DR. ERIK DANIEL KELLISON


Address: 1802 Yakima Ave, Suite 302, Tacoma, WA 98405-4499
Phone: 2536271244

DR. ERIK DANIEL KELLISON (NPI# 1144652629) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144652629
Entity Type Individual
Full Name DR. ERIK DANIEL KELLISON
Credential PHARMD
Practice Address 1802 Yakima Ave
Suite 302
Tacoma
WA 98405-4499
Practice Telephone 2536271244
Practice Fax Number 2537796221
Mailing Telephone 2536271244
Mailing Fax Number 2537796221
Enumeration Date 2013-08-06
Last Update Date 2017-01-26
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 183500000X Pharmacist PH60389489 WA Pharmacy Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
WA DEA MK3269190 01
WA WA STATE PHARMACIST LICENSE # PH60389489 01

Office Location

Street Address 1802 YAKIMA AVE
SUITE 302
City TACOMA
State WA
Zip Code 98405-4499

Providers in the same location

NPI Name Taxonomy Address Enumeration
1356346936 James Gregory Roberts Surgery 1802 Yakima Ave, Ste 204, Tacoma, WA 98405-4499 2005-06-20
1215393111 Catherine Rehberger Nurse Practitioner 1802 Yakima Ave, 102, Tacoma, WA 98405-4499 2016-01-07
1548665318 Franciscan Health System Durable Medical Equipment & Medical Supplies 1802 Yakima Ave, Suite 201, Tacoma, WA 98405-4499 2014-10-23
1679837868 Ashley Kay Kauzlaric Nurse Practitioner 1802 Yakima Ave, Suite 302, Tacoma, WA 98405-4499 2012-07-02
1225398589 Franciscan Medical Group Internal Medicine 1802 Yakima Ave, Suite 304, Tacoma, WA 98405-4499 2012-05-21
1770850570 Sarah Jones Lahnert Physician Assistant 1802 Yakima Ave, Suite 302, Tacoma, WA 98405-4499 2011-11-22
1760768402 Franciscan Medical Group Surgery 1802 Yakima Ave, Ste 204, Tacoma, WA 98405-4499 2011-10-26
1881989945 Franciscan Medical Group Internal Medicine 1802 Yakima Ave, Ste 307, Tacoma, WA 98405-4499 2011-06-16
1699060756 Franciscan Medical Group Internal Medicine 1802 Yakima Ave, Ste 302, Tacoma, WA 98405-4499 2011-06-16
1255639456 Franciscan Medical Group Internal Medicine 1802 Yakima Ave, Ste 208, Tacoma, WA 98405-4499 2011-03-11
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1609486026 Joanna Christine Hope Physician Assistant 2502 S Union Avenue, Tacoma, WA 98405 2020-08-01
1467077891 Richard Jimenez Student in an Organized Health Care Education/Training Program 1202 M.l.k. Jr Way Suite #310, Tacoma, WA 98405 2020-06-11
1669008785 Mariana Sanchez Corona Behavior Technician 1901 S Union Ave Allenmore Building B, Tacoma, WA 98405 2020-03-20
1811534845 Jasmine Gregory Social Worker 311 Martin Luther King Jr. Way, Ms:315-c2-php, Tacoma, WA 98405 2019-12-10
1548807506 Holly Rebecca Brezynski Student in an Organized Health Care Education/Training Program Fresenius Kindney Care - Home Therapies Department, 1717 South J Street, Tacoma, WA 98405 2019-12-09
1972064392 Logan Brau Student in an Organized Health Care Education/Training Program 1202 M.l.k. Jr Way, Tacoma, WA 98405 2019-03-28
1629532536 Preferred Orthotic and Prosthetic Services Inc Prosthetic/Orthotic Supplier 1708 Yakima Ave Ste 60, Tacoma, WA 98405 2019-01-24
1669945911 Heidi Weakley Counselor 1001 S Yakima Ave, Suite 5, Tacoma, WA 98405 2019-01-09
1972074011 Taviance Benet Laster Behavior Technician 1416 S 9th St, Tacoma, WA 98405 2018-12-16
1336618040 Bailey Bangerter Physician Assistant 1901 South Union, A-233, Tacoma, WA 98405 2018-11-26
Find all providers in zip 98405

Taxonomy Information

Taxonomy Code 183500000X
Grouping Pharmacy Service Providers
Classification Pharmacist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1275008070 Kristi Anne Escalante Pharmacist 2368 Yakima Ave Unit 714, Tacoma, WA 98405-3966 2018-10-08
1851890180 Chae Yun Kim Pharmacist 1902 96th St S, Tacoma, WA 98444-2808 2018-02-01
1407367980 Heather Tilley Pharmacist 1717 S J St # Ms 01-79, Tacoma, WA 98405-4933 2017-10-23
1477097756 Debra M Hines Pharmacist 9040a Jackson, Tacoma, WA 98431-0001 2016-12-06
1154879575 Min Shim Pharmacist 3806 E L St, Tacoma, WA 98404-3735 2016-09-14
1689129413 Amanda Nguyen Pharmacist 1901 S Union Ave Ste A252, Tacoma, WA 98405-1713 2016-08-22
1649659301 Shirley So Pharmacist 315 Mlk. Jr Way, Tacoma, WA 98405-9997 2015-05-27
1245623628 David Johnson Pharmacist 10223 50th Ave E, Tacoma, WA 98446-5412 2015-03-10
1972995967 Tuyen Huynh Pharmacist 1608 South J St, Tacoma, WA 98405 2015-02-27
1396134060 Chun Choi Pharmacist 13817 12th Ave S, Tacoma, WA 98444-2044 2015-01-17
Find all providers in TACOMA

Competitor

Search similar providers

City TACOMA
Zip Code 98405

Improve Information

Please comment or provide details below to improve the information on DR. ERIK DANIEL KELLISON.

Dataset Information

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.

Trending Searches