THEODORE ERIK SIMMONS (NPI# 1811307648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811307648 |
| Entity Type | Individual |
| Full Name | THEODORE ERIK SIMMONS |
| Credential | PHARM.D. |
| Practice Address |
8495 Crater Lake Hwy White City OR 97503-3011 |
| Mailing Address |
2144 Sw Harbor Pl Portland OR 97201-8021 |
| Practice Telephone | 5418262111 |
| Mailing Telephone | 8052346420 |
| Enumeration Date | 2014-05-01 |
| Last Update Date | 2014-05-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
RPH-01326 | OR | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982155586 | Theodore Simmons IIi | Rehabilitation Practitioner | 6889 S Eastern Ave, Las Vegas, NV 89119-4687 | 2016-10-18 |
| Street Address |
8495 CRATER LAKE HWY |
| City | WHITE CITY |
| State | OR |
| Zip Code | 97503-3011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578568226 | David T. Quinn | Dentist | 8495 Crater Lake Hwy, Dental (160), White City, OR 97503-3011 | 2005-06-19 |
| 1003428244 | Adrian Anthony Garibay | Registered Nurse | 8495 Crater Lake Hwy, White City, OR 97503-3011 | 2020-08-19 |
| 1083237341 | Shawna Stucke | Social Worker | 8495 Crater Lake Hwy, White City, OR 97503-3011 | 2020-05-21 |
| 1073133872 | Danielle Knight | Dietitian, Registered | 8495 Crater Lake Hwy, White City, OR 97503-3011 | 2020-04-21 |
| 1144864448 | Michael E Greer II | Social Worker | 8495 Crater Lake Hwy, White City, OR 97503-3011 | 2019-10-30 |
| 1023666526 | Kiana M Saqr | Optometrist | 8495 Crater Lake Hwy, White City, OR 97503-3011 | 2019-08-28 |
| 1356901896 | Christina C Lowe | Dietitian, Registered | 8495 Crater Lake Hwy, White City, OR 97503-3011 | 2019-06-17 |
| 1336602572 | Cederick Jason Victor | Social Worker | 8495 Crater Lake Hwy, White City, OR 97503-3011 | 2019-04-12 |
| 1083174544 | Wanda Poteet | Nurse Practitioner | 8495 Crater Lake Hwy, White City, OR 97503-3011 | 2019-03-21 |
| 1467910836 | Latasha Miller | Psychologist | 8495 Crater Lake Hwy, White City, OR 97503-3011 | 2019-03-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952891053 | Miranda Wheeler | Counselor | 7524 Crater Lake Hwy, White City, OR 97503 | 2018-05-14 |
| 1932634599 | Annette Foster | Social Worker | 3905 Ave E, White City, OR 97503 | 2017-04-20 |
| 1881147791 | Christian Zal-herwitz | Psychologist | Va Southern Oregon Rehabilitation Center & Clinics, 8495 Crater Lake Hwy, White City, OR 97503 | 2016-07-27 |
| 1356627509 | Elise York | Massage Therapist | 8010 Brie Terrace, White City, OR 97503 | 2011-11-01 |
| 1679857551 | Emily E. Aldridge | Registered Nurse | Va Sorcc, 8495 Crater Lake Hwy, White City, OR 97503 | 2011-10-10 |
| 1538486519 | Matthew Ronald Becker | Physical Therapist | 8795 Crater Lake Ave, White City, OR 97503 | 2010-04-29 |
| 1003921453 | Rogue Rx Inc. | Pharmacy | 7591 A Crater Lake Hwy, Suite A, White City, OR 97503 | 2006-08-19 |
| 1962419259 | Marcus Mayfield | Nurse Practitioner | 8459 Crater Lake Highway, White City, OR 97503 | 2006-08-01 |
| 1831119825 | Steven E Brilliant | Internal Medicine | 8495 Crater Lake Highway, White City, OR 97503 | 2006-07-20 |
| 1417990177 | Carolyn Wecks Bartlett | Nurse Practitioner | 8594 Crater Lake Hwy, Southern Oregon Rehab Centers and Clinics, White City, OR 97503 | 2006-06-13 |
| Find all providers in zip 97503 | ||||
| Taxonomy Code | 1835P1200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacotherapy |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790790350 | Donald Lawrence Lockwood | Pharmacist | 8495 Crater Lake Hwy, White City, OR 97503-3011 | 2006-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730795212 | Ali Olyaei | Pharmacist | 13852 Amberwood Cir, Lake Oswego, OR 97035-6716 | 2020-09-19 |
| 1093341786 | James Slater | Pharmacist | 13344 Sw Havencrest St, Beaverton, OR 97005-0951 | 2020-03-13 |
| 1235621525 | Yvette Grando Holman | Pharmacist | 1311 Nw 21st Ave, Portland, OR 97209-1610 | 2018-06-01 |
| 1376812057 | Dan Colley | Pharmacist | 2995 Sw Vista Dr, Portland, OR 97225-4144 | 2011-12-23 |
| 1104078047 | Myrna Y. Munar | Pharmacist | 3303 Sw Bond Avenue, Ch12c, Osu / Ohsu College of Pharmacy, Portland, OR 97239-4501 | 2008-10-22 |
| 1518149913 | Steven Richard Martin | Pharmacist | 5417 Ne 138th Ave, Portland, OR 97230 | 2007-11-28 |
| 1255544631 | Kristina Lee Butler | Pharmacist | 4400 Ne Halsey St Ste 490, Portland, OR 97213-1545 | 2007-05-08 |
| 1528289998 | Dawn Chieko Fuke | Pharmacist | 4400 Ne Halsey St Fl 4, Portland, OR 97213-1545 | 2007-05-01 |
| 1003031485 | Robert Craig Adams | Pharmacist | 1220 Sw 3rd Ave Ste 476, Portland, OR 97204-2812 | 2007-04-13 |
| 1528107513 | Joel C Marrs | Pharmacist | 3303 Southwest Bond Ave., Campus Box, Ch12c, Portland, OR 97239-4501 | 2007-02-06 |
| Find all providers with the same taxonomy | ||||
| City | WHITE CITY |
| Zip Code | 97503 |
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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.