MRS. JENNIFER MICHELE MATIN (NPI# 1447234448) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447234448 |
| Entity Type | Individual |
| Full Name | MRS. JENNIFER MICHELE MATIN |
| Credential | PHARMD |
| Practice Address |
6619 132nd Ave Ne Kirkland WA 98033-8627 |
| Mailing Address |
18214 32nd Ave Se Bothell WA 98012-9347 |
| Practice Telephone | 4258815544 |
| Practice Fax Number | 4258692227 |
| Enumeration Date | 2005-12-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 1-13537 | KS | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | PH00047728 | WA | Pharmacy Service Providers |
| Street Address |
6619 132ND AVE NE |
| City | KIRKLAND |
| State | WA |
| Zip Code | 98033-8627 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386156396 | Nichole Willoughby | Pharmacist | 6619 132nd Ave Ne, Kirkland, WA 98033-8627 | 2017-10-31 |
| 1467735795 | Carissa Lou Hornick | Pharmacy Technician | 6619 132nd Ave Ne, Kirkland, WA 98033-8627 | 2011-09-22 |
| 1790936748 | Krista Nicole Hough | Pharmacy Technician | 6619 132nd Ave Ne, Kirkland, WA 98033-8627 | 2008-10-08 |
| 1669545703 | Pui Suk To | Pharmacist | 6619 132nd Ave Ne, Kirkland, WA 98033-8627 | 2006-11-16 |
| 1144337932 | The Bartell Drug Co | Pharmacy | 6619 132nd Ave Ne, Kirkland, WA 98033-8627 | 2006-08-25 |
| 1750367892 | Shelby J Suhadolnik | Pharmacy Technician | 6619 132nd Ave Ne, Kirkland, WA 98033-8627 | 2005-12-20 |
| 1508842642 | Dennis L. Hayes | Pharmacist | 6619 132nd Ave Ne, Kirkland, WA 98033-8627 | 2005-12-20 |
| 1447235569 | Mary Kay Hampton | Pharmacist | 6619 132nd Ave Ne, Kirkland, WA 98033-8627 | 2005-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710584826 | Raquel Maria Reyes | Interpreter | 11205 Ne 62nd St., Kirkland, WA 98033 | 2020-10-02 |
| 1588146468 | Lake Washington Family Chiropractic, Pllc | Chiropractor | 816 6th Street South, 816 6th Street South, Kirkland, WA 98033 | 2018-09-06 |
| 1316463557 | Tony Jia Ly | Pharmacist | 7224 120th Ave Ne, Kirkland, WA 98033 | 2017-08-18 |
| 1003356403 | Eden Home Health of King County, LLC | Home Health | 733 7th Avenue, Suite 110, Kirkland, WA 98033 | 2017-03-03 |
| 1184170763 | Kirkland Family Dentistry | Dentist | 1715 Market St #104, Kirkland, WA 98033 | 2016-09-01 |
| 1144688565 | Kamala Psychology and Yoga LLC | Psychologist | 603 4th Ave Ste 101, Kirkland, WA 98033 | 2016-01-30 |
| 1245695352 | Ron Massey | Massage Therapist | 11406 Ne 112th St, Kirkland, WA 98033 | 2015-12-17 |
| 1194106039 | John Pham | Internal Medicine | 9426 116th Ave Ne, Kirkland, WA 98033 | 2015-06-16 |
| 1992199970 | Garrison Patrick Wier | Ophthalmology | 625 4th Ave Ste 301, Kirkland, WA 98033 | 2015-03-26 |
| 1871993113 | Abigail Trajtenberg Loomis | Behavioral Analyst | 1003 7th Avenue, Kirkland, WA 98033 | 2014-08-22 |
| Find all providers in zip 98033 | ||||
| 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 |
|---|---|---|---|---|
| 1144747510 | Mohamed K K Ajenah | Pharmacist | 9520 Ne 120th St, A202, Kirkland, WA 98034-2070 | 2017-08-27 |
| 1316463557 | Tony Jia Ly | Pharmacist | 7224 120th Ave Ne, Kirkland, WA 98033 | 2017-08-18 |
| 1174072359 | Kimthuy Truong | Pharmacist | 12071 124th Ave Ne, Kirkland, WA 98034-8204 | 2016-09-28 |
| 1376092759 | Kemi Awosika | Pharmacist | 114 Lake St, Kirkland, WA 98033-6140 | 2016-09-27 |
| 1477959252 | Kendra Dresner | Pharmacist | 12333 Ne 130th Ln # Ln415, Kirkland, WA 98034-7467 | 2014-11-06 |
| 1245651884 | Noushin Maktabi | Pharmacist | 11642 100th Ave Ne Apt 205, Kirkland, WA 98034-6523 | 2013-12-28 |
| 1922436302 | Yea Seul Hwang | Pharmacist | 8616 113th Ln Ne, Kirkland, WA 98033-5769 | 2013-10-23 |
| 1306280813 | Siew Quah | Pharmacist | 11314 Ne 117th Pl, Kirkland, WA 98034-7024 | 2013-04-26 |
| 1184965451 | Maryna V Kedo | Pharmacist | 12739 Ne 133rd Pl, Kirkland, WA 98034-5409 | 2013-03-11 |
| 1861757700 | Nicoleta Raluca Hurubeanu | Pharmacist | 11117 Ne 109th Ln Apt N203, Kirkland, WA 98033-5093 | 2012-07-06 |
| Find all providers in KIRKLAND | ||||
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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.