DR. RACHAEL MARIE FANTZ (NPI# 1861493207) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861493207 |
| Entity Type | Individual |
| Full Name | DR. RACHAEL MARIE FANTZ |
| Credential | PHARMD |
| Practice Address |
9601 Steilacoom Blvd Sw Lakewood WA 98498-7213 |
| Mailing Address |
1315 Rainier Street Steilacoom WA 98388-2018 |
| Practice Telephone | 2537562521 |
| Practice Fax Number | 2537562707 |
| Mailing Telephone | 2532322242 |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1835P1300X |
Pharmacist Specialization: Psychiatric |
9406 | SC | Pharmacy Service Providers |
| Y | 1835P1300X |
Pharmacist Specialization: Psychiatric |
PH00040710 | WA | Pharmacy Service Providers |
| Street Address |
9601 STEILACOOM BLVD SW |
| City | LAKEWOOD |
| State | WA |
| Zip Code | 98498-7213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063022861 | Christina Hope Randle | Pharmacist | 9601 Steilacoom Blvd Sw, Lakewood, WA 98498-7212 | 2020-08-06 |
| 1538790746 | Duy Ho | Pharmacist | 9601 Steilacoom Blvd Sw, Lakewood, WA 98498-7212 | 2020-01-28 |
| 1386281699 | Sarah Phenisee | Pharmacist | 9601 Steilacoom Blvd Sw, Lakewood, WA 98498-7212 | 2019-12-05 |
| 1316588619 | Alimatou Moustapha | Nurse Practitioner | 9601 Steilacoom Blvd Sw, Lakewood, WA 98498-7212 | 2019-10-08 |
| 1295292043 | Armando Serna Heredia | Psychiatry & Neurology | 9601 Steilacoom Blvd Sw, Lakewood, WA 98498-7212 | 2019-02-28 |
| 1609344084 | Luke Austin Dzirbik | Pharmacist | 9601 Steilacoom Blvd Sw, Lakewood, WA 98498-7212 | 2018-11-05 |
| 1629570478 | Faye Turley | Psychologist | 9601 Steilacoom Blvd Sw, Lakewood, WA 98498-7212 | 2018-03-07 |
| 1316454317 | Larry G. Ostry | Dentist | 9601 Steilacoom Blvd Sw, Lakewood, WA 98498-7212 | 2017-12-29 |
| 1255871059 | Noor Daghistani | Pharmacist | 9601 Steilacoom Blvd Sw, Lakewood, WA 98498-7212 | 2017-02-28 |
| 1700337946 | Tiffany Koenigsaecker | Psychologist | 9601 Steilacoom Blvd Sw, Lakewood, WA 98498-7212 | 2016-10-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861045114 | James Ngigi Wachira | Social Worker | 7409 Coral Ln Sw, Lakewood, WA 98498 | 2019-07-16 |
| 1477111227 | Prana Briggs | Behavior Technician | 7902 Jade Drive Sw, Lakewood, WA 98498 | 2019-06-05 |
| 1528595212 | Palak Dweepkumar Shah | Physical Therapist | 10401 116th St Ct Sw, Apt K, Lakewood, WA 98498 | 2017-05-12 |
| 1821546946 | Epc General Contracting Services LLC | Home Health | 7423 Onyx Dr Sw, Lakewood, WA 98498 | 2016-09-18 |
| 1700212149 | Laverna Holwill Spain | Counselor | 8404 83rd Ave Sw Ste F, Lakewood, WA 98498 | 2013-09-17 |
| 1760787097 | Department of Social | Pharmacy | 9601 Stellacoom Blvd Sw, Tacoma, WA 98498 | 2011-01-18 |
| 1730321043 | James David Eshelman | Dentist | 8817-69th St. Ct. S.w., Lakewood, WA 98498 | 2009-04-01 |
| 1235393422 | Risa Leanne Salters | Social Worker | Western State Hospital 9601 Steilacoom Blvd. Sw, Lakewood, WA 98498 | 2008-07-16 |
| 1750596243 | Ruth Anne Hickey | Counselor | 12700 Gravelly Lake Dr Sw, Lakewood, WA 98498 | 2007-05-10 |
| 1982818803 | Linda J Leblanc | Nurse Practitioner | 10814 Deepwood Dr Sw, Lakewood, WA 98498 | 2007-05-09 |
| Find all providers in zip 98498 | ||||
| Taxonomy Code | 1835P1300X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Psychiatric |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing care of patients with psychiatric illness by assessing and monitoring patients, recognizing drug-induced problems, and recommending appropriate treatment plans. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified title, added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063022861 | Christina Hope Randle | Pharmacist | 9601 Steilacoom Blvd Sw, Lakewood, WA 98498-7212 | 2020-08-06 |
| 1609344084 | Luke Austin Dzirbik | Pharmacist | 9601 Steilacoom Blvd Sw, Lakewood, WA 98498-7212 | 2018-11-05 |
| 1255871059 | Noor Daghistani | Pharmacist | 9601 Steilacoom Blvd Sw, Lakewood, WA 98498-7212 | 2017-02-28 |
| 1427057850 | Cindy R. Frederick | Pharmacist | 9601 Steilacoom Blvd Sw, Western State Hospital, Lakewood, WA 98498-7213 | 2005-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114042728 | George Edward Key Jr. | Pharmacist | 28716 Ne Zeek Rd, Washougal, WA 98671-9266 | 2007-03-20 |
| 1417955048 | Brandy Singer | Pharmacist | 3502 South Mcdonald Road, Spokane Valley, WA 99206 | 2005-07-08 |
| 1225035728 | Frederick Steven Jestrab | Pharmacist | 9601 Steilacoom Blvd Sw, Western State Hospital- Mail Stop 13-100, Tacoma, WA 98498-7213 | 2005-06-30 |
| 1962957936 | Aubrie Duke | Pharmacist | 402 S 4th Ave, Yakima, WA 98902-3546 | 2016-08-19 |
| 1316303852 | Mohammad Shawish | Pharmacist | 14701 179th Ave Se, Monroe, WA 98272-1108 | 2016-01-14 |
| 1194109942 | Laura Powers | Pharmacist | 402 S 4th Ave, Yakima, WA 98902-3546 | 2015-07-10 |
| 1609259662 | Glen Chase | Pharmacist | 402 S 4th Ave, Yakima, WA 98902-3546 | 2015-07-08 |
| 1720408719 | Kyung Thompson | Pharmacist | 9601 Steilacoom Blvd Sw, Tacoma, WA 98498-7212 | 2014-04-17 |
| 1437407798 | Chelsea Jo Markle | Pharmacist | 325 9th Ave, Seattle, WA 98104-2420 | 2012-08-16 |
| 1497001481 | Rob Leland | Pharmacist | 6 E 1st Ave, Spokane, WA 99202-1503 | 2012-07-27 |
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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.