MR. LOYAL LAVERNE BROCK (NPI# 1235148909) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235148909 |
| Entity Type | Individual |
| Full Name | MR. LOYAL LAVERNE BROCK |
| Credential | RPH |
| Practice Address |
9329 E Montgomery Ave Spokane WA 99206 |
| Mailing Address |
18501 E Indiana Ave Spokane Valley WA 99016 |
| Practice Telephone | 5093433379 |
| Practice Fax Number | 5092421764 |
| Mailing Telephone | 5099244118 |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PH00009050 | WA | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NABP | 4929646 | 01 | |
| DEA | BY7731688 | 01 |
| Street Address |
9329 E MONTGOMERY AVE |
| City | SPOKANE |
| State | WA |
| Zip Code | 99206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851913495 | Ea Healing Arts LLC | Acupuncturist | 210 N University Rd, Ste 200, Spokane Valley, WA 99206 | 2020-05-16 |
| 1922659630 | Creative Harmony Counseling LLC | Counselor | 721 N Pines Road, Spokane, WA 99206 | 2019-09-24 |
| 1477027092 | Hunter Badgley | Counselor | 721 N Pines Rd Ste 2, Spokane Valley, WA 99206 | 2019-01-16 |
| 1851880934 | Ryan Bushman | Dentist | 919 N Pines Rd, Spokane Valley, WA 99206 | 2018-05-04 |
| 1902307531 | Lois Jensen | Counselor | 3507 S. Spotted Rd., Spokane, WA 99206 | 2018-02-28 |
| 1295258804 | Melissa Ann Reamer | Speech-Language Pathologist | 2510 N. Pines Rd., Ste. 3, Spokane Valley, WA 99206 | 2017-07-25 |
| 1730619149 | Amanda Kathryn Fuchs | Counselor | 200 N Mullan Rd Ste 219, Spokane Valley, WA 99206 | 2017-06-18 |
| 1588105308 | Pine Ridge Management Wa LLC | Assisted Living Facility | 5615 West Umatilla, Spokane, WA 99206 | 2017-03-13 |
| 1427405893 | Sarah Winn | Counselor | 721 N Pines, Spokane Valley, WA 99206 | 2016-05-16 |
| 1134573199 | Elzbieta H Anderson | Acupuncturist | 210 N University Rd Ste 200, Spokane Valley, WA 99206 | 2016-04-15 |
| Find all providers in zip 99206 | ||||
| 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 |
|---|---|---|---|---|
| 1720695372 | Vi Thuy-thi Tran | Pharmacist | 112 N Howard St Ste 115, Spokane, WA 99201-0656 | 2020-09-28 |
| 1518578418 | Cody James Damman | Pharmacist | 716 S Arthur St Apt 17, Spokane, WA 99202-2492 | 2020-08-13 |
| 1326659764 | Stephanie Vo | Pharmacist | 940 N Ruby St, Spokane, WA 99202-1711 | 2020-08-10 |
| 1376154716 | Diana Kang | Pharmacist | 3404 S Regal St Apt 27, Spokane, WA 99223-4668 | 2020-08-10 |
| 1588214613 | Christopher Morine | Pharmacist | 4817 N Howard St, Spokane, WA 99205-5603 | 2019-09-20 |
| 1982250957 | Megan Elizabeth Dibenedetto | Pharmacist | 105 West 8th Avenue, 350e, Spokane, WA 99204 | 2019-08-14 |
| 1992359301 | Jennifer Pelzel | Pharmacist | Pbs, 205 E Spokane Falls Blvd, Spokane, WA 99202 | 2019-07-25 |
| 1386296382 | Sara Elizabeth Puchalla | Pharmacist | 105 W 8th Ave Ste 305e, Spokane, WA 99204-2302 | 2019-07-10 |
| 1801458955 | Kay Guillory | Pharmacist | 1905 W Bridge Ave, Spokane, WA 99201-1710 | 2019-06-28 |
| 1336617877 | Jessica Belben | Pharmacist | 122 W 7th Ave Ste 223, Spokane, WA 99204-2349 | 2018-11-02 |
| Find all providers in SPOKANE | ||||
Please comment or provide details below to improve the information on MR. LOYAL LAVERNE BROCK.
| 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.