VANAJA REDDY MANDA (NPI# 1780958934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780958934 |
| Entity Type | Individual |
| Full Name | VANAJA REDDY MANDA |
| Credential | BS |
| Practice Address |
2828 Chad Dr Eugene OR 97408-7336 |
| Mailing Address |
3384 Bailey Ln Eugene OR 97401-7055 |
| Practice Telephone | 5413425701 |
| Practice Fax Number | 5412852016 |
| Mailing Telephone | 5416862181 |
| Enumeration Date | 2012-03-06 |
| Last Update Date | 2012-03-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RPH0009179 | OR | Pharmacy Service Providers |
| Street Address |
2828 CHAD DR |
| City | EUGENE |
| State | OR |
| Zip Code | 97408-7336 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679683205 | Costco Wholesale Corporation | Pharmacy | 2828 Chad Dr, Eugene, OR 97408 | 2006-08-30 |
| 1083155584 | Adam Karmally | Pharmacist | 2828 Chad Dr, Eugene, OR 97408-7336 | 2017-03-16 |
| 1891145900 | Kelsey Bertrie Evans | Optometrist | 2828 Chad Dr, Eugene, OR 97408-7336 | 2016-06-20 |
| 1033502083 | Costco Wholesale Corporation | Hearing Aid Equipment | 2828 Chad Dr, Eugene, OR 97408-7336 | 2015-03-16 |
| 1427448067 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 2828 Chad Dr, Eugene, OR 97408-7336 | 2015-02-04 |
| 1114359338 | David Thanh Nguyen | Pharmacist | 2828 Chad Dr, Eugene, OR 97408-7336 | 2013-07-31 |
| 1073864310 | Matthew Aaron Brazer | Pharmacist | 2828 Chad Dr, Eugene, OR 97408-7336 | 2012-09-26 |
| 1336414051 | Thomas W Alexander | Pharmacist | 2828 Chad Dr, Eugene, OR 97408-7336 | 2012-03-13 |
| 1740555770 | Jennifer Rebecca Gray | Pharmacist | 2828 Chad Dr, Eugene, OR 97408-7336 | 2012-03-08 |
| 1114291143 | Marilyn France | Pharmacist | 2828 Chad Dr, Eugene, OR 97408-7336 | 2012-03-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619575008 | Janna Marie Check | Physician Assistant | 3555 Chad Drive, Eugene, OR 97408 | 2020-10-16 |
| 1376181982 | Quentin Rowan | Counselor | 91150 Industrial Way, Coburg, OR 97408 | 2019-12-13 |
| 1659918621 | Nicholas Andrew Sparks | Counselor | 91150coburg Industrial Way, Coburg, OR 97408 | 2019-12-09 |
| 1629619267 | Suzan Marie Farr | Counselor | 91150 Coburg Industrial Lane, Coburg, OR 97408 | 2019-10-04 |
| 1629538608 | Shawn Michael Feddersen | Hearing Instrument Specialist | 1020 Green Acres Rd #8, Eugene, OR 97408 | 2019-03-25 |
| 1427513241 | Margaret Elizabeth Desroches | Registered Nurse | Delta Oaks Community Health Center, 1022 Green Acres Rd., Eugene, OR 97408 | 2019-02-06 |
| 1295218527 | Stephen Duane Sawyer | Counselor | 91150 N Coburg Industrial Way, Coburg, OR 97408 | 2018-09-12 |
| 1003339466 | Carly M. Peterschmidt, Dmd, LLC | Clinic/Center | 622 E 22nd Avenue, Suite A, Eugene, OR 97408 | 2017-07-18 |
| 1821549536 | Eugene Urgent Care | Clinic/Center | 1800 Coburg Rd., Eugene, OR 97408 | 2016-10-18 |
| 1851752232 | Nicole Marie Westbrook | Chiropractor | 90971 S Willamette St, Coburg, OR 97408 | 2016-03-14 |
| Find all providers in zip 97408 | ||||
| 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 |
|---|---|---|---|---|
| 1326551169 | Chanelle Ajimura | Pharmacist | 2919 Kipling Way, Eugene, OR 97408-7458 | 2017-11-15 |
| 1982156162 | Heather Frey | Pharmacist | 311 Coburg Road, Eugene, OR 97401 | 2016-11-04 |
| 1790155927 | Kathleen Malekzadeh | Pharmacist | 1950 Buck St, Eugene, OR 97405-1311 | 2015-09-30 |
| 1598161960 | Gregg Wendland | Pharmacist | 1590 E, 13th Ave., Eugene, OR 97403 | 2014-11-13 |
| 1255765780 | Natalie Lynn Gillespie | Pharmacist | 1580 Valley River Dr Ste 120, Eugene, OR 97401-2179 | 2013-09-03 |
| 1386996460 | Pamela Susan Floyd | Pharmacist | 28046 Crossley Ln, Eugene, OR 97402-9431 | 2012-10-12 |
| 1922355833 | David L Fairbanks | Pharmacist | 2860 Baker Blvd, Eugene, OR 97403-1628 | 2012-08-09 |
| 1346504222 | Kiranjit Kaur Maroke | Pharmacist | 57 W 29th Ave, Eugene, OR 97405-3242 | 2012-06-26 |
| 1851650741 | Gerard P Glasso | Pharmacist | 881 Throne Dr, Eugene, OR 97402-1411 | 2012-05-11 |
| 1902172448 | Vestalee Shrader | Pharmacist | 1188 Van Buren St, Eugene, OR 97402-4734 | 2012-03-29 |
| Find all providers in EUGENE | ||||
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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.