DAVID BROKAW (NPI# 1568825560) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568825560 |
| Entity Type | Individual |
| Full Name | DAVID BROKAW |
| Credential | PHARMD |
| Practice Address |
500 N Columbia River Hwy Ste 6 Saint Helens OR 97051-1201 |
| Practice Telephone | 5033665112 |
| Practice Fax Number | 5033663014 |
| Mailing Telephone | 5033665112 |
| Mailing Fax Number | 5033663014 |
| Enumeration Date | 2016-03-29 |
| Last Update Date | 2016-03-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
14264 | OR | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104877596 | David S Brokaw | Orthopaedic Surgery | 8450 Northwest Blvd, Indianapolis, IN 46278-1381 | 2006-05-12 |
| Street Address |
500 N COLUMBIA RIVER HWY STE 6 |
| City | SAINT HELENS |
| State | OR |
| Zip Code | 97051-1201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316129232 | Legacy Emanuel Hospital & Health Center | Clinic/Center | 500 N Columbia River Hwy Ste 6, Saint Helens, OR 97051-1201 | 2007-12-03 |
| 1316422231 | Bryce Annis | Physician Assistant | 500 N Columbia River Hwy Ste 6, Saint Helens, OR 97051-1201 | 2018-09-26 |
| 1295117414 | Molly K Wheatley | Dietitian, Registered | 500 N Columbia River Hwy Ste 6, Saint Helens, OR 97051 | 2015-06-24 |
| 1053623959 | Terence Chu | Family Medicine | 500 N Columbia River Hwy Ste 6, Saint Helens, OR 97051 | 2010-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497387468 | Jason Lee Morris | Physical Therapist | 21 Cowlitz Street, St. Helens, OR 97051 | 2020-02-07 |
| 1336644871 | Genoa Healthcare, LLC | Pharmacy | 58646 Mcnulty Way Ste 116, Saint Helens, OR 97051 | 2018-03-27 |
| 1356713952 | Maykel Hashemieh Shirazi | Pharmacist | 2292 Gable Rd, Saint Helens, OR 97051 | 2015-10-22 |
| 1730565995 | Jeremy Scott Jones | Counselor | 105 S Thierd, Saint Helens, OR 97051 | 2015-08-10 |
| 1548652621 | Ashley Marie Prietto | Counselor | 58464 Mcnulty Way, Saint Helens, OR 97051 | 2015-02-25 |
| 1376898619 | Amy Beth Terry | Counselor | 58646 Mcnutty Way, St. Helens, OR 97051 | 2012-07-23 |
| 1639430762 | Scott David Swanson | Pharmacist | 795 Columbia River Hwy, St. Helens, OR 97051 | 2012-06-05 |
| 1871850586 | Christina Nadean Lane | Massage Therapist | 52515 Columbia River Highway, Scappoose, OR 97051 | 2012-04-19 |
| 1235432550 | Alysha Barbour | Acupuncturist | 1561 Columbia Blvd., Saint Helens, OR 97051 | 2010-12-08 |
| 1649572207 | Pure Serenity Massage LLC | Massage Therapist | 440 Columbia Blvd., St. Helens, OR 97051 | 2010-12-02 |
| Find all providers in zip 97051 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194385674 | Joseph Lee Combee | Pharmacist | 4956 Sw Aster St, Corvallis, OR 97333-1367 | 2019-06-17 |
| 1538627377 | Jacquelyn Jessica Lansing | Pharmacist | 33190 Bloomberg Rd, Eugene, OR 97405-9609 | 2019-03-12 |
| 1972097699 | Nathan Daniel Hoover | Pharmacist | 1401 North 10th Ave, Stayton, OR 97383 | 2018-06-16 |
| 1083119994 | Timothy Warren Evans | Pharmacist | 2714 Harbeck Rd, Grants Pass, OR 97527-5630 | 2018-03-24 |
| 1144737677 | Matthew Ito | Pharmacist | 5805 Sw Delker Rd, Tualatin, OR 97062-7753 | 2018-01-05 |
| 1588178701 | Daniel Hendrickson | Pharmacist | 503 Sw 5th Avenue, Portland, OR 97204 | 2017-11-27 |
| 1336662204 | Jenny French | Pharmacist | 9427 Sw Barnes Rd Ste 295, Portland, OR 97225-6652 | 2017-07-21 |
| 1104378199 | Derek Andrus | Pharmacist | 5717 Nw 138th, Portland, OR 97230 | 2016-10-26 |
| 1841747649 | Richard Bennett | Pharmacist | 425 Burlwood Ave N, Monmouth, OR 97361-2252 | 2016-09-09 |
| 1316390008 | Timothy L Lichlyter | Pharmacist | 2924 Siskiyou Blvd Ste 102, Medford, OR 97504-8194 | 2016-07-18 |
| Find all providers with the same taxonomy | ||||
| City | SAINT HELENS |
| Zip Code | 97051 |
Please comment or provide details below to improve the information on DAVID BROKAW.
| 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.