MS. DENISE JOANN JACKMAN (NPI# 1831280551) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1831280551 |
Entity Type | Individual |
Full Name | MS. DENISE JOANN JACKMAN |
Credential | RPH |
Practice Address |
1410 W 27th Ave Kennewick WA 99337-3701 |
Mailing Address |
2011 W 35th Ave Kennewick WA 99337-3720 |
Practice Telephone | 5095850846 |
Practice Fax Number | 5095850847 |
Mailing Telephone | 5095822753 |
Mailing Fax Number | 5095850847 |
Enumeration Date | 2006-09-27 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 183500000X | Pharmacist | PH00010508 | WA | Pharmacy Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | PHARMACY LICENSE | PH00010508 | 01 |
Street Address |
1410 W 27TH AVE |
City | KENNEWICK |
State | WA |
Zip Code | 99337-3701 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285668228 | Yokes Food Inc | Pharmacy | 1410 W 27th Ave, Kennewick, WA 99337-3701 | 2006-07-10 |
1427482660 | Ryan Thomas Bentley | Pharmacist | 1410 W 27th Ave, Kennewick, WA 99337-3701 | 2013-08-23 |
1427149111 | Paul Gray Parkin | Pharmacist | 1410 W 27th Ave, Kennewick, WA 99337-3701 | 2006-09-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982238044 | Sendy D Garibay-flores | Specialist/Technologist | 1609 South Garfield St, Kennewick, WA 99337 | 2020-02-27 |
1407386535 | Robin Roderick | Dental Hygienist | 2510 W. 35th Ave, Kennewick, WA 99337 | 2017-06-12 |
1134580897 | Pamela Taylor | Counselor | 241907 E State Route 397, Kennewick, WA 99337 | 2016-03-09 |
1093119232 | Angela Combs | Nurse Practitioner | 3801 Zintel Way, Suite 120, Kennewick, WA 99337 | 2014-10-17 |
1699103036 | Zachary Daniel Mcnair | Physician Assistant | 4008 W 27th Ave, Suite 103, Kennewick, WA 99337 | 2013-10-22 |
1326302647 | Yvonne Teresa Sands | Nurse Practitioner | 4008 W 27th Ave Ste 103, Kennewick, WA 99337 | 2012-07-02 |
1144403064 | Anja Rasmussen | Physical Therapist | 3101 S. Gum St, Kennewick, WA 99337 | 2007-12-13 |
1558585182 | Cynthia Renee Wright | Counselor | 3801 S Zintel Way Ste 120, Kennewick, WA 99337 | 2007-04-13 |
1477635159 | Steven R Zirker | Physician Assistant | 4008 W 27th Ave, Suite 103, Kennewick, WA 99337 | 2006-10-20 |
1770699886 | Jeanie Edwards | Specialist | 228705 Game Farm Rd, Kennewick, WA 99337 | 2006-08-22 |
Find all providers in zip 99337 |
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 |
---|---|---|---|---|
1790294494 | Julianne Nelson | Pharmacist | 2800 W Clearwater Ave Apt E303, Kennewick, WA 99336-2945 | 2017-09-25 |
1114474103 | Gangadar Gubba | Pharmacist | 2720 S Quillan Street, Wal-mart Pharmacy (store: 2101), Kennewick, WA 99337-9702 | 2016-09-07 |
1558606566 | Spencer James Crump | Pharmacist | 5902 W 26th Ave, Kennewick, WA 99338-1917 | 2012-12-02 |
1144583022 | Jeremy Kissell | Pharmacist | 8532 W 4th Pl, Kennewick, WA 99336-9436 | 2012-06-16 |
1528347549 | Van Tuong Le | Pharmacist | 8834 W Skagit Ave, Kennewick, WA 99336-8200 | 2011-08-08 |
1194018341 | Nancy Ruth Dunn | Pharmacist | 1901 N Steptoe St, Kennewick, WA 99336-7120 | 2011-05-20 |
1952602898 | Leslie Buchanan Markgraf | Pharmacist | West 2825 Kennewick Ave, Kennewick, WA 99336 | 2010-11-09 |
1134371602 | Marcia Leigh Deffenbaugh | Pharmacist | 101 N Ely St, Kennewick, WA 99336-2941 | 2008-10-16 |
1023281920 | Marguerite Ichlemedjian | Pharmacist | 1160 N Columbia Cntr Blvd, Kennewick, WA 99336 | 2008-04-11 |
1356561716 | Daniel Edward Slagle | Pharmacist | 1804 So Mayfield Street, Kennewick, WA 99337-4131 | 2007-04-26 |
Find all providers in KENNEWICK |
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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.