BEVERLY MOUA (NPI# 1881104297) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881104297 |
| Entity Type | Individual |
| Full Name | BEVERLY MOUA |
| Credential | PHARMD |
| Practice Address |
207 E Stanley St Granite Falls WA 98252-8480 |
| Mailing Address |
6101 123rd Ave Se Snohomish WA 98290-5511 |
| Practice Telephone | 3606917778 |
| Mailing Telephone | 6085209148 |
| Enumeration Date | 2017-10-11 |
| Last Update Date | 2017-10-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P2201X |
Pharmacist Specialization: Ambulatory Care |
PH60754789 | WA | Pharmacy Service Providers |
| Street Address |
207 E STANLEY ST |
| City | GRANITE FALLS |
| State | WA |
| Zip Code | 98252-8480 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235643743 | Jennifer Louise Newman | Pharmacist | 207 E Stanley St, Granite Falls, WA 98252-8480 | 2017-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336755875 | Sonia Guadalupe Lopez-nava | Interpreter | 304 E Stanley Street, Granite Falls, WA 98252 | 2020-09-21 |
| 1265807739 | New Day Community Counseling, LLC | Community/Behavioral Health | 108 Cascase Ave. Suite A, Granite Falls, WA 98252 | 2015-12-09 |
| 1609242700 | Madysen Pruss | Social Worker | 3223 Robe Menzel Rd, Granite Falls, WA 98252 | 2015-08-12 |
| 1245614924 | Krystal Schultz | Counselor | 108 Cascade Ave, Ste. A, Granite Falls, WA 98252 | 2015-07-13 |
| 1760804827 | Barry Tanne, M.d. | Family Medicine | 403 South Granite Ave, Granite Falls, WA 98252 | 2014-01-09 |
| 1548400187 | K L Everett Dds Pllc | Clinic/Center | 207 E Stanley St Suite B, Granite Falls, WA 98252 | 2009-02-23 |
| 1154580637 | Julie Ann Stark | Specialist | 110 South Alder Ave, Granite Falls, WA 98252 | 2008-06-09 |
| 1750581088 | James Charles Kussy | General Practice | 6119 Robe Menzel Road, Granite Falls, WA 98252 | 2007-07-24 |
| 1326241027 | Kristi Ann Vitale I | Massage Therapist | 403 W. Stanley Street, Granite Falls, WA 98252 | 2007-06-08 |
| 1134343254 | Snohomish County Fire District 17 | Ambulance | 116 S. Granite Avenue, Granite Falls, WA 98252 | 2007-04-12 |
| Find all providers in zip 98252 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1992220214 | Rachel Ann Alm | Pharmacist | 525 Lilly Rd Ne Ste 204, Olympia, WA 98506-5101 | 2017-08-08 |
| 1023565371 | Lloyd Stever | Pharmacist | 532 S Battery Rd, Moses Lake, WA 98837-2997 | 2016-09-03 |
| Find all providers with the same taxonomy | ||||
| City | GRANITE FALLS |
| Zip Code | 98252 |
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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.