le | Pharmacist | 305 Cooper Point Rd Nw # 103, Olympia, WA 98502-4436 | 2017-09-08 |
| 1790235679 | Hyaera Lee | Pharmacist | 1100 Fern St Sw Apt 34-201, Olympia, WA 98502-1136 | 2016-10-04 |
| 1245600683 | Adis Ceric | Pharmacist | 5322 Camelot Dr Sw, Olympia, WA 98512-1941 | 2015-09-28 |
| 1396111654 | Arthur Kirk | Pharmacist | 2323 9th Ave Sw Apt 17-104, Olympia, WA 98502-5178 | 2015-08-20 |
| 1679949689 | Jonathan Schilperoort | Pharmacist | 9237 Windsor Ln Ne Apt 103, Olympia, WA 98516-5987 | 2015-08-13 |
| 1326446220 | Mary Lindberg | Pharmacist | 1908 4th Ave E Ste A, Olympia, WA 98506-4632 | 2014-12-09 |
| 1457753212 | Jon Aal | Pharmacist | 5726 Mclane Creek Ct Sw, Olympia, WA 98512-2830 | 2014-09-23 |
| 1679981369 | Gina Stamp | Pharmacist | 2539 Simon Ln Ne, Olympia, WA 98506-3553 | 2014-07-26 |
| Find all providers in OLYMPIA | ||||
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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.