KRISTA LORRAINE KILLMER (NPI# 1164049177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164049177 |
| Entity Type | Individual |
| Full Name | KRISTA LORRAINE KILLMER |
| Practice Address |
101 Bolstad St Long Beach WA 98631-6027 |
| Mailing Address |
Po Box 1211 Long Beach WA 98631-1211 |
| Practice Telephone | 3606423200 |
| Mailing Telephone | 3602441073 |
| Enumeration Date | 2020-06-25 |
| Last Update Date | 2020-06-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PH61062308 | WA | Pharmacy Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6720 Ne 84th St, Vancouver, WA 986652016 | 3608282262 | |
| 19610 Se 1st St, Camas, WA 986077472 | 3602586221 | |
| 101 1st Ave S, Ilwaco, WA 986249100 | 3606423133 | |
| 1501 Bay Ave, Ocean Park, WA 986404203 | 3606655181 | |
| 515 Commercial St, Raymond, WA 985772509 | 3609422634 | |
| 101 Bolstad St, Long Beach, WA 986316027 | 3606423200 |
| Street Address |
101 BOLSTAD ST |
| City | LONG BEACH |
| State | WA |
| Zip Code | 98631-6027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063048197 | Peninsula Pharmacies Inc Long Beach Pharmacy Annex | Pharmacy | 110 Oregon Ave S, Long Beach, WA 98631 | 2020-03-20 |
| 1033755244 | Willapa Behavioral Health | Peer Specialist | 2204 Pacific Ave. N., Long Beach, WA 98631 | 2019-11-22 |
| 1427576362 | Susan Amy Goldsmith | Social Worker | 607 Ocean Beach Blvd. N., Long Beach, WA 98631 | 2017-08-30 |
| 1558724302 | Jesse Wityczak | Pharmacist | 101 Bolstad Ave E, Long Beach, WA 98631 | 2016-03-30 |
| 1659618007 | Teresa Mary Fleck | Speech-Language Pathologist | 400 S Washington, Long Beach, WA 98631 | 2013-01-04 |
| 1639400385 | Wendy Liu | Counselor | 2204 Pacififc Avenue N, Long Beach, WA 98631 | 2010-01-20 |
| 1093046088 | Diane L Adams | Counselor | 2204 Pacific Avenue N, Long Beach, WA 98631 | 2010-01-15 |
| 1538498076 | Steven R Fox | Counselor | 22004 Pacific Way N, Long Beach, WA 98631 | 2009-12-11 |
| 1295907137 | Brandon L Adams Md Ps | General Practice | 105 6th St, Long Beach, WA 98631 | 2008-04-01 |
| 1710188263 | Willapa Counseling Center | Clinic/Center | 1107 Pacific Avenue North, Long Beach, WA 98631 | 2007-05-31 |
| Find all providers in zip 98631 | ||||
| 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 |
|---|---|---|---|---|
| 1427663558 | Alexander Pham | Pharmacist | 1223 E Silva St, Long Beach, CA 90807-1147 | 2020-09-15 |
| 1962025031 | Gladys Anne Causaren Ambion | Pharmacist | 1750 Pacific Ave Ste A, Long Beach, CA 90813-1715 | 2020-05-24 |
| 1134779929 | Marilyn Trinh | Pharmacist | 4579 Atlantic Ave, Long Beach, CA 90807-1512 | 2019-09-13 |
| 1538659354 | Patricia Leng | Pharmacist | 517 E 46th St, Long Beach, CA 90807-1426 | 2018-05-16 |
| 1598262529 | Jennifer Mari Cornforth | Pharmacist | 6257 Majorca Cir, Long Beach, CA 90803-4814 | 2018-04-06 |
| 1497254718 | Alan Jonathan Yee | Pharmacist | 4432 Tulane Ave, Long Beach, CA 90808-1449 | 2018-02-02 |
| 1780104521 | Rositsa Stefkova Jonic | Pharmacist | 6722 E Keynote St, Long Beach, CA 90808-3033 | 2017-06-22 |
| 1518403047 | Eric Ascheri | Pharmacist | 342 La Verne Ave, Long Beach, CA 90803-1930 | 2017-01-08 |
| 1649715558 | Bickkie Nguyen | Pharmacist | 707 E Ocean Blvd Apt 1009, Long Beach, CA 90802-5179 | 2017-01-01 |
| 1083165377 | Timothy Farn Wu | Pharmacist | 1925 Vuelta Grande Ave, Long Beach, CA 90815-3655 | 2016-10-21 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 98631 |
Please comment or provide details below to improve the information on KRISTA LORRAINE KILLMER.
| 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.