MR. DWIGHT JOHN MATSON (NPI# 1508125022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508125022 |
| Entity Type | Individual |
| Full Name | MR. DWIGHT JOHN MATSON |
| Practice Address |
3250 Leif Erikson Dr Astoria OR 97103-2637 |
| Practice Telephone | 5033380291 |
| Mailing Telephone | 5033380291 |
| Enumeration Date | 2012-05-04 |
| Last Update Date | 2012-05-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 0005128 | OR | Pharmacy Service Providers |
| Street Address |
3250 LEIF ERIKSON DR |
| City | ASTORIA |
| State | OR |
| Zip Code | 97103-2637 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912936964 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 3250 Leif Erikson Dr, Astoria, OR 97103-2637 | 2006-07-02 |
| 1235535741 | Kalehua Kawehiokalani Harward | Pharmacist | 3250 Leif Erikson Dr, Astoria, OR 97103-2637 | 2014-11-11 |
| 1023389822 | Steven Cranston | Pharmacist | 3250 Leif Erikson Dr, Astoria, OR 97103-2637 | 2012-01-25 |
| 1811050537 | Nicole Marie Scharer | Chiropractor | 3250 Leif Erikson Dr, Astoria, OR 97103 | 2006-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730552845 | Kpg Oregon, LLC | Internal Medicine | 486 12th Street #200, Astoria, OR 97103 | 2015-11-11 |
| 1205239043 | Brittany Dawn Vigoren | Dental Hygienist | 433 30th St., Astoria, OR 97103 | 2014-10-08 |
| 1497188858 | Jennifer U Boggs | Counselor | 10 Pier 1 Ste 203, Astoria, OR 97103 | 2013-08-20 |
| 1780022046 | Judy J Curnow | Massage Therapist | 1 12th Street Suite 10, Astoria, OR 97103 | 2013-06-10 |
| 1659626612 | Megan Lampson | Physical Therapist | 646 16th Ave., Astoria, OR 97103 | 2012-07-16 |
| 1043580947 | Matthew Thomas Cassity | Physical Therapy Assistant | 646 16th St., Astoria, OR 97103 | 2012-01-09 |
| 1881975969 | Rebecca Nicole Roe | Contractor | 25 Whitebush Way, Astoria, OR 97103 | 2011-09-02 |
| 1346542214 | Michele Lynn Hart | Social Worker | 2120 Exchange, Astoria, OR 97103 | 2010-11-29 |
| 1447551197 | Barbara Ellen Arnold | Pharmacist | 3250 Leif Erickson Dr, Astoria, OR 97103 | 2010-11-11 |
| 1083915219 | Christina Louise Jones | Pharmacist | 3250 Lief Erickson Dr, Astoria, OR 97103 | 2010-11-04 |
| Find all providers in zip 97103 | ||||
| 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 |
|---|---|---|---|---|
| 1154987782 | Vassilia Sideras | Pharmacist | 2073 46th St, Astoria, NY 11105-1211 | 2019-05-20 |
| 1831754118 | Ahmed Mohamed Sayed Zedan | Pharmacist | 3014 14th St, Astoria, NY 11102 | 2019-05-02 |
| 1790259083 | Amrita Stephanie Samaroo | Pharmacist | 2338 30th Dr, Astoria, NY 11102-3252 | 2019-01-19 |
| 1194203778 | Karim Mansour | Pharmacist | 2157 33rd St Apt 4d, Astoria, NY 11105-2363 | 2018-08-05 |
| 1841795408 | Devang Jariwala | Pharmacist | 3035 14th St Apt 3r, Astoria, NY 11102-3884 | 2018-03-27 |
| 1407367659 | Michael Angelo Valladares | Pharmacist | 2620 Hoyt Ave S, Astoria, NY 11102-2870 | 2017-10-16 |
| 1558817510 | Michael Son Truong | Pharmacist | 30-07 31st Ave, Astoria, NY 11106 | 2016-08-30 |
| 1083160485 | Sara Tohme | Pharmacist | 2120 22nd Dr Apt 2f, Astoria, NY 11105-3431 | 2016-08-26 |
| 1356897755 | Sherin Mohamed | Pharmacist | 2058 Crescent St Apt 2b, Astoria, NY 11105-4309 | 2016-08-26 |
| 1356705602 | Ahmed Y Nasser | Pharmacist | 21 09 A 31st Street, Pharmacare Plus Pharmacy, Astoria, NY 11105 | 2016-04-12 |
| Find all providers in ASTORIA | ||||
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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.