DR. BEAU KEOWN (NPI# 1144862905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144862905 |
| Entity Type | Individual |
| Full Name | DR. BEAU KEOWN |
| Credential | PHARMD |
| Practice Address |
1758 Front St Ste 106 Lynden WA 98264-1246 |
| Practice Telephone | 3603541226 |
| Practice Fax Number | 3603546561 |
| Mailing Telephone | 3603541226 |
| Mailing Fax Number | 3603546561 |
| Enumeration Date | 2019-10-14 |
| Last Update Date | 2019-10-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PH60954156 | WA | Pharmacy Service Providers |
| Street Address |
1758 FRONT ST STE 106 |
| City | LYNDEN |
| State | WA |
| Zip Code | 98264-1246 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760041412 | Family Care Network, Pllc | Family Medicine | 1610 Grover St., Ste. D-1, Lynden, WA 98264 | 2019-06-06 |
| 1619499753 | David Michael Grambo | Physical Therapist | 8862 Bender Rd #101, Lynden, WA 98264 | 2017-07-11 |
| 1144778317 | Shawn Hofing | Counselor | 709 Front St, Lynden, WA 98264 | 2016-09-16 |
| 1295151900 | Duane Korthuis | Specialist/Technologist | 1201 Bradley Rd., Lynden High School, Lynden, WA 98264 | 2014-03-06 |
| 1255649869 | James Kimo Jandoc | Physical Medicine & Rehabilitation | 1610 Grover St Ste C3, Lynden, WA 98264 | 2010-09-16 |
| 1417288101 | Amanda Shannon | Counselor | 506 Grover St Ste 112, Lynden, WA 98264 | 2010-01-20 |
| 1033349048 | Brenda Jean Jensen | Massage Therapist | 104 Grover St, Lynden, WA 98264 | 2009-07-24 |
| 1295980704 | Jeannett M. Penner | Physical Therapist | 8862 Bender Road, Suite 101, Lynden, WA 98264 | 2008-11-25 |
| 1992917884 | Olson Family Chiropractic, Inc | Chiropractor | 8304 Guide Meridian Rd., Lynden, WA 98264 | 2007-05-04 |
| 1477678209 | Lynden Family Chiropractic LLC | Chiropractor | 105-5th Street, Suite 105, Lynden, WA 98264 | 2007-03-20 |
| Find all providers in zip 98264 | ||||
| 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 |
|---|---|---|---|---|
| 1992911853 | Jerry P. Koehler | Pharmacist | 1758 Front St, #106, Lynden, WA 98264-1261 | 2007-05-15 |
| 1386776326 | Vrania Chan | Pharmacist | 8090 Guide Meridian Rd, Lynden, WA 98264-9210 | 2007-03-12 |
| 1447801121 | Ranvir Kaur | Pharmacist | 8090 Guide Meridian Rd, Lynden, WA 98264-9210 | 2019-09-24 |
| 1417503251 | Noha Mohamed | Pharmacist | 8071 Guide Meridian Rd, Lynden, WA 98264-9236 | 2019-08-16 |
| 1184153074 | Doaa Mahmood Abdelazeez | Pharmacist | 8090 Guide Meridian Rd, Lynden, WA 98264-9210 | 2017-06-05 |
| 1154724136 | Harkiran Boyal | Pharmacist | 8090 Guide Meridian Rd, Lynden, WA 98264 | 2014-10-03 |
| 1871900035 | Alana Isakovic | Pharmacist | 8090 Guide Meridian Rd, Lynden, WA 98264-9210 | 2014-07-18 |
| 1215353107 | Kylie Klenoski | Pharmacist | 8090 Guide Meridian Rd, Lynden, WA 98264-9210 | 2014-03-15 |
| 1679996680 | Stanley Jensen | Pharmacist | 8071 Guide Meridian Rd, Lynden, WA 98264-9236 | 2014-01-27 |
| 1669807038 | Steven Cecil Maxwell | Pharmacist | 8090 Guide Meridian Rd, Lynden, WA 98264-9210 | 2013-09-04 |
| Find all providers in LYNDEN | ||||
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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.