DR. JAIME LYNN FAZZONE (NPI# 1861994675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1861994675 |
Entity Type | Individual |
Full Name | DR. JAIME LYNN FAZZONE |
Credential | PHARMD |
Practice Address |
1111 S 2nd Ave Walla Walla WA 99362-4118 |
Mailing Address |
2222 E Isaacs Ave Apt A101 Walla Walla WA 99362-2286 |
Practice Telephone | 5098973700 |
Mailing Telephone | 3305900890 |
Enumeration Date | 2018-03-07 |
Last Update Date | 2018-03-07 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1835P2201X |
Pharmacist Specialization: Ambulatory Care |
PH60780614 | WA | Pharmacy Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | WASHINGTON STATE PHARMACY QUALITY ASSURANCE COMMISSION | PH60780614 | 01 |
Street Address |
1111 S 2ND AVE |
City | WALLA WALLA |
State | WA |
Zip Code | 99362-4118 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982609533 | David P Woolever | Internal Medicine | 1111 S 2nd Ave, Walla Walla, WA 99362-4118 | 2005-06-20 |
1861034605 | Stephanie J Hayes | Registered Nurse | 1111 S 2nd Ave, Walla Walla, WA 99362-4118 | 2019-10-14 |
1114378684 | Mary Buriani | Nurse Practitioner | 1111 S 2nd Ave, Walla Walla, WA 99362-4118 | 2016-06-27 |
1275943060 | Cory Mitchell | Family Medicine | 1111 S 2nd Ave, Walla Walla, WA 99362 | 2014-05-01 |
1013284678 | Trudee Kaye Nims | Dietitian, Registered | 1111 S 2nd Ave, Walla Walla, WA 99362-4118 | 2011-11-28 |
1598032740 | Carmelle R Boyd | Social Worker | 1111 S 2nd Ave, Walla Walla, WA 99362-4118 | 2011-11-16 |
1013299965 | Walla Walla General Hospital | Pharmacy | 1111 S 2nd Ave, Walla Walla, WA 99362-4118 | 2011-09-16 |
1780972562 | Walla Walla General Hospital | Clinic/Center | 1111 S 2nd Ave, Walla Walla, WA 99362-4118 | 2011-07-14 |
1467743500 | Kristin Marie Satterfield | Pediatrics | 1111 S 2nd Ave, Walla Walla, WA 99362-4118 | 2011-04-24 |
1700182797 | Leigh Alison Moore | Pharmacist | 1111 S 2nd Ave, Walla Walla, WA 99362-4118 | 2011-02-08 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164065959 | Kevin Gia-minh Phan | Optometrist | Walla Walla Vamc Bldg 86, Walla Walla, WA 99362 | 2019-10-24 |
1659836401 | Arlene Lavonne Whitney | Social Worker | 1361 Dalles Military Road, Walla Walla, WA 99362 | 2019-02-06 |
1053880674 | Julie Ann Cooke | Speech-Language Pathologist | Providence St. Mary Medical Center, 401 W. Poplar St., Walla Walla, WA 99362 | 2018-11-14 |
1558887133 | Chantey Walker | Massage Therapist | 1840 Pleasant St, Walla Walla, WA 99362 | 2017-08-16 |
1447798723 | Carrie S Diede | Speech-Language Pathologist | 410 West Poplar Street, Rehabilitation Services, Walla Walla, WA 99362 | 2017-02-07 |
1235584103 | Anchor Point Counseling Pllc | Clinic/Center | 2330 Eastgate St. Ste. 140, Walla Walla, WA 99362 | 2016-04-28 |
1548627011 | Washington State Walla Walla Veterans Home | Skilled Nursing Facility | 92 Wainwright Drive, Walla Walla, WA 99362 | 2016-01-28 |
1073926200 | Sherry Goff | Registered Nurse | 11120 W Rose St, Family Medical Center, Walla Walla, WA 99362 | 2014-06-05 |
1538597935 | Michael Wade Gillespie | Orthopaedic Surgery | 101 Brookside Drive, Walla Walla, WA 99362 | 2013-10-22 |
1023357985 | Sandra Kay Bushnell | Speech-Language Pathologist | 1105 Isaacs Ave, Walla Walla, WA 99362 | 2013-02-12 |
Find all providers in zip 99362 |
Taxonomy Code | 1835P2201X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacist |
Specialization | Ambulatory Care |
A licensed pharmacist who has demonstrated specialized knowledge and skill in the provision of integrated, accessible health care services by pharmacists and is accountable for addressing medication needs, developing sustained partnerships with patients, and practicing in the context of family and community. |
Notes: Source: Board of Pharmacy Specialties, www.bpsweb.org [7/1/2015: new] |
NPI | Name | Taxonomy | Address | Enumeration |
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1245839935 | Zackary Beard | Pharmacist | 17700 Se 272nd St # 100, Covington, WA 98042-4951 | 2020-10-22 |
1073110581 | Vince Pinaroc | Pharmacist | 4545 Pt Fosdick Dr Nw Ste 250, Gig Harbor, WA 98335-1700 | 2020-10-07 |
1881212751 | Jordan C Smith | Pharmacist | 105 W 8th Ave # 350e, Spokane, WA 99204-2302 | 2020-07-08 |
1255976056 | Olusegun Adesesan Bamgbelu | Pharmacist | Memorial Cornerstone Pharmacy, 4003 Creekside Loop, Yakima, WA 98908 | 2019-11-15 |
1922586023 | Kimberly Jane Comito | Pharmacist | 1002 15th St Sw Ste 101, Auburn, WA 98001-6502 | 2018-07-31 |
1760974315 | Rachna Burman I | Pharmacist | 1708 Yakima Ave Ste 20, Tacoma, WA 98405-5307 | 2018-05-30 |
1942792676 | John K Guffey | Pharmacist | 12607 Se Mill Pain Blvd, Vancouver, WA 98684-4098 | 2018-05-30 |
1790297232 | Racha Aldughli | Pharmacist | 1901 S Union Ave Ste 7009, Tacoma, WA 98405-1702 | 2017-10-24 |
1881104297 | Beverly Moua | Pharmacist | 207 E Stanley St, Granite Falls, WA 98252-8480 | 2017-10-11 |
1992220214 | Rachel Ann Alm | Pharmacist | 525 Lilly Rd Ne Ste 204, Olympia, WA 98506-5101 | 2017-08-08 |
Find all providers with the same taxonomy |
City | WALLA WALLA |
Zip Code | 99362 |
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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.