BRIAN SO (NPI# 1598077745) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598077745 |
| Entity Type | Individual |
| Full Name | BRIAN SO |
| Practice Address |
19107 Bothell Way Ne Bothell WA 98011-2938 |
| Practice Telephone | 4254891814 |
| Practice Fax Number | 4254899434 |
| Enumeration Date | 2010-07-03 |
| Last Update Date | 2010-07-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PH00042412 | WA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841499100 | Brian Jin So | Internal Medicine | 1920 Moores Lane, Texarkana, TX 75503 | 2007-07-16 |
| 1366904492 | Brian So | Student in an Organized Health Care Education/Training Program | 903 W Martin St, San Antonio, TX 78207-0903 | 2019-04-06 |
| 1255850053 | Brian So | Pharmacist | 3701 Broadway, Oakland, CA 94611 | 2017-09-12 |
| 1588086805 | Brian So | Physical Therapist | 909 Davis St, Suite 220, Evanston, IL 60201-3683 | 2014-01-07 |
| Street Address |
19107 BOTHELL WAY NE |
| City | BOTHELL |
| State | WA |
| Zip Code | 98011-2938 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205156551 | Tu Minh Huynh | Pharmacist | 19107 Bothell Way Ne, Bothell, WA 98011-2938 | 2010-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831714476 | Giovanna Dominique Seibel | Behavior Technician | 19204 North Creek Parkway, Building 2 Ste 110, Bothell, WA 98011 | 2020-06-09 |
| 1366070880 | Cristian Josue Rivera Nales | Behavioral Analyst | 19204 North Creek Pkwy Building 2, Suite 110, Bothell, WA 98011 | 2020-03-30 |
| 1205466968 | Ashley Lynn Lockwood O'neil | Counselor | 9201 120th Ave Ne, #108, Bothell, WA 98011 | 2020-01-22 |
| 1508415290 | Alexis Catalina Bailey | Behavior Technician | 19204 North Creek Pkwy, Building 2, Suite 110, Bothell, WA 98011 | 2019-09-05 |
| 1790337194 | Nw Foot and Ankle Specialists, LLC | Podiatrist | 12900 Ne 180th St, Ste 150, Bothell, WA 98011 | 2019-07-15 |
| 1154849784 | Andrea Reynolds | Counselor | 10516 East Riverside Drive, Bothell, WA 98011 | 2017-09-04 |
| 1912353111 | Pediatric Associates, Inc., Dba Allegro Pediatrics | Pediatrics | 11724 Ne 195th Street, Suite #100, Bothell, WA 98011 | 2016-05-06 |
| 1699145508 | Kelsie Ann Mcgladrey | Physical Therapist | 18504 Bethell Way Ne, Bethell, WA 98011 | 2015-10-05 |
| 1205217882 | Isaac-gregory Hyde Robancho | Massage Therapist | 10024 Main Street, Suite 2 C, Bothell, WA 98011 | 2015-06-09 |
| 1962889154 | Jennifer Zhang Colbert | Dentist | 19115 112th Ave Ne., Suite 6101, Bothell, WA 98011 | 2015-04-27 |
| Find all providers in zip 98011 | ||||
| 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 |
|---|---|---|---|---|
| 1558906933 | Marina Basily | Pharmacist | 19121 112th Ave Ne Apt 636, Bothell, WA 98011-0042 | 2019-11-09 |
| 1669027017 | Maha Magdy Banoub | Pharmacist | 19410 Meridian Pl W, Bothell, WA 98012-9710 | 2019-08-02 |
| 1639618002 | Sonu Bohra | Pharmacist | 20236 124th Ave Ne, Bothell, WA 98011-7655 | 2017-02-18 |
| 1043693229 | Michelle Taylor | Pharmacist | 3530 214th Pl Se, Bothell, WA 98021-7067 | 2015-07-07 |
| 1427471325 | Osler Gregorio Andres Andres | Pharmacist | 1909 214th St Se Ste 301, Bothell, WA 98021-4412 | 2014-01-28 |
| 1952733602 | Justin Scott Poole | Pharmacist | 18001 Bothell Everett Hwy Ste 101, Bothell, WA 98012-1660 | 2013-08-05 |
| 1326385766 | Jennifer Han Ju Wang | Pharmacist | 21540 30th Dr Se Ste 330, Bothell, WA 98021-7015 | 2013-01-04 |
| 1679817514 | Etsegenet E Simachew | Pharmacist | 22316 36th Ave Se, Bothell, WA 98021-0001 | 2012-11-15 |
| 1750636692 | Cindy Minh Bergmann | Pharmacist | 15715 36th Dr Se, Bothell, WA 98012-4747 | 2012-07-17 |
| 1326314857 | Shaila S Shukla | Pharmacist | 21045 Bothell Everett Hwy, Bothell, WA 98021-8405 | 2012-03-29 |
| Find all providers in BOTHELL | ||||
Please comment or provide details below to improve the information on BRIAN SO.
| 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.