DR. SEAN MICHAEL MOORE (NPI# 1619331212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619331212 |
| Entity Type | Individual |
| Full Name | DR. SEAN MICHAEL MOORE |
| Credential | PHARM.D., RPH |
| Practice Address |
2521 Main St Vancouver WA 98660-2649 |
| Mailing Address |
7915 Ne Burton Rd Unit I84 Vancouver WA 98662-7210 |
| Practice Telephone | 3606932524 |
| Mailing Telephone | 8083738863 |
| Enumeration Date | 2016-04-09 |
| Last Update Date | 2016-04-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PH60620582 | WA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811489719 | Sean Keith Moore | Home Health Aide | 8000 Broken Branch Dr, Round Rock, TX 78681-3550 | 2018-06-06 |
| 1841515061 | Sean Michael Moore | Student in an Organized Health Care Education/Training Program | 1017 Broadway St, New Orleans, LA 70118-5240 | 2010-03-30 |
| 1902328099 | Sean Joseph Moore | Physician Assistant | 89 W Copeland Dr Fl 2, Orlando, FL 32806-2002 | 2017-07-11 |
| 1972035640 | Sean Moore | Student in an Organized Health Care Education/Training Program | 2301 Erwin Rd, Durham, NC 27705-4699 | 2017-03-31 |
| 1184091910 | Sean Chantre Moore | Behavioral Analyst | 4 Barlows Landing Rd, Pocasset, MA 02559-1980 | 2015-08-27 |
| 1821412719 | Sean Moore | Nurse Anesthetist, Certified Registered | 2142 N Cove Blvd, Toledo, OH 43606-3895 | 2014-02-12 |
| 1154560902 | Sean Indiano Moore | Preventive Medicine | 655 7th St Bldg 700-a78, Robins Afb, GA 31098-2227 | 2009-02-18 |
| 1942357835 | Sean R Moore | Pediatrics | 1204 W Main St, Charlottesville, VA 22903-2824 | 2007-01-04 |
| 1215985585 | Sean T. Moore | Physical Therapist | 180 Tices Ln, East Brunswick, NJ 08816-1337 | 2006-05-05 |
| Street Address |
2521 MAIN ST |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98660-2649 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467467456 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2521 Main St, Vancouver, WA 98660-2649 | 2006-07-29 |
| 1922649276 | Shawn Chan | Pharmacist | 2521 Main St, Vancouver, WA 98660-2649 | 2019-10-07 |
| 1194290361 | Maryanne Marie Gellings | Pharmacist | 2521 Main St, Vancouver, WA 98660-2649 | 2018-10-03 |
| 1407369085 | Lea Tasha Lambert | Pharmacist | 2521 Main St, Vancouver, WA 98660-2649 | 2017-11-06 |
| 1003332545 | Heather Allard | Pharmacist | 2521 Main St, Vancouver, WA 98660-2649 | 2017-08-16 |
| 1477092880 | Jeong Beom Kim | Pharmacist | 2521 Main St, Vancouver, WA 98660-2649 | 2017-02-17 |
| 1205204088 | Diana Kebo | Pharmacist | 2521 Main St, Vancouver, WA 98660-2649 | 2015-09-09 |
| 1902273329 | Amanda Yukari Ikehara | Pharmacist | 2521 Main St, Vancouver, WA 98660-2649 | 2015-09-02 |
| 1841666732 | Fernando Camacho | Pharmacist | 2521 Main St, Vancouver, WA 98660-2649 | 2015-08-14 |
| 1174927255 | Melanie Chan | Pharmacist | 2521 Main St, Vancouver, WA 98660-2649 | 2014-10-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538779137 | Peacehealth Networks On Demand, LLC | Non-Pharmacy Dispensing Site | 781 W Columbia Way, Vancouver, WA 98660 | 2020-08-07 |
| 1538641527 | Melissa Molly Sivaram | Counselor | 1012 Esther St, Vancouver, WA 98660 | 2018-09-05 |
| 1679082598 | Christopher Lewis Schwab | Peer Specialist | 5197 Nw Lower River Rd, Vancouver, WA 98660 | 2017-09-22 |
| 1023560141 | Disabled Veterans Hawaii LLC | Durable Medical Equipment & Medical Supplies | 4817 Nw Fruit Valley Road, Suite 100, Vancouver, WA 98660 | 2016-10-25 |
| 1023493004 | Laura Nicole Wood | Counselor | 1104 Main St Ste M100, Vancouver, WA 98660 | 2015-07-20 |
| 1790034627 | Clark County Juvenile Court | Marriage & Family Therapist | 500 W 11th Street, Vancouver, WA 98660 | 2012-09-06 |
| 1538439104 | Hutton Chiropractic Clinic Inc | Chiropractor | 703 Broadway Street, Ste 650, Vancouver, WA 98660 | 2012-01-12 |
| 1134422629 | Brenda Marie Bible | Social Worker | 101 E 8th St Ste 110, Vancouver, WA 98660 | 2010-12-06 |
| 1871895409 | Donna L Benedicktus | Contractor | 210 E Evergreen Blvd, Vancouver, WA 98660 | 2010-12-02 |
| 1992007801 | Peter Ray Hasemeier | Massage Therapist | 805 Broadway St., Vancouver, WA 98660 | 2010-11-29 |
| Find all providers in zip 98660 | ||||
| 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 |
|---|---|---|---|---|
| 1639797798 | Jordan Kathleen Hurley | Pharmacist | 3905 Ne 89th Way, Vancouver, WA 98665-5329 | 2020-07-06 |
| 1639793474 | Christina Putnam | Pharmacist | 16811 Se Mcgillivray Blvd Ste 101, Vancouver, WA 98683-3404 | 2020-06-06 |
| 1306404041 | Couper D Millar | Pharmacist | 14313 Ne 20th Ave Ste 109, Vancouver, WA 98686-1487 | 2019-05-29 |
| 1811472780 | Dang Hai Pham | Pharmacist | 4110 Ne 127th Ave, Vancouver, WA 98682-6848 | 2018-09-26 |
| 1972095636 | Merna Saied | Pharmacist | 306 Se 169th Ave, Vancouver, WA 98684-8411 | 2018-05-30 |
| 1245741008 | Courtney Louie | Pharmacist | 7819 Se 17th St, Vancouver, WA 98664-1783 | 2017-10-19 |
| 1760912059 | Mai Thi Phuong Nguyen | Pharmacist | 6706 Ne 65th Ave, Vancouver, WA 98661-1509 | 2017-06-19 |
| 1821535840 | Mark Balyshev | Pharmacist | 2602 Se Bella Vista Rd, Vancouver, WA 98683-7616 | 2017-01-28 |
| 1407205263 | Jennifer Nadine Locsmandi | Pharmacist | 17701 Se Mill Plain Blvd, Apt 219, Vancouver, WA 98683-7549 | 2016-06-11 |
| 1275996027 | Eric J Lofgren | Pharmacist | 6926 E 4th Plain Blvd Ste B, Vancouver, WA 98661-7369 | 2016-03-30 |
| Find all providers in VANCOUVER | ||||
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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.