KENDALL A MEMBRENO (NPI# 1902073992) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902073992 |
| Entity Type | Individual |
| Full Name | KENDALL A MEMBRENO |
| Practice Address |
2655 Shasta Way Klamath Falls OR 97603 |
| Mailing Address |
822 Corte Baya Vis Oxnard CA 93030-8054 |
| Practice Telephone | 5418841780 |
| Mailing Telephone | 6262023610 |
| Enumeration Date | 2008-05-09 |
| Last Update Date | 2018-07-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 57199 | CA | Pharmacy Service Providers |
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
RPH0016207 | OR | Pharmacy Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 35 S Milpas St, Santa Barbara, CA 931033305 | 8059650787 |
| Street Address |
2655 SHASTA WAY |
| City | KLAMATH FALLS |
| State | OR |
| Zip Code | 97603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346218252 | Klamath Walk In Care Center Inc. | Clinic/Center | 2655 Shasta Way, Suite #7, Klamath Falls, OR 97603-4455 | 2006-03-08 |
| 1073150439 | Delia Oh | Pharmacist | 2655 Shasta Way, Klamath Falls, OR 97603-4455 | 2019-12-04 |
| 1568905776 | Anthony Lipparelli | Pharmacist | 2655 Shasta Way, Klamath Falls, OR 97603-4455 | 2016-11-21 |
| 1093160699 | Brooke E Andrews | Pharmacist | 2655 Shasta Way, Klamath Falls, OR 97603-4455 | 2016-05-02 |
| 1649682881 | Michelle Klein | Pharmacist | 2655 Shasta Way, Klamath Falls, OR 97603-4455 | 2014-05-22 |
| 1699040600 | William Lee Kennon | Pharmacist | 2655 Shasta Way, Klamath Falls, OR 97603-4455 | 2012-03-09 |
| 1760756787 | Daniel O Beardsley | Pharmacist | 2655 Shasta Way, Klamath Falls, OR 97603-4455 | 2012-03-08 |
| 1215213335 | Shasta Eyecare Associates, LLC | Optometrist | 2655 Shasta Way, Klamath Falls, OR 97603-4455 | 2011-11-03 |
| 1700990223 | Marcia Kay Iverson-widdison | Nurse Practitioner | 2655 Shasta Way, Suite #7, Klamath Falls, OR 97603-4455 | 2006-08-19 |
| 1063433191 | Mary Margaret Weissinger | Nurse Practitioner | 2655 Shasta Way, Suite 7, Klamath Falls, OR 97603-4455 | 2006-07-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790323699 | Mike Hampson | Counselor | 3203 Vandenberg Road, Klamath Falls, OR 97603 | 2019-12-11 |
| 1356858369 | Scott Richardson | Community Based Residential Treatment Facility, Mental Illness | 3934 Rio Vista Way, Klamath Falls, OR 97603 | 2017-12-29 |
| 1720518392 | Maile Kalus | Counselor | 3647 Or-39, Klamath Falls, OR 97603 | 2017-06-15 |
| 1174067201 | Amber Wu | Audiologist | 4036 S 6th St Ste 3, Klamath Falls, OR 97603 | 2016-12-08 |
| 1568870681 | Nathan William Bailey | Dentist | 2301 Mountain View Blvd, Suite D, Klamath Falls, OR 97603 | 2014-08-01 |
| 1376987784 | Janice Marie Heiney | Denturist | 2607 Crosby Ave, Klamath Falls, OR 97603 | 2013-04-29 |
| 1083958011 | John W Cooper | Denturist | 3949 Shasta Way, Klamath Falls, OR 97603 | 2012-11-15 |
| 1205137742 | Robert Knight | Community Health Worker | 3314 Vandenburg Rd., Klamath Falls, OR 97603 | 2010-11-16 |
| 1841526431 | Tim R Jones | Counselor | 3949 South 6th St, Klamath Falls, OR 97603 | 2009-11-02 |
| 1316135833 | Ernest Thompson O'neal | Emergency Medicine | 211 Arnold Ave. Ste 15, Klamath Falls, OR 97603 | 2007-10-10 |
| Find all providers in zip 97603 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548514581 | Kristin Gellner | Pharmacist | 211 N 8th St, Klamath Falls, OR 97601-6018 | 2012-10-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194385674 | Joseph Lee Combee | Pharmacist | 4956 Sw Aster St, Corvallis, OR 97333-1367 | 2019-06-17 |
| 1538627377 | Jacquelyn Jessica Lansing | Pharmacist | 33190 Bloomberg Rd, Eugene, OR 97405-9609 | 2019-03-12 |
| 1972097699 | Nathan Daniel Hoover | Pharmacist | 1401 North 10th Ave, Stayton, OR 97383 | 2018-06-16 |
| 1083119994 | Timothy Warren Evans | Pharmacist | 2714 Harbeck Rd, Grants Pass, OR 97527-5630 | 2018-03-24 |
| 1144737677 | Matthew Ito | Pharmacist | 5805 Sw Delker Rd, Tualatin, OR 97062-7753 | 2018-01-05 |
| 1588178701 | Daniel Hendrickson | Pharmacist | 503 Sw 5th Avenue, Portland, OR 97204 | 2017-11-27 |
| 1336662204 | Jenny French | Pharmacist | 9427 Sw Barnes Rd Ste 295, Portland, OR 97225-6652 | 2017-07-21 |
| 1104378199 | Derek Andrus | Pharmacist | 5717 Nw 138th, Portland, OR 97230 | 2016-10-26 |
| 1841747649 | Richard Bennett | Pharmacist | 425 Burlwood Ave N, Monmouth, OR 97361-2252 | 2016-09-09 |
| 1316390008 | Timothy L Lichlyter | Pharmacist | 2924 Siskiyou Blvd Ste 102, Medford, OR 97504-8194 | 2016-07-18 |
| Find all providers with the same taxonomy | ||||
| City | KLAMATH FALLS |
| Zip Code | 97603 |
Please comment or provide details below to improve the information on KENDALL A MEMBRENO.
| 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.