JEFFREY EDMONDSON (NPI# 1023424652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023424652 |
| Entity Type | Individual |
| Full Name | JEFFREY EDMONDSON |
| Credential | PHARMD |
| Practice Address |
3307 Evergreen Way #5 Washougal WA 98671-2062 |
| Practice Telephone | 3603352006 |
| Enumeration Date | 2014-07-02 |
| Last Update Date | 2015-08-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PH60286056 | WA | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | RPH-0013974 | OR | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174513584 | Jeffrey Mance Edmondson | Family Medicine | 9501 Farrell Rd, Fort Belvoir, VA 22060-5901 | 2005-10-26 |
| Street Address |
3307 EVERGREEN WAY #5 |
| City | WASHOUGAL |
| State | WA |
| Zip Code | 98671-2062 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205837929 | Michael Dornbusch | Chiropractor | 3307 Evergreen Way, Suite 601, Washougal, WA 98671-2062 | 2005-08-03 |
| 1083213649 | Charissa Bausch | Naturopath | 3307 Evergreen Way, Washougal, WA 98671-2062 | 2020-10-23 |
| 1730621921 | Elizabeth Bialkowsky | Massage Therapist | 3307 Evergreen Way, Evergreen Marketplace #601, Washougal, WA 98671-2062 | 2016-11-06 |
| 1417405713 | Rita Cunningham | Massage Therapist | 3307 Evergreen Way, 601, Washougal, WA 98671-2062 | 2016-09-14 |
| 1558814558 | Tonya Pruett | Massage Therapist | 3307 Evergreen Way, #601, Washougal, WA 98671-2062 | 2016-07-27 |
| 1801259601 | Nichole Leigh Terrell | Massage Therapist | 3307 Evergreen Way, Suite 601, Washougal, WA 98671-2062 | 2016-03-30 |
| 1457755720 | Diana Wurzer | Massage Therapist | 3307 Evergreen Way, Suite 601, Washougal, WA 98671-2062 | 2014-10-15 |
| 1508267840 | Daniel Sean Mccomas | Pharmacist | 3307 Evergreen Way, Washougal, WA 98671-2062 | 2014-09-05 |
| 1659796886 | Cassandra Maddux | Massage Therapist | 3307 Evergreen Way, Suite 601, Washougal, WA 98671-2062 | 2014-02-25 |
| 1073943262 | Kelsey Penner | Massage Therapist | 3307 Evergreen Way, Suite 601, Washougal, WA 98671-2062 | 2013-11-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568862829 | Christina Marie Renzema | Pharmacist | 3307 Se Evergreen Bldg 5, Safeway Pharmacy #1687, Washougal, WA 98671 | 2014-08-23 |
| 1801148606 | Kara Renee Gamboa | Speech-Language Pathologist | 1100 34th St., Washougal, WA 98671 | 2012-10-04 |
| 1922386242 | Alison Marie Eaton | Specialist | 918 9th Street, Washougal, WA 98671 | 2011-08-03 |
| 1821389453 | Robyn Dawn Hannah | Massage Therapist | 3256 F Place, Washougal, WA 98671 | 2011-04-30 |
| 1285923698 | Janine Rene' Troyer | Specialist | 1999 37th Street, Washougal, WA 98671 | 2011-04-06 |
| 1538312301 | Soncea Rae Moore | Massage Therapist | 2900 H Street Apt 16, Washougal, WA 98671 | 2008-10-24 |
| 1871743526 | Washougal Sport and Spine, Inc. | Clinic/Center | 1700 Main, Suite 222, Washougal, WA 98671 | 2008-09-30 |
| 1306027404 | Amanda Marie Michel | Massage Therapist | Gillespie Family Chiropractic, 3307 Evergreen Way Suite 601, Washougal, WA 98671 | 2007-11-16 |
| 1588854483 | Advanced Practice Geriatrics, LLC | Nurse Practitioner | 38324 Se Hidden Falls Road, Washougal, WA 98671 | 2007-07-26 |
| 1316147325 | Advanced Practice Geriatrics, Pllc | Nurse Practitioner | 38324 Se Hidden Falls Rd, Washougal, WA 98671 | 2007-07-19 |
| Find all providers in zip 98671 | ||||
| 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 |
|---|---|---|---|---|
| 1790180271 | Renae Christine Hamilton Buchholtz | Pharmacist | 3650 Q St, Washougal, WA 98671-9056 | 2014-10-27 |
| 1568862829 | Christina Marie Renzema | Pharmacist | 3307 Se Evergreen Bldg 5, Safeway Pharmacy #1687, Washougal, WA 98671 | 2014-08-23 |
| 1700150414 | Mary Frances Johnson | Pharmacist | 3003 Addy St, Washougal, WA 98671-2672 | 2012-02-27 |
| 1235223835 | Merrie Kay Alzola | Pharmacist | 72 Mcdonald Rd, Washougal, WA 98671 | 2006-10-03 |
| 1326566613 | Maria Vanessa Reyes | Pharmacist | 3307 Evergreen Way Ste 4, Washougal, WA 98671-2063 | 2017-09-06 |
| 1073060752 | Zachary Wood | Pharmacist | 3003 Addy St, Washougal, WA 98671-2672 | 2016-09-09 |
| 1508267840 | Daniel Sean Mccomas | Pharmacist | 3307 Evergreen Way, Washougal, WA 98671-2062 | 2014-09-05 |
| 1790077220 | Chih Wang | Pharmacist | 3307 Evergreen Way Ste 4, Washougal, WA 98671-2063 | 2011-05-02 |
| 1780985150 | Charles L Huckabay | Pharmacist | 3307 Evergreen Way, Building # 5, Washougal, WA 98671-2062 | 2010-11-16 |
| 1629379243 | Dennis Albert Meharry | Pharmacist | 3307 Evergreen Way, Washougal, WA 98671-2062 | 2010-11-12 |
| Find all providers in WASHOUGAL | ||||
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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.