KEVIN LEIGH BORDE (NPI# 1669757613) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669757613 |
| Entity Type | Individual |
| Full Name | KEVIN LEIGH BORDE |
| Credential | RPH |
| Practice Address |
110 E 3rd St Port Angeles WA 98362-3010 |
| Practice Telephone | 3604570599 |
| Practice Fax Number | 3604521753 |
| Enumeration Date | 2011-10-20 |
| Last Update Date | 2011-10-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PH00011101 | WA | Pharmacy Service Providers |
| Street Address |
110 E 3RD ST |
| City | PORT ANGELES |
| State | WA |
| Zip Code | 98362-3010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568088326 | Ailish O'sullivan | Pharmacist | 110 E 3rd St, Port Angeles, WA 98362-3017 | 2020-06-17 |
| 1992326797 | Peter Tran | Pharmacist | 110 E 3rd St, Port Angeles, WA 98362-3010 | 2020-05-03 |
| 1669969366 | Morsy El Samaluty | Pharmacist | 110 E 3rd St, Port Angeles, WA 98362-3010 | 2018-04-18 |
| 1750684916 | Michael B Danley | Pharmacist | 110 E 3rd St, Port Angeles, WA 98362-3010 | 2010-12-09 |
| 1073559670 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 110 E 3rd St, Port Angeles, WA 98362-3010 | 2006-06-21 |
| 1366413080 | Sharen Numa | Pharmacist | 110 E 3rd St, Port Angeles, WA 98362-3010 | 2006-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831735778 | Jayme Marie Williams | Technician | 518 S. Liberty St., Port Angeles, WA 98362 | 2019-11-26 |
| 1780229559 | Barbara Amsler Nutrition, Pllc | Dietitian, Registered | 320 E. 5th St., Port Angeles, WA 98362 | 2019-11-15 |
| 1902315005 | Barbara Amsler | Nutritionist | 116 S. Ennis St, Port Angeles, WA 98362 | 2017-09-21 |
| 1134659667 | Janet Li Hanson | Registered Nurse | 532 South Alder Lane, Port Angeles, WA 98362 | 2017-06-18 |
| 1790220192 | Monica Kay Henry | Massage Therapist | 102 1/2 East 1st Street Suite #7, Port Angeles, WA 98362 | 2016-12-21 |
| 1124491725 | Gabrielle Carter | Naturopath | 1126 Columbia St, Port Angeles, WA 98362 | 2015-11-04 |
| 1912301185 | Danya Lyn Davis | Massage Therapist | 106 W. Lauridsen Blvd., Port Angeles, WA 98362 | 2014-10-17 |
| 1528470861 | Richard Dean Thorson | Orthopaedic Surgery | 719 S. Laurel St, Olympic Chiropractic, Port Angels, WA 98362 | 2014-05-21 |
| 1780001743 | Dr Adam Cramer Pllc | Clinic/Center | 104 W. 3rd St, Port Angeles, WA 98362 | 2014-03-27 |
| 1588089189 | Melanie Mccaughan | Counselor | 933 E First St, Port Angeles, WA 98362 | 2014-02-19 |
| Find all providers in zip 98362 | ||||
| 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 |
|---|---|---|---|---|
| 1063825016 | Adam Raemer | Pharmacist | 32 View Ridge Dr, Port Angeles, WA 98362-9578 | 2014-06-07 |
| 1740543610 | Timothy Crowley | Pharmacist | 114 E Lauridsen Blvd, Port Angeles, WA 98362-7851 | 2012-06-16 |
| 1700177318 | Kenneth Li | Pharmacist | 1940 E 1st St Ste 110, Port Angeles, WA 98362-4990 | 2011-04-29 |
| 1366747404 | So Ah Yeung | Pharmacist | 932 E. Front St., Port Angeles, WA 98362-3115 | 2011-01-21 |
| 1093995581 | Diane Lori Charron | Pharmacist | 621 S Lincoln St, Port Angeles, WA 98362-6111 | 2007-11-13 |
| 1194713792 | Jeanine M Bradley | Pharmacist | 345 Monterra Dr, Port Angeles, WA 98362-9574 | 2005-10-09 |
| 1871104935 | Alina Ryshardovna Yanovich | Pharmacist | 621 S Lincoln St, Port Angeles, WA 98362-6111 | 2020-08-12 |
| 1568088326 | Ailish O'sullivan | Pharmacist | 110 E 3rd St, Port Angeles, WA 98362-3017 | 2020-06-17 |
| 1992326797 | Peter Tran | Pharmacist | 110 E 3rd St, Port Angeles, WA 98362-3010 | 2020-05-03 |
| 1336773142 | Jennifer Wang | Pharmacist | 3411 E Kolonels Way, Port Angeles, WA 98362-9089 | 2020-03-02 |
| Find all providers in PORT ANGELES | ||||
| City | PORT ANGELES |
| Zip Code | 98362 |
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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.