DR. ERIC HEADLEE (NPI# 1346676400) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346676400 |
| Entity Type | Individual |
| Full Name | DR. ERIC HEADLEE |
| Credential | PHARM.D. |
| Practice Address |
1648 E Idaho Ave Ontario OR 97914-3008 |
| Mailing Address |
2770 N Christine St Boise ID 83704-5611 |
| Practice Telephone | 5418896315 |
| Practice Fax Number | 5418896325 |
| Mailing Telephone | 2085597770 |
| Enumeration Date | 2013-09-20 |
| Last Update Date | 2013-09-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RPH-0011224 | OR | Pharmacy Service Providers |
| Street Address |
1648 E IDAHO AVE |
| City | ONTARIO |
| State | OR |
| Zip Code | 97914-3008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811306905 | Brad Cammack | Pharmacist | 1648 E Idaho Ave, Ontario, OR 97914-3008 | 2014-08-04 |
| 1275564247 | K Mart Corp | Pharmacy | 1648 E Idaho Ave, Ontario, OR 97914-3008 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467925420 | The Family Place D/b/a Tfp Services Therapeutic | Case Manager/Care Coordinator | 390 Ne 2nd St., Ontario, OR 97914 | 2019-01-02 |
| 1154805729 | Ronald William Strohmeyer | Physician Assistant | 2327 S.w. 4th Ave, Ontario, OR 97914 | 2018-09-19 |
| 1700334117 | Arlene Schwenke | Social Worker | 686 Nw 9th St., Ontario, OR 97914 | 2016-09-14 |
| 1871990408 | Sally Melissa Sluder | Nurse Practitioner | 351 Sw 9th Ave, Ontario, OR 97914 | 2014-11-25 |
| 1932460870 | E Patricia Jeanne Engel | Surgery | 1050 Sw 3rd Ave Ste 2600, Ontario, OR 97914 | 2012-06-07 |
| 1487946521 | Tyler Jepson | Physical Therapist | 1182 Sw 4th Avenue, Ontario, OR 97914 | 2011-05-09 |
| 1255641577 | Cami Lyn Rebmann | Pharmacist | 728 S 4th Ave, Ontario, OR 97914 | 2010-10-20 |
| 1295051126 | Project Dove | Case Manager/Care Coordinator | 915-02 Sw 2nd Ave, Ontario, OR 97914 | 2010-04-16 |
| 1467666024 | Tfp Therapeutic Service, Inc. | Counselor | 390 Ne 2nd Street, Ontario, OR 97914 | 2007-05-10 |
| 1639381569 | Emeritus Corporation | Assisted Living Facility | 1372 Southwest 8th Avenue, Ontario, OR 97914 | 2007-05-04 |
| Find all providers in zip 97914 | ||||
| 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 |
|---|---|---|---|---|
| 1154920155 | Jonathan Clevenger | Pharmacist | 1455 North Lexington-springmill Road, Ontario, OH 44906 | 2020-10-21 |
| 1790250793 | Kevin Vannukul | Pharmacist | 4355 E Lowell St Ste C, Ontario, CA 91761-2225 | 2018-10-05 |
| 1902393390 | Michael Sehyun Park | Pharmacist | 2920 Inland Empire Blvd Ste 112, Ontario, CA 91764-6581 | 2018-04-20 |
| 1811431521 | Ehab-tawfik Monir Tawfik | Pharmacist | 1520 N Mountain Ave # B106, Ontario, CA 91762-1128 | 2016-12-14 |
| 1861856171 | Celerino Vargas | Pharmacist | 2238 S Euclid Ave Ste A, Ontario, CA 91762-6503 | 2016-04-12 |
| 1215308697 | Timothy Fung | Pharmacist | 2295 S Vineyard Ave # D, Ontario, CA 91761-7925 | 2015-10-12 |
| 1588057764 | Robin B Ujoodha | Pharmacist | 231 Clare Rd, Ontario, OH 44906-1363 | 2015-03-11 |
| 1013327824 | Cindy Younger | Pharmacist | 2543 Fairway Xing, Ontario, OH 44903-6508 | 2014-05-01 |
| 1588090328 | Catherine J Prieto-quan | Pharmacist | 1670 E 4th St, Ontario, CA 91764-2638 | 2013-09-25 |
| 1508142308 | Vivian Chou | Pharmacist | 2245 S Euclid Ave, Ontario, CA 91762-6519 | 2011-10-25 |
| Find all providers in ONTARIO | ||||
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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.