MIKE MALACHI (NPI# 1801315460) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801315460 |
| Entity Type | Individual |
| Full Name | MIKE MALACHI |
| Practice Address |
16300 Se Evelyn St Clackamas OR 97015-9515 |
| Mailing Address |
12800 Ne 4th St Apt Ll116 Vancouver WA 98684-7007 |
| Practice Telephone | 5036561461 |
| Mailing Telephone | 8082821477 |
| Enumeration Date | 2017-09-14 |
| Last Update Date | 2017-09-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RPH-0016191 | OR | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | RPH-0016191 | 05 |
| Street Address |
16300 SE EVELYN ST |
| City | CLACKAMAS |
| State | OR |
| Zip Code | 97015-9515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831371731 | Deanna Moretz | Pharmacist | 16300 Se Evelyn St, Clackamas, OR 97015-9515 | 2007-12-03 |
| 1437764867 | Christopher Ward | Pharmacy Technician | 16300 Se Evelyn St, Clackamas, OR 97015-9515 | 2020-09-11 |
| 1528679248 | Timothy Tzeo | Pharmacist | 16300 Se Evelyn St, Clackamas, OR 97015-9515 | 2020-08-14 |
| 1265917728 | Krista Mariah Newman | Pharmacist | 16300 Se Evelyn St, Clackamas, OR 97015-9515 | 2018-10-01 |
| 1215410071 | Leland Spencer Waddoups | Pharmacist | 16300 Se Evelyn St, Clackamas, OR 97015-9515 | 2018-09-07 |
| 1811498546 | Katherine Jane Rowland I | Pharmacist | 16300 Se Evelyn St, Clackamas, OR 97015-9515 | 2018-02-27 |
| 1053828046 | Sean Patel | Pharmacist | 16300 Se Evelyn St, Clackamas, OR 97015-9515 | 2017-12-29 |
| 1508384173 | Nini Tran | Pharmacist | 16300 Se Evelyn St, Clackamas, OR 97015 | 2017-09-05 |
| 1023535895 | Karyn Nafey | Pharmacist | 16300 Se Evelyn St, Clackamas, OR 97015-9515 | 2017-08-23 |
| 1346763794 | Vivian N. Ton | Pharmacist | 16300 Se Evelyn St, Clackamas, OR 97015-9515 | 2017-07-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184103517 | Laurel Perilli | Physical Therapist | 12550 Se 93rd Ave Ste 265, Clackamas, OR 97015 | 2018-08-07 |
| 1306324538 | Kristin Connor Messing | Physical Therapist | 4805 Ne Glisan St, Prov Hall 7e06, Portland, OR 97015 | 2018-07-31 |
| 1902317266 | Darcy Jones Hamrick | Counselor | 12901 Se 97th Ave., Suite 340, Clackamas, OR 97015 | 2017-10-13 |
| 1841723384 | Manon Lavoie | Chiropractor | 17105 Se Sunnyside Rd, Suite 148, Happy Valley, OR 97015 | 2017-04-11 |
| 1235670126 | Michael G Short | Pedorthist | 10117 Se Sunnyside Rd., Ste. H, Clackamas, OR 97015 | 2017-03-13 |
| 1487100756 | Michael Joseph Peizner | Pharmacist | 16300se Evelyn Street, Clackamas, OR 97015 | 2016-08-28 |
| 1316395619 | Jennifer Elaine Walkowski | Physical Therapist | 9100 Se Sunnyside Road, Clackamas, OR 97015 | 2016-05-26 |
| 1649635384 | Brookside Dental - Milwaukie, LLC | Dentist | 9225 Se Sunnyside Rd. Ste 1, Clackamas, OR 97015 | 2015-12-23 |
| 1801216130 | Robert D. Grew Dmd, Inc. | Dentist | 10163 Se Sunnyside Road, Suite 414, Clackamas, OR 97015 | 2014-04-25 |
| 1508205410 | Valerie P Tabalno | Massage Therapist | 15661 Se 82nd Dr, Clackamas, OR 97015 | 2013-06-25 |
| Find all providers in zip 97015 | ||||
| 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 |
|---|---|---|---|---|
| 1487196887 | Thanh D Lam | Pharmacist | 13208 Se Normandy Dr, Clackamas, OR 97015-6487 | 2016-11-16 |
| 1487100756 | Michael Joseph Peizner | Pharmacist | 16300se Evelyn Street, Clackamas, OR 97015 | 2016-08-28 |
| 1578990065 | Jared Anthony Isse | Pharmacist | 15812 Se 114th Ave, Clackamas, OR 97015-9034 | 2013-09-30 |
| 1497013056 | Chris Harris | Pharmacist | 16300 Se Evelyn St # T, Clackamas, OR 97015-9515 | 2012-05-01 |
| 1255617320 | Mai Hey | Pharmacist | 14800 Se Sunnyside Rd, Clackamas, OR 97015-6403 | 2011-11-02 |
| 1255507885 | Hershel Dean Schaftel | Pharmacist | 10220 Se Sunnyside Rd, Clackamas, OR 97015-8969 | 2008-05-04 |
| 1831371731 | Deanna Moretz | Pharmacist | 16300 Se Evelyn St, Clackamas, OR 97015-9515 | 2007-12-03 |
| 1386672731 | Hon-wah Wong | Pharmacist | 13838 Se Hampshire Ct, Clackamas, OR 97015 | 2006-06-28 |
| 1578179206 | Wei Zhang | Pharmacist | 9000 Se Sunnyside Rd, Clackamas, OR 97015-9758 | 2020-09-17 |
| 1528679248 | Timothy Tzeo | Pharmacist | 16300 Se Evelyn St, Clackamas, OR 97015-9515 | 2020-08-14 |
| Find all providers in CLACKAMAS | ||||
Please comment or provide details below to improve the information on MIKE MALACHI.
| 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.