BENJY D SCURLOCK (NPI# 1437636800) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437636800 |
| Entity Type | Individual |
| Full Name | BENJY D SCURLOCK |
| Credential | PHARMD |
| Practice Address |
720 W Main St Ste 115 Battle Ground WA 98604-4474 |
| Mailing Address |
2011 Nw 10th Way Battle Ground WA 98604-4255 |
| Practice Telephone | 8008132000 |
| Mailing Telephone | 3609048710 |
| Enumeration Date | 2018-07-27 |
| Last Update Date | 2018-07-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PH00041253 | WA | Pharmacy Service Providers |
| Street Address |
720 W MAIN ST STE 115 |
| City | BATTLE GROUND |
| State | WA |
| Zip Code | 98604-4474 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356818488 | Sarah Gustafson | Student in an Organized Health Care Education/Training Program | 720 W Main St Ste 115, Battle Ground, WA 98604-4474 | 2018-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194265421 | David Cotteleer | Physical Therapist | 14109 Ne 258th St, Battle Ground, WA 98604 | 2017-03-06 |
| 1235528936 | Jason Egbert | Optometrist | 1710 Sw 9th Ave Ste 112, Battle Ground, WA 98604 | 2015-01-18 |
| 1922413632 | Clearwater Escape | Clinic/Center | 118 South Parkway Ave # 215, Battle Ground, WA 98604 | 2014-06-23 |
| 1205171923 | Tiffany Alicia Natland | Massage Therapist | 119 S Parkway Ste 101a, Battle Ground, WA 98604 | 2012-12-06 |
| 1578812004 | Margaret Waddell | Dental Hygienist | 20516 Ne 101st Ct, Battle Ground, WA 98604 | 2012-08-30 |
| 1558678938 | Penny Marie Pastori | Pharmacist | 1201 Sw 13th Ave, Battle Ground, WA 98604 | 2010-09-08 |
| 1992026355 | Corey Michael Bretting | Massage Therapist | 614 East Main Street, Battle Ground, WA 98604 | 2010-06-18 |
| 1407009350 | Anna Lee Dunn | Massage Therapist | 309 N.e 1st St, Battle Ground, WA 98604 | 2008-10-23 |
| 1235393166 | Above Beyond Dentistry and Implants | Dentist | 1908 Nw 1st Way Suite 105, Battle Ground, WA 98604 | 2008-07-10 |
| 1770769150 | Jacqueline Siy Tan | Family Medicine | 2005 W Main St Ste 110, Battle Ground, WA 98604 | 2008-01-15 |
| Find all providers in zip 98604 | ||||
| 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 |
|---|---|---|---|---|
| 1558678938 | Penny Marie Pastori | Pharmacist | 1201 Sw 13th Ave, Battle Ground, WA 98604 | 2010-09-08 |
| 1750839387 | Alison Shafer | Pharmacist | 904 W Main St, Battle Ground, WA 98604-9112 | 2016-09-12 |
| 1184033573 | Vitaliy Bejan | Pharmacist | 808 W Main St, Battle Ground, WA 98604-9136 | 2014-08-11 |
| 1669889770 | Robert C Mullins | Pharmacist | 1201 Sw 13th Ave, Battle Ground, WA 98604-2800 | 2014-07-21 |
| 1801144670 | Marty M Lewis | Pharmacist | 401 Nw 12th Ave, Battle Ground, WA 98604-9105 | 2012-08-27 |
| 1356615900 | Hollie Kristin Williams | Pharmacist | 401 Nw 12th Ave, Battle Ground, WA 98604-9105 | 2012-02-29 |
| 1548534407 | Stephanie Diane Plumm | Pharmacist | 401 Nw 12th Ave, Battle Ground, WA 98604-9105 | 2012-02-23 |
| 1972877835 | Ngan Kim Huynh | Pharmacist | 401 Nw 12th Ave, Battle Ground, WA 98604-9105 | 2012-02-23 |
| 1063785954 | Mark Stuhrman | Pharmacist | 401 Nw 12th Ave, Battle Ground, WA 98604-9105 | 2012-02-22 |
| 1306145594 | Amy E Delia | Pharmacist | 808 W Main St, Battle Ground, WA 98604-9136 | 2011-03-28 |
| Find all providers in BATTLE GROUND | ||||
| City | BATTLE GROUND |
| Zip Code | 98604 |
Please comment or provide details below to improve the information on BENJY D SCURLOCK.
| 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.