PENINSULA COMMUNITY HEALTH SERVICESS (NPI# 1679665483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1679665483 |
Entity Type | Organization |
Organization Name | PENINSULA COMMUNITY HEALTH SERVICESS |
Practice Address |
320 S Kitsap Blvd Port Orchard WA 98366 |
Mailing Address |
Po Box 960 Bremerton WA 98337-0212 |
Practice Telephone | 3608767215 |
Mailing Telephone | 3604782366 |
Enumeration Date | 2006-09-29 |
Last Update Date | 2020-08-22 |
Authorized Official Name | BARBARA P MALICH (CEO) |
Authorized Official Telephone | 3604782366 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
CF00058729 | WA | Suppliers |
Street Address |
320 S KITSAP BLVD |
City | PORT ORCHARD |
State | WA |
Zip Code | 98366 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982695128 | Regina B Bonnevie-rogers | Internal Medicine | 320 S Kitsap Blvd, Port Orchard, WA 98366-3778 | 2005-11-04 |
1053950832 | Peninsula Community Health Services | Nurse Practitioner | 320 S Kitsap Blvd, Port Orchard, WA 98366-3778 | 2019-12-27 |
1669981510 | Doddie A Lagervall | Counselor | 320 S Kitsap Blvd, Port Orchard, WA 98366-3778 | 2017-09-22 |
1942660592 | Holly Wolfe | Dietitian, Registered | 320 S Kitsap Blvd, Port Orchard, WA 98366-3778 | 2016-02-24 |
1881050029 | Margaret Lowe | Nurse Practitioner | 320 S Kitsap Blvd, Port Orchard, WA 98366-3778 | 2016-01-04 |
1427303171 | Deborah Christine Olin | Counselor | 320 S Kitsap Blvd, Port Orchard, WA 98366-3778 | 2012-07-18 |
1346504735 | Colleen C Williams | Nurse Practitioner | 320 S Kitsap Blvd, Port Orchard, WA 98366-3778 | 2012-06-29 |
1881850998 | Michelle Jahn | Counselor | 320 S Kitsap Blvd, Port Orchard, WA 98366-3778 | 2008-07-29 |
1386749281 | Clement Phuong Nguyen Le Thanh | Pediatrics | 320 S Kitsap Blvd, Port Orchard, WA 98366 | 2006-09-14 |
1225143670 | Ann Bridges Bruce | Psychiatry & Neurology | 320 S Kitsap Blvd, Port Orchard, WA 98366-3778 | 2006-08-19 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003423302 | Teresa M Derouin | Speech-Language Pathologist | Harbor Speech Pathology, 463 Tremont St W Suite 110, Port Orchard, WA 98366 | 2020-09-30 |
1316591217 | Martin Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 8079 E Main Street, Suite 101, Port Orchard, WA 98366 | 2019-07-29 |
1952822660 | Kristian Thomas Workman Haskins | Hearing Instrument Specialist | 1328 Colchester Drive S.e., Port Orchard, WA 98366 | 2017-07-03 |
1013466929 | Jenna Olafson | Counselor | 414 Front St. N, Issaquah, WA 98366 | 2016-10-04 |
1063884534 | Laurine Burrer | Licensed Practical Nurse | 2874 Se Lund Ave, Port Orchard, WA 98366 | 2015-10-23 |
1346640836 | Karen Diane Thompson | Pharmacy Technician | 1800 Sidney Ave, Apt 1-201, Port Orchard, WA 98366 | 2014-09-03 |
1588912042 | Celeste Kyle Interrante | Physical Therapy Assistant | 2051 Pottery Ave., Port Orchard, WA 98366 | 2012-08-15 |
1013227339 | Christine Davis | Massage Therapist | 1800 Se Mile Hill Drive, Suite 150, Port Orchard, WA 98366 | 2010-10-20 |
1932421724 | Mary Jo Stump | Physical Therapy Assistant | 2051 Pottery Avenue, Port Orchard, WA 98366 | 2010-02-19 |
1669707626 | Shannon Mary Baurichter | Speech-Language Pathologist | 1230 Bay St, Port Orchard, WA 98366 | 2009-10-08 |
Find all providers in zip 98366 |
Taxonomy Code | 3336C0003X |
Grouping | Suppliers |
Classification | Pharmacy |
Specialization | Community/Retail Pharmacy |
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700493533 | Doctors Pharmacy, LLC | Pharmacy | 65 Columbia Point Dr, Richland, WA 99352-4375 | 2020-09-25 |
1871105999 | Whidbey Island Public Hospital District | Pharmacy | 7 Ne Birch St, Coupeville, WA 98239-3132 | 2020-08-19 |
1710504550 | Kayshuv Enterprises | Pharmacy | 7505 Sandifur Pkwy, Suite 102, Pasco, WA 99301 | 2020-06-27 |
1811511454 | Kaiser Foundation Health Plan of Washington | Pharmacy | 189 Telegraph Rd, Bellingham, WA 98226-8079 | 2020-05-29 |
1548883630 | Capsule Seattle LLC | Pharmacy | 2033 6th Ave Ste 120, Seattle, WA 98121-2526 | 2020-05-22 |
1063048197 | Peninsula Pharmacies Inc Long Beach Pharmacy Annex | Pharmacy | 110 Oregon Ave S, Long Beach, WA 98631 | 2020-03-20 |
1174155345 | Kaiser Foundation Health Plan of Washington | Pharmacy | 2335 172nd Street Ne, Marysville, WA 98271 | 2020-02-06 |
1245861996 | Salish Integrative Medicine, Inc | Pharmacy | 3700 Pacific Hwy E Ste 100b, Fife, WA 98424-1160 | 2020-01-31 |
1700417854 | Prosser Southgate Pharmacy Inc | Pharmacy | 207 Canyon Drive, Prosser, WA 99350-1009 | 2020-01-28 |
1700423639 | Venkateswara LLC | Pharmacy | 515 Minor Ave Ste 120, Seattle, WA 98104-2138 | 2019-12-10 |
Find all providers with the same taxonomy |
City | PORT ORCHARD |
Zip Code | 98366 |
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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.