ROBERT MOTE (NPI# 1639532880) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639532880 |
| Entity Type | Individual |
| Full Name | ROBERT MOTE |
| Practice Address |
20120 Pinebrook Blvd Bend OR 97702-2537 |
| Practice Telephone | 5413895440 |
| Mailing Telephone | 5413895440 |
| Enumeration Date | 2016-04-04 |
| Last Update Date | 2016-04-04 |
| 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 |
0004550 | OR | Pharmacy Service Providers |
| Street Address |
20120 PINEBROOK BLVD |
| City | BEND |
| State | OR |
| Zip Code | 97702-2537 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457398315 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 20120 Pinebrook Blvd, Bend, OR 97702-2537 | 2006-06-01 |
| 1508383381 | Goulding Eyecare LLC | Optometrist | 20120 Pinebrook Blvd, Bend, OR 97702-2537 | 2017-08-23 |
| 1265893937 | Susie Ann Jones | Pharmacist | 20120 Pinebrook Blvd, Bend, OR 97702 | 2016-03-09 |
| 1386003622 | Susie Nosler | Pharmacist | 20120 Pinebrook Blvd, Bend, OR 97702-2537 | 2016-02-15 |
| 1912306481 | Donald Byrne | Pharmacist | 20120 Pinebrook Blvd, Bend, OR 97702-2537 | 2014-08-20 |
| 1073920955 | Tedd Marceau | Pharmacist | 20120 Pinebrook Blvd, Bend, OR 97702-2537 | 2014-07-12 |
| 1053749937 | Eyes In Motion | Optometrist | 20120 Pinebrook Blvd, Bend, OR 97702 | 2013-10-31 |
| 1639411937 | Wal-mart Stores, Inc. | Durable Medical Equipment & Medical Supplies | 20120 Pinebrook Blvd, Bend, OR 97702-2537 | 2013-03-25 |
| 1518268234 | Keith Daugherty | Pharmacist | 20120 Pinebrook Blvd, Bend, OR 97702-2537 | 2010-11-11 |
| 1235210691 | Wal-mart Stores, Inc. | Technician/Technologist | 20120 Pinebrook Blvd, Bend, OR 97702-2537 | 2006-10-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629676259 | Amy Michelle Anderson | Counselor | 233 Sw Wilson Ave, Ste 201, Bend, OR 97702 | 2020-10-15 |
| 1386259463 | Jacob Rehder | Counselor | 19717 Mt Batchelor Dr, #226, Bend, OR 97702 | 2020-09-15 |
| 1497385215 | Capacity Performance Therapy | Physical Medicine & Rehabilitation | 61125 Lodgepole Dr., Bend, OR 97702 | 2020-01-21 |
| 1962041707 | Shift Bend Functional Medicine | Family Medicine | 151 Sw Shevlin Hicks Dr, Suite #1, Bend, OR 97702 | 2019-12-26 |
| 1609435049 | Praxis Medical Group Inc | Orthopaedic Surgery | 1140 Sw Simpson Avenue, Suite 100, Bend, OR 97702 | 2019-06-10 |
| 1013485754 | Elana Leah Pesah | Social Worker | 138 Maaglei Harim Levin, Jerusalem, ISRAEL 97702 | 2018-11-12 |
| 1104303239 | Kyleigh Mcvey | Massage Therapist | 999 Sw Disk Dr, Bend, OR 97702 | 2018-07-21 |
| 1477042869 | Siloe Castaneda Huerta | Counselor | 1340 Nw Wall, Bend, Or, Bend, OR 97702 | 2018-05-02 |
| 1164910808 | Rebecca M Joyce | Social Worker | 1011 Sw Emkay Dr. Suite 101, Bend, OR 97702 | 2018-04-27 |
| 1093217978 | Jennifer Bury | Acupuncturist | 296 Sw Columbia St Ste D1, Bend, OR 97702 | 2018-03-06 |
| Find all providers in zip 97702 | ||||
| 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 |
|---|---|---|---|---|
| 1902164296 | Robin H Fuerst | Pharmacist | 62653 Hawkview Rd, Bend, OR 97701-9597 | 2012-04-24 |
| 1043783269 | Cody Weidenhaft | Pharmacist | 2500 Ne Neff Rd, Bend, OR 97701-6015 | 2019-01-10 |
| 1811430135 | Alex T. Winn | Pharmacist | 2500 Ne Neff Rd, Bend, OR 97701-6015 | 2016-11-18 |
| 1942653951 | Sally Michelle Booster | Pharmacist | 2500 Ne Neff Rd, Bend, OR 97701-6015 | 2016-07-14 |
| 1851769160 | Kelsie Flynn Bostwick | Pharmacist | 2600 Ne Neff Rd, Bend, OR 97701-6337 | 2015-09-03 |
| 1225388473 | Nathan James Bryant | Pharmacist | 351 Ne 2nd St, Bend, OR 97701-5175 | 2012-09-14 |
| 1407095557 | Kyle A. Mills | Pharmacist | 2965 Ne Conners Ave, Suite 280, Bend, OR 97701-7753 | 2009-02-12 |
| 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 | ||||
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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.