DR. JAIME LYNN FAZZONE


Address: 1111 S 2nd Ave, Walla Walla, WA 99362-4118
Phone: 5098973700

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1835P2201X Pharmacist
Specialization: Ambulatory Care
PH60780614 WA Pharmacy Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
WA WASHINGTON STATE PHARMACY QUALITY ASSURANCE COMMISSION PH60780614 01

Office Location

Street Address 1111 S 2ND AVE
City WALLA WALLA
State WA
Zip Code 99362-4118

Providers in the same location

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
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Providers in the same zip code

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 Information

Taxonomy Code 1835P2201X
Grouping Pharmacy Service Providers
Classification Pharmacist
Specialization Ambulatory Care

Taxonomy Definition

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]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
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
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Competitor

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City WALLA WALLA
Zip Code 99362

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Dataset Information

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.

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