ROMAN KULCHITSKIY-GUST (NPI# 1275081721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275081721 |
| Entity Type | Individual |
| Full Name | ROMAN KULCHITSKIY-GUST |
| Credential | PHARMD |
| Practice Address |
12606 Ne 95th St Vancouver WA 98682-2398 |
| Practice Telephone | 3602607156 |
| Practice Fax Number | 3602607237 |
| Mailing Telephone | 3602607156 |
| Mailing Fax Number | 3602607237 |
| Enumeration Date | 2016-09-13 |
| Last Update Date | 2016-09-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | RPH-0014441 | OR | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | PH 60501199 | WA | Pharmacy Service Providers |
| Street Address |
12606 NE 95TH ST |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98682-2398 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154779494 | Tracy Zarling | Pharmacist | 12606 Ne 95th St, Vancouver, WA 98682-2398 | 2016-05-26 |
| 1003345521 | Leena Kahlon | Pharmacy | 12606 Ne 95th St, Vancouver, WA 98682-2398 | 2017-06-08 |
| 1730623596 | Elton Wong | Pharmacist | 12606 Ne 95th St, Vancouver, WA 98682-2398 | 2016-12-13 |
| 1841741386 | Lindsey Mcchesney | Pharmacist | 12606 Ne 95th St, Vancouver, WA 98682-2398 | 2016-10-19 |
| 1043761679 | Scott Hanocck | Pharmacist | 12606 Ne 95th St, Vancouver, WA 98682-2398 | 2016-10-19 |
| 1366993891 | Jessica Camina | Pharmacist | 12606 Ne 95th St, Vancouver, WA 98682-2398 | 2016-10-19 |
| 1962953984 | Ethelind Claire Evangelista Patla | Pharmacist | 12606 Ne 95th St, Vancouver, WA 98682-2398 | 2016-10-14 |
| 1689124950 | Jill Marquis | Pharmacist | 12606 Ne 95th St, Vancouver, WA 98682-2398 | 2016-10-10 |
| 1982154522 | Craig T Conner | Pharmacist | 12606 Ne 95th St, Vancouver, WA 98682-2398 | 2016-10-06 |
| 1609320308 | Leah Gangl | Pharmacist | 12606 Ne 95th St, Vancouver, WA 98682-2398 | 2016-08-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184230625 | Helen Trinidad Uy | Registered Nurse | 15814 Ne 72nd St., Vancouver, WA 98682 | 2020-09-21 |
| 1891258711 | Washington Dental Corporation, PC | Dentist | 14411 Ne Fourth Plain, Suite 134, Vancouver, WA 98682 | 2019-04-08 |
| 1588174833 | Oliver Uy | Nurse Practitioner | 15814 Ne 72nd, Vancouver, WA 98682 | 2017-10-01 |
| 1285095000 | Julia Melinda Zamora | Naturopath | 15640 Ne Fourth Plain Blvd Ste 120a, Vancouver, WA 98682 | 2016-03-08 |
| 1871999243 | Jumana Sayyam | Counselor | 13114 Ne 41st St, Vancouver, WA 98682 | 2014-11-13 |
| 1679998538 | Chris Briggs | Massage Therapist | 6700 N.e. 162 Ave, Suite 415, Vancouver, WA 98682 | 2014-02-28 |
| 1790113371 | Kaiser Foundation Health Plan of The Northwest | Pharmacy | 1230 7th Ave., Longview, WA 98682 | 2013-10-17 |
| 1821336736 | Carol Lynn Fischer | Occupational Therapist | 13501 Ne 28th Street, Vancouver, WA 98682 | 2013-01-28 |
| 1336412485 | Erica Paige Schmidt | Massage Therapist | 13025 Ne 4th Plain Blvd, Suite 102, Vancouver, WA 98682 | 2012-02-21 |
| 1669767828 | Scott Germann | Contractor | 15410 Ne 85th Street, Vancouver, WA 98682 | 2011-06-16 |
| Find all providers in zip 98682 | ||||
| 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 |
|---|---|---|---|---|
| 1639797798 | Jordan Kathleen Hurley | Pharmacist | 3905 Ne 89th Way, Vancouver, WA 98665-5329 | 2020-07-06 |
| 1639793474 | Christina Putnam | Pharmacist | 16811 Se Mcgillivray Blvd Ste 101, Vancouver, WA 98683-3404 | 2020-06-06 |
| 1306404041 | Couper D Millar | Pharmacist | 14313 Ne 20th Ave Ste 109, Vancouver, WA 98686-1487 | 2019-05-29 |
| 1811472780 | Dang Hai Pham | Pharmacist | 4110 Ne 127th Ave, Vancouver, WA 98682-6848 | 2018-09-26 |
| 1972095636 | Merna Saied | Pharmacist | 306 Se 169th Ave, Vancouver, WA 98684-8411 | 2018-05-30 |
| 1245741008 | Courtney Louie | Pharmacist | 7819 Se 17th St, Vancouver, WA 98664-1783 | 2017-10-19 |
| 1760912059 | Mai Thi Phuong Nguyen | Pharmacist | 6706 Ne 65th Ave, Vancouver, WA 98661-1509 | 2017-06-19 |
| 1821535840 | Mark Balyshev | Pharmacist | 2602 Se Bella Vista Rd, Vancouver, WA 98683-7616 | 2017-01-28 |
| 1407205263 | Jennifer Nadine Locsmandi | Pharmacist | 17701 Se Mill Plain Blvd, Apt 219, Vancouver, WA 98683-7549 | 2016-06-11 |
| 1275996027 | Eric J Lofgren | Pharmacist | 6926 E 4th Plain Blvd Ste B, Vancouver, WA 98661-7369 | 2016-03-30 |
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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.