MRS. VICTORIA ANN JIMMICUM (NPI# 1306187497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306187497 |
| Entity Type | Individual |
| Full Name | MRS. VICTORIA ANN JIMMICUM |
| Practice Address |
250 Fort Street Neah Bay WA 98357 |
| Mailing Address |
Po Box 273 Neah Bay WA 98357-0273 |
| Practice Telephone | 3606452445 |
| Mailing Telephone | 3606404200 |
| Enumeration Date | 2013-03-14 |
| Last Update Date | 2013-03-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183700000X | Pharmacy Technician | VA60214288 | WA | Pharmacy Service Providers |
| Street Address |
250 FORT STREET |
| City | NEAH BAY |
| State | WA |
| Zip Code | 98357 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730171240 | Thomas Michael Vaneaton | General Practice | 250 Fort Street, Neah Bay, WA 98357 | 2005-08-19 |
| 1679029953 | Shannon Walker | Nurse Practitioner | 250 Fort Street, Neah Bay, WA 98357-0410 | 2016-08-28 |
| 1215273396 | Thena Westfall | Registered Nurse | 250 Fort Street, Neah Bay, WA 98357-0410 | 2012-12-18 |
| 1265782486 | Glenda Ann Butler | Registered Nurse | 250 Fort Street, Neah Bay, WA 98357 | 2012-09-14 |
| 1043502719 | Amiee Croston | Registered Nurse | 250 Fort Street, Neah Bay, WA 98357 | 2011-05-12 |
| 1215227186 | Carol Ann Johansson | Licensed Practical Nurse | 250 Fort Street, Neah Bay, WA 98357 | 2011-04-13 |
| 1558660118 | Dan S Druge | Emergency Medical Technician, Paramedic | 250 Fort Street, Neah Bay, WA 98357 | 2011-03-22 |
| 1477887222 | Jessica M Latourelle | Pharmacist | 250 Fort Street, Neah Bay, WA 98357 | 2009-09-28 |
| 1285884866 | Adrienne Heinz | Registered Nurse | 250 Fort Street, Neah Bay, WA 98357 | 2008-09-19 |
| 1417105206 | Johannan Elizabeth Kelly | Registered Nurse | 250 Fort Street, Post Office Box 115, Neah Bay, WA 98357-0115 | 2008-09-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942823232 | Christie Heath Woolard | Pharmacist | Sophie Trettevick Indian Health Center, 250 Fort St, Neah Bay, WA 98357 | 2020-05-21 |
| 1750877437 | Sophie Trettevick Indian Health Center | Clinic/Center | 250 Fort St., Neah Bay, WA 98357 | 2018-07-06 |
| 1417321266 | Brook Cherith Conwell | Specialist | 1720 East Nursery Ave, Neah Bay, WA 98357 | 2015-11-17 |
| 1538552070 | William D Pratt Jr. | Nurse Practitioner | 136 Coast Guard Dr, Box 435, Neah Bay, WA 98357 | 2015-03-09 |
| 1194092395 | Todd M. Davidson | Counselor | 1001 Bay View Ave., Neah Bay, WA 98357 | 2011-11-17 |
| 1598994675 | Betty Jean Poffenbarger | Counselor | 111 Resort Dr, Neah Bay, WA 98357 | 2009-07-09 |
| 1609068170 | Makah Tribe | Clinic/Center | 171 Makah Bay Dr, Neah Bay, WA 98357 | 2007-08-17 |
| 1306037767 | Makah Tribal Council | Ambulance | 141 2nd Ave, Neah Bay, WA 98357 | 2007-08-09 |
| 1033319496 | David A Kaikaka | Counselor | 1001 Bayview Avenue, Neah Bay, WA 98357 | 2007-07-23 |
| 1497707715 | David R Cundiff | Family Medicine | 250 Fort St, Neah Bay, WA 98357 | 2006-05-16 |
| Find all providers in zip 98357 | ||||
| Taxonomy Code | 183700000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacy Technician |
| A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. |
| Notes: Source: Pharmacy Technician Certification Board, www.ptcb.org [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174723852 | Carmen R Sanders | Pharmacy Technician | 250 Fort Street, Neah Bay, WA 98357-0410 | 2007-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619583887 | Wannipat Herz | Pharmacy Technician | 14427 12th Dr Se, Mill Creek, WA 98012-1385 | 2020-09-22 |
| 1851905855 | Colleen Terese Coleman | Pharmacy Technician | 110 W South Hill Rd, Sunnyside, WA 98944-9172 | 2020-09-07 |
| 1255966560 | Jamie Ann Sessums | Pharmacy Technician | 1015 E Cozza Dr Apt 81, Spokane, WA 99208-6656 | 2020-03-06 |
| 1366089666 | Peter Nguyen | Pharmacy Technician | 914 East Jefferson Street, Campion Hall, Seattle, WA 98122 | 2019-12-05 |
| 1700422565 | Senny Wu | Pharmacy Technician | 5209 20th Ave S, Seattle, WA 98108-1906 | 2019-11-26 |
| 1780220640 | Hoang S Nguyen | Pharmacy Technician | 6724 38th Ave S, Seattle, WA 98118-3208 | 2019-11-25 |
| 1205471976 | Nicole J Lefebvre | Pharmacy Technician | 9600 College Way N, Seattle, WA 98103-3514 | 2019-11-16 |
| 1982249637 | Meuy Nai Saetern | Pharmacy Technician | 3810 S Sunnyview Dr, Seattle, WA 98118-5253 | 2019-11-16 |
| 1043866197 | Sheila Grace Alegre Mahinay | Pharmacy Technician | 3405 S 176th St Apt Unit211, Seatac, WA 98188-4048 | 2019-08-14 |
| 1275198772 | Francisco Jaciel Villanueva | Pharmacy Technician | 4690 Alma Rd Ne, Moses Lake, WA 98837-3793 | 2019-05-09 |
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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.