DR. TIMOTHY M MAYNARD (NPI# 1861754889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861754889 |
| Entity Type | Individual |
| Full Name | DR. TIMOTHY M MAYNARD |
| Credential | PHARMD |
| Practice Address |
705 Trosper Rd Sw Tumwater WA 98512-6933 |
| Practice Telephone | 3607053679 |
| Practice Fax Number | 3607050937 |
| Mailing Telephone | 3607053679 |
| Mailing Fax Number | 3607050937 |
| Enumeration Date | 2012-06-14 |
| Last Update Date | 2012-06-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PH00070093 | WA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215326400 | Timothy Maynard | Physician Assistant | 3100 E Fletcher Ave, Tampa, FL 33613-4613 | 2015-01-12 |
| 1942618657 | Timothy Maynard | Nurse Practitioner | 402 C Street, Ceredo, WV 25507 | 2014-07-25 |
| 1649215518 | Timothy Maynard | Nurse Anesthetist, Certified Registered | 3510 N Causeway Blvd, Metairie, LA 70002-3531 | 2006-06-17 |
| 1396706388 | Timothy D. Maynard | Family Medicine | 1507 W Main St, Gatesville, TX 76528-1024 | 2006-03-29 |
| Street Address |
705 TROSPER RD SW |
| City | TUMWATER |
| State | WA |
| Zip Code | 98512-6933 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942256458 | Albertsons LLC | Durable Medical Equipment & Medical Supplies | 705 Trosper Rd Sw, Tumwater, WA 98512-6933 | 2006-05-26 |
| 1578114088 | Kellie Hopp | Pharmacist | 705 Trosper Rd Sw, Tumwater, WA 98512-6933 | 2019-09-25 |
| 1447514054 | Susan Kay Mahoney | Pharmacist | 705 Trosper Rd Sw, Tumwater, WA 98512 | 2012-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578161402 | Yavonnie Leslie Griggs | Peer Specialist | 3285 Ferguson Ln Sw, Tumwater, Wa 98512, Tumwater, WA 98512 | 2020-10-13 |
| 1205465622 | Falina Marie Luce | Counselor | 3285 Ferguson St, Olympia, WA 98512 | 2020-04-07 |
| 1881234912 | Andres Enrique Velazquez | Counselor | 3285 Ferguson St Sw Wa 98512, Tumwater, WA 98512 | 2020-01-07 |
| 1700432507 | Maria E Zavala Negrete | Behavior Technician | 3285 Ferguson Street Southwest, Tumwater, WA 98512 | 2019-08-16 |
| 1669026951 | Bradley Allen Labrador | Social Worker | 3285 Ferguson St, Sw, Tumwater, WA 98512 | 2019-07-25 |
| 1033762893 | Janice Lapreal Swanzey | Licensed Practical Nurse | 3285 Ferguson Lane St Sw, Olympia, WA 98512 | 2019-07-22 |
| 1821569195 | Linda Marie Moffitt | Registered Nurse | 7741 Littlerock Rd. Sw, Tumwater, WA 98512 | 2018-12-16 |
| 1427534577 | Matthew Hart | Occupational Therapist | 2620 Rw Johnson Boulevard Southwest Suite 112, Tumwater, WA 98512 | 2018-07-12 |
| 1558858019 | Amy Louise Cline | Counselor | 6005 Tyee Drive Sw, Tumwater, WA 98512 | 2018-04-19 |
| 1669998183 | Bradley Ross Bishop | Registered Nurse | 3285 Ferguson Street Sw, Tumwater, WA 98512 | 2017-08-16 |
| Find all providers in zip 98512 | ||||
| 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 |
|---|---|---|---|---|
| 1063964187 | Emily Rapesak | Pharmacist | 500 Cleveland Ave Se, Tumwater, WA 98501 | 2016-10-25 |
| 1528466232 | Brandon Joseph Adam | Pharmacist | 520 Cleveland Ave, Tumwater, WA 98501 | 2014-12-11 |
| 1003219668 | David Chaquette | Pharmacist | 5500 Little Rk Rd Sw, Tumwater, WA 98512-7363 | 2014-09-26 |
| 1710397021 | Jietong Lin | Pharmacist | 219 Pinehurst Drive Sw, Apt 203, Tumwater, WA 94538-5523 | 2014-05-08 |
| 1114282928 | Thuy-an Tran Nguyen | Pharmacist | 1206 Palomino Dr Se, Tumwater, WA 98501-8630 | 2012-07-08 |
| 1114292505 | Venu Peddi | Pharmacist | 3795 Galenta Ct Sw, Tumwater, WA 98512 | 2012-03-19 |
| 1982980744 | Richard Allen Vertz | Pharmacist | 5500 Littlerock Rd. S.w., Tumwater, WA 98512 | 2011-10-25 |
| 1366582595 | Angelica Mercedes Pauley | Pharmacist | 111 Israel Road Se Tow Center 2, Doh-pharmacy Quality Assurance Commission, Tumwater, WA 98501 | 2007-02-07 |
| 1316567621 | Mcknzy Deanna Miller | Pharmacist | 5201 Capitol Blvd Sw, Tumwater, WA 98501-4418 | 2020-04-16 |
| 1578114088 | Kellie Hopp | Pharmacist | 705 Trosper Rd Sw, Tumwater, WA 98512-6933 | 2019-09-25 |
| Find all providers in TUMWATER | ||||
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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.