PAUL WILLIAM WILLIS (NPI# 1376830653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376830653 |
| Entity Type | Individual |
| Full Name | PAUL WILLIAM WILLIS |
| Credential | RPH |
| Practice Address |
807 S. Main St. Yreka CA 96097 |
| Mailing Address |
12117 Old Westside Rd Grenada CA 96038-9607 |
| Practice Telephone | 5308425596 |
| Practice Fax Number | 5308422882 |
| Mailing Telephone | 5308590415 |
| Mailing Fax Number | 5304362454 |
| Enumeration Date | 2011-07-07 |
| Last Update Date | 2011-07-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RPH27113 | CA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114959376 | Paul D Willis | Technician/Technologist | 3131 Pio Nono Ave, Macon, GA 31206-3027 | 2006-07-07 |
| 1518909761 | Paul William Willis Jr. | Family Medicine | 1305 W. Arrow Hwy., Ste.106, San Dimas, CA 91773 | 2006-06-12 |
| 1780230615 | Paul Willis | Behavior Technician | 912 Ne Kelly Ave, Gresham, OR 97030-5629 | 2019-08-15 |
| 1649603390 | Paul S Willis | Hospitalist | 13652 Cantara St, Panorama City, CA 91402-5423 | 2013-08-16 |
| 1235408477 | Paul V Willis | Physical Medicine & Rehabilitation | 750 E Walker St Ste A, Orland, CA 95963-2222 | 2011-12-16 |
| 1699864322 | Paul Jay Willis | Dentist | 4709 Golf Rd, #1005, Skokie, IL 60076-1231 | 2006-10-12 |
| 1083718217 | Paul S Willis | Psychiatry & Neurology | 317 W Pueblo St, Santa Barbara, CA 93105-4355 | 2006-09-08 |
| 1104835180 | Paul M Willis | Specialist | 27 Heckel Rd, Suite 213, Mc Kees Rocks, PA 15136-1616 | 2006-08-07 |
| 1184614703 | Paul L Willis | Emergency Medicine | 60 Hospital Rd, Leominster, MA 01453-2205 | 2005-10-25 |
| Street Address |
807 S. MAIN ST. |
| City | YREKA |
| State | CA |
| Zip Code | 96097 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578883864 | Ginger A Bert | Chiropractor | 106 Ranch Ln Ste A, Yreka, CA 96097 | 2010-06-09 |
| 1669796611 | Rebekah Joyce Retterath | Dietitian, Registered | 444 Bruce Street, Yreka, CA 96097 | 2010-03-19 |
| 1780849679 | Donna Jean May | Marriage & Family Therapist | 625 Butte Street, Yreka, CA 96097 | 2008-07-21 |
| 1114121589 | Loren Cronk | Marriage & Family Therapist | 208 4th Street, Yreka, CA 96097 | 2007-06-12 |
| 1093928863 | Kristin Rene Kopplin | Psychologist | 1515 South Oregon Street, Suite A, Yreka, CA 96097 | 2007-05-08 |
| 1073735379 | Rivkah Lynn Barmore | Social Worker | 1515 S Oregon, Suite A, Yreka, CA 96097 | 2007-05-03 |
| 1649492091 | Randy Terry Murieen | Social Worker | 1515 S Oregon Street, Suite A, Yreka, CA 96097 | 2007-05-03 |
| 1265654537 | Roy Victor Hall Jr. | Social Worker | 1515 South Oregon St, Suite A, Yreka, CA 96097 | 2007-05-03 |
| 1578785614 | Meadowlark | Assisted Living Facility | 351 Bruce St, Yreka, CA 96097 | 2007-05-02 |
| 1003036930 | Vickie Beltramo | Physical Therapist | 1852 Fort Jones Road, Yreka, CA 96097 | 2007-04-25 |
| Find all providers in zip 96097 | ||||
| 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 |
|---|---|---|---|---|
| 1376096982 | Robert Amens | Pharmacist | 8600 Guys Gulch Rd, Yreka, CA 96097-9100 | 2016-07-31 |
| 1093126625 | Lori Sheree Crum | Pharmacist | 1842 Fort Jones Rd, Yreka, CA 96097-9531 | 2014-05-16 |
| 1376556001 | Siskiyou Pharmacy Services Inc | Pharmacist | 742 South Main St, Yreka, CA 96097 | 2006-08-14 |
| 1912538372 | Michael Don Adams | Pharmacist | 1906 Fort Jones Rd, Yreka, CA 96097-9530 | 2020-02-03 |
| 1013570852 | Allison Jane Stumpf Scholer | Pharmacist | 807 S Main St, Yreka, CA 96097-3320 | 2019-04-17 |
| 1003377037 | Minhquan Ba Hoang | Pharmacist | 807 S Main St, Yreka, CA 96097-3320 | 2019-03-31 |
| 1679039614 | Lucas Shane Walsh | Pharmacist | 829 S Main St, Yreka, CA 96097-3320 | 2019-02-14 |
| 1265905442 | Markos Gebru | Pharmacist | 1906 Fort Jones Rd, Yreka, CA 96097-9530 | 2019-01-10 |
| 1477061042 | Jonathon Scott Temple | Pharmacist | 1906 Fort Jones Rd, Yreka, CA 96097-9530 | 2018-01-17 |
| 1316457567 | Janet A. Grassman | Pharmacist | 1842 Fort Jones Rd, Yreka, CA 96097-9531 | 2017-10-02 |
| Find all providers in YREKA | ||||
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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.