MR. PAUL T JAQUISH (NPI# 1639271133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639271133 |
| Entity Type | Individual |
| Full Name | MR. PAUL T JAQUISH |
| Credential | RPH |
| Practice Address |
9600 Veterans Dr Sw Pharmacy 119a Tacoma WA 98493-0003 |
| Practice Telephone | 2535832341 |
| Practice Fax Number | 2535894062 |
| Mailing Telephone | 2535832341 |
| Mailing Fax Number | 2535894062 |
| Enumeration Date | 2006-09-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
PH0001183 | WA | Pharmacy Service Providers |
| Street Address |
9600 VETERANS DR SW PHARMACY 119A |
| City | TACOMA |
| State | WA |
| Zip Code | 98493-0003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063418739 | Lyndel Cubberley | Nurse Practitioner | 9600 Veterans Dr Sw, Tacoma, WA 98493-0003 | 2005-06-27 |
| 1770182453 | Karri Vierra | Social Worker | 9600 Veterans Dr Sw, Tacoma, WA 98493-0003 | 2020-10-22 |
| 1083223788 | Brianna Bryant | Social Worker | 9600 Veterans Dr Sw, Tacoma, WA 98493-0003 | 2020-07-28 |
| 1760007066 | Kristy Mildon | Social Worker | 9600 Veterans Dr Sw, Tacoma, WA 98493-0003 | 2020-06-11 |
| 1184245789 | Malcolm Reed | Occupational Therapist | 9600 Veterans Dr Sw, Tacoma, WA 98493-0003 | 2020-05-05 |
| 1396365060 | Jordan Cannon | Audiologist | 9600 Veterans Dr Sw, Tacoma, WA 98493-0003 | 2020-04-22 |
| 1831725258 | Ashley Brown | Student in an Organized Health Care Education/Training Program | 9600 Veterans Dr Sw, Tacoma, WA 98493-0003 | 2020-03-17 |
| 1942833645 | Ashley Kristine Satter | Occupational Therapist | 9600 Veterans Dr Sw, Tacoma, WA 98493-0003 | 2020-02-20 |
| 1912539081 | Shanna Jeane Rea | Recreation Therapist | 9600 Veterans Dr Sw, Tacoma, WA 98493-0003 | 2020-02-06 |
| 1104465251 | Tyler Ritsema | Specialist/Technologist | 9600 Veterans Dr Sw, Tacoma, WA 98493-0003 | 2020-01-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508389032 | Alina Pechko | Optometrist | 9600 Veterans Dr Sw Bldg 6, Tacoma, WA 98493 | 2017-07-17 |
| 1720372121 | Va Hospital American Lake | Rehabilitation Hospital | 9600 Veterans Dr., Lakewood, WA 98493 | 2011-06-02 |
| 1326290305 | Margaret Elizabeth Johnston-grysho | Social Worker | 9600 Veterans Dr Sw Bldg 148, Tacoma, WA 98493 | 2008-10-21 |
| 1811195126 | Jerry J Thomas | Psychiatry & Neurology | Va Puget Sound Health Care System, American Lake Divisi, 9600 Veterans Drive Southwest, Buidling 61, Tacoma, WA 98493 | 2007-07-08 |
| 1043372873 | Tomi Thompson Dominguez | Social Worker | 9600 Veteran's Drive Sw Bldg 61 Room 136, Puget Sound Va- American Lake Division, Tacoma, WA 98493 | 2006-12-15 |
| 1669555397 | Amor G Carethers | Registered Nurse | Va Puget Sound Anerican Lake Division, 9600 Veterans Drive, Lake Wood, WA 98493 | 2006-10-24 |
| 1295818144 | Kimha Thi Vu | Registered Nurse | 9600 Veteran Dr., Lakewood, WA 98493 | 2006-10-23 |
| 1952496226 | Cathy Ann Sorem | Registered Nurse | 9600 Veterans Drive A116-r, Bldg. 61a, Room 123, Tacoma, WA 98493 | 2006-10-04 |
| 1831285527 | Ann Christine Uppenberg-liedtke | Nurse Practitioner | Puget Sound Health Care Systems, American Lake, 9600 Veterans Drive, Tacoma, WA 98493 | 2006-10-04 |
| 1972695948 | Charlene Howard | Social Worker | 9600 Veteran Drive, Tacoma, WA 98493 | 2006-09-28 |
| Find all providers in zip 98493 | ||||
| Taxonomy Code | 1835P1200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacotherapy |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972608792 | Dwight Alden Wahlborg | Pharmacist | Pshcs 9600 Veteran S Dr, Attn; (119), Tacoma, WA 98493-0001 | 2006-09-14 |
| 1649261652 | Eugenia Marie Stansbury | Pharmacist | Allenmore Anticoagulation Clinic, 1901 S. Union Ave Suite A-201, Tacoma, WA 98405-1703 | 2005-10-31 |
| 1013903251 | Karolina Anna Kowalewska | Pharmacist | 1108 N 6th St, Tacoma, WA 98403-1615 | 2005-09-22 |
| 1770984817 | Shawna Marie Cordon | Pharmacist | Madigan Army Medical Ctr 9040 Jackson Ave, Tacoma, WA 98431-1100 | 2014-09-09 |
| 1710248232 | Leanna Jean Davis | Pharmacist | 1901 S Union Ave, Suite A203, Tacoma, WA 98405-1702 | 2012-05-31 |
| 1780899104 | Duane Ellis Coffler | Pharmacist | 315 Martin Luther King Jr Way, Tacoma, WA 98405-4234 | 2007-05-11 |
| 1356494611 | Cass Cameron Conitz | Pharmacist | 1717 S J St, Main Pharmacy, Tacoma, WA 98405-4933 | 2007-01-19 |
| 1295805653 | Jae Keun Kim | Pharmacist | 9040 Jackson Ave, Tacoma, WA 98431 | 2006-11-09 |
| 1447351572 | Louis Emil Wolfrom | Pharmacist | 9600 Veterans Dr Sw, Tacoma, WA 98493-0003 | 2006-09-25 |
| 1275549719 | Robert Anthony Kahns | Pharmacist | 9601 Steilacoom Blvd Sw, Bld 13, Tacoma, WA 98498-7213 | 2006-08-01 |
| Find all providers in TACOMA | ||||
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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.