MR. STEPHEN EZRA ROBERTSON (NPI# 1831594902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831594902 |
| Entity Type | Individual |
| Full Name | MR. STEPHEN EZRA ROBERTSON |
| Credential | PHARM.D. |
| Practice Address |
2310 Longfibre Ave Union Gap WA 98903-1513 |
| Practice Telephone | 5094545249 |
| Practice Fax Number | 5094545246 |
| Mailing Telephone | 5094545249 |
| Mailing Fax Number | 5094545246 |
| Enumeration Date | 2014-10-30 |
| Last Update Date | 2015-01-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PH 60497079 | WA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659406809 | Stephen Andrew Robertson | Dentist | 3401 S Oneida Way, Denver, CO 80224-2847 | 2007-02-21 |
| 1700890480 | Stephen Wayne Robertson | Dentist | 1720 Destiny Ln, 1720 Destiny Lane, Bowling Green, KY 42104-1063 | 2006-07-28 |
| 1043519135 | Stephen W Robertson | Technician, Other | 115 Rockwood Ln, Hazard, KY 41701-9415 | 2011-03-15 |
| 1598736027 | Stephen J Robertson | Radiology | 5352 Linton Blvd, Delray Beach, FL 33484 | 2006-02-01 |
| Street Address |
2310 LONGFIBRE AVE |
| City | UNION GAP |
| State | WA |
| Zip Code | 98903-1513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144330788 | Costco Wholesale Corporation | Pharmacy | 2310 Longfibre Ave, Union Gap, WA 98903 | 2006-08-30 |
| 1205391745 | Jonathan Wayne Mcmullin | Optometrist | 2310 Longfibre Ave, Union Gap, WA 98903-1513 | 2019-02-08 |
| 1255725875 | Costco Wholesale Corporation | Hearing Aid Equipment | 2310 Longfibre Ave, Union Gap, WA 98903-1513 | 2015-03-20 |
| 1518358878 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 2310 Longfibre Ave, Union Gap, WA 98903-1513 | 2015-02-09 |
| 1063755676 | Ryan Coyle Od Ps | Optometrist | 2310 Longfibre Ave, Union Gap, WA 98903-1513 | 2013-04-02 |
| 1215294178 | Doug Ricks and Associates | Optometrist | 2310 Longfibre Ave, Union Gap, WA 98903-1513 | 2012-04-17 |
| 1578871265 | Douglas Robert Ricks | Optometrist | 2310 Longfibre Ave, Union Gap, WA 98903-1513 | 2010-09-16 |
| 1932344868 | Benjamin Christopher Winters | Optometrist | 2310 Longfibre Ave, Union Gap, WA 98903-1513 | 2008-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811504277 | Inland Northwest Renal Care Group, LLC | Clinic/Center | 2405 West Washinton Ave, Yakima, WA 98903 | 2020-09-29 |
| 1538704325 | Maria D. Valenzuela | Technician | 3908 1st St, Union Gap, WA 98903 | 2019-11-15 |
| 1730667668 | Patty Nygaard | Counselor | 4109 Holiday Ave, Union Gap, WA 98903 | 2018-08-02 |
| 1760994842 | Sonia Perez | Registered Nurse | 2000 S. 18th St., Union Gap, WA 98903 | 2017-10-30 |
| 1437502820 | Ismerai Benitez | Counselor | 918 E. Mead Ave., Yakima, WA 98903 | 2016-07-20 |
| 1568857845 | Rebecca Marie Berghoff | Registered Nurse | 55 West Washington Avenue, Unit #54, Yakima, WA 98903 | 2015-04-02 |
| 1811249519 | Steven G Schiewe | Pharmacist | 2310 Longfibre Rd, Union Gap, WA 98903 | 2012-10-05 |
| 1891070850 | Rick Kenneth Melcher | Pharmacist | 2310 Longfibre Road, Union Gap, WA 98903 | 2011-10-20 |
| 1386882678 | Emily Mcphee | Counselor | 910 E Mead Ave, Yakima, WA 98903 | 2009-01-26 |
| 1427185826 | Ronald Spencer Senn | Dentist | 2100 14th St, Union Gap, WA 98903 | 2007-02-27 |
| Find all providers in zip 98903 | ||||
| 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 |
|---|---|---|---|---|
| 1811249519 | Steven G Schiewe | Pharmacist | 2310 Longfibre Rd, Union Gap, WA 98903 | 2012-10-05 |
| 1891070850 | Rick Kenneth Melcher | Pharmacist | 2310 Longfibre Road, Union Gap, WA 98903 | 2011-10-20 |
| 1245520477 | Chun T Lai | Pharmacist | 2519 Main St, Union Gap, WA 98903-1605 | 2011-04-08 |
| 1245894302 | Justin Sang Seo | Pharmacist | 2519 Main St, Union Gap, WA 98903-1605 | 2019-04-24 |
| 1083138069 | John Erik Richardson I | Pharmacist | 2519 Main St, Union Gap, WA 98903-1605 | 2017-08-01 |
| 1780110361 | Micah Miller | Pharmacist | 2519 Main St, Union Gap, WA 98903-1605 | 2017-05-03 |
| 1598166191 | Donald Hoskisson | Pharmacist | 2519 Main St, Union Gap, WA 98903-1605 | 2014-09-15 |
| 1790059558 | Lloyd D Smith | Pharmacist | 2530 Rudkin Rd, Union Gap, WA 98903-1632 | 2012-02-25 |
| 1871867796 | Philip Andrew Johnston | Pharmacist | 2530 Rudkin Rd, Union Gap, WA 98903-1632 | 2012-02-24 |
| 1891068144 | Deborah Ann Parries | Pharmacist | 2530 Rudkin Rd, Union Gap, WA 98903-1632 | 2012-02-16 |
| Find all providers in UNION GAP | ||||
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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.