WENDY KOGA (NPI# 1821438557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1821438557 |
Entity Type | Individual |
Full Name | WENDY KOGA |
Credential | PHARM.D |
Practice Address |
11565 Sw Pacific Hwy Tigard OR 97223-8845 |
Practice Telephone | 5032937085 |
Practice Fax Number | 5032937078 |
Mailing Telephone | 5032937085 |
Mailing Fax Number | 5032937078 |
Enumeration Date | 2013-06-26 |
Last Update Date | 2017-04-25 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 183500000X | Pharmacist | 3053 | HI | Pharmacy Service Providers |
Y | 183500000X | Pharmacist | 11962 | OR | Pharmacy Service Providers |
N | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
11962 | OR | Pharmacy Service Providers |
Street Address |
11565 SW PACIFIC HWY |
City | TIGARD |
State | OR |
Zip Code | 97223-8845 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063458925 | Fred Meyer Stores Inc | Pharmacy | 11565 Sw Pacific Hwy, Tigard, OR 97223-8845 | 2006-06-21 |
1083081905 | Fred Meyer | Clinic/Center | 11565 Sw Pacific Hwy, Tigard, OR 97223-8845 | 2015-08-26 |
1881030922 | Stewart James Monsey Jr. | Pharmacist | 11565 Sw Pacific Hwy, Tigard, OR 97223-8845 | 2013-05-16 |
1457691727 | Christian Yee | Pharmacist | 11565 Sw Pacific Hwy, Tigard, OR 97223-8845 | 2013-02-25 |
1629084496 | Jenell Lyn Henson | Pharmacist | 11565 Sw Pacific Hwy, Tigard, OR 97223-8845 | 2006-07-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760042618 | Tess Ivie Manso | Counselor | 8915 Degrees Center St, Tigard, OR 97223 | 2019-06-13 |
1780141804 | Amybrunermd LLC | Obstetrics & Gynecology | 6958 Sw Varns Street, Portland, OR 97223 | 2019-02-25 |
1417425034 | Patience Marie Rutto | Counselor | 8915 Sw Center Streret, Tigard, OR 97223 | 2018-11-13 |
1871089581 | Marina E Menegol | Behavioral Analyst | Center for Social Dynamics, 9115 Southwest Oleson Rd. Ste. 100, Portland, OR 97223 | 2018-07-05 |
1215423165 | Katherine Virginia Eichner | Psychologist | 9860 Sw Hall Blvd Ste B, Tigard, OR 97223 | 2018-07-03 |
1043717390 | Rayna Donnelly | Physician Assistant | 9735 Sw Shady Ln Ste 102, Tigard, OR 97223 | 2018-04-11 |
1376059725 | Kaylie Marilyn Reyes | Behavioral Analyst | 9115 Sw Oleson Road, Portland, OR 97223 | 2017-12-21 |
1841704004 | Kathleen Terrell Taylor | Occupational Therapist | 7320 Sw Hunziker, Suite 203, Tigard, OR 97223 | 2017-11-27 |
1487163036 | Susie Riess | Counselor | 10763 Sw Greenburg Road, Suite 100, Tigard, OR 97223 | 2017-09-27 |
1043731243 | Tam Nguyen | Optometrist | 8795 Sw Scholls Ferry Rd Ste 100, Tigard, OR 97223 | 2017-06-28 |
Find all providers in zip 97223 |
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 |
---|---|---|---|---|
1104370246 | Brittany Cummiskey | Pharmacist | 16200 Sw Pacific Hwy, #e, Tigard, OR 97224-4053 | 2016-08-05 |
1841660461 | Ekdara Sin | Pharmacist | 11863 Sw Greenburg Rd Apt 5, Tigard, OR 97223-6493 | 2015-09-26 |
1154730489 | Amanda Michelle Cramer | Pharmacist | 14731 Sw 109th Ave Apt 4, Tigard, OR 97224-3208 | 2014-08-12 |
1801142013 | Lynne G. Curtis | Pharmacist | 13500 Sw Pacific Hwy Ste 70, Tigard, OR 97223-4803 | 2012-07-25 |
1922371624 | Douglas Wayne Sauvageau | Pharmacist | 13500 Sw Pacific Hwy, 70, Tigard, OR 97223-4804 | 2012-02-12 |
1093087082 | Florence Anne Waldal | Pharmacist | 12959 Sw Morningstar Dr, Tigard, OR 97223-1770 | 2012-02-06 |
1306129499 | Kwok S Lee | Pharmacist | 7850 Sw Dartmouth St, Tigard, OR 97223-8401 | 2011-09-24 |
1316235633 | Elizabeth M Waiguchu Jackson | Pharmacist | 13010 Sw 68th Pkwy Ste 140, Tigard, OR 97223-9621 | 2011-07-20 |
1851684799 | Richard James Rose | Pharmacist | 7645 Sw Bond St, Tigard, OR 97224-7955 | 2011-05-25 |
1245522580 | Daniel Hutanu | Pharmacist | 12080 Sw Main St, Tigard, OR 97223-6218 | 2011-05-04 |
Find all providers in TIGARD |
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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.