MRS. ANDREA HAGUE (NPI# 1033327341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033327341 |
| Entity Type | Individual |
| Full Name | MRS. ANDREA HAGUE |
| Credential | PHARM.D |
| Practice Address |
6305 Bridgeport Way W University Place WA 98467-5117 |
| Practice Telephone | 2534604033 |
| Practice Fax Number | 2534604027 |
| Mailing Telephone | 2534604033 |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2012-04-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PH00059492 | WA | Pharmacy Service Providers |
| Street Address |
6305 BRIDGEPORT WAY W |
| City | UNIVERSITY PLACE |
| State | WA |
| Zip Code | 98467-5117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558307199 | Fred Meyer Stores Inc | Pharmacy | 6305 Bridgeport Way W, University Place, WA 98467-5117 | 2006-06-21 |
| 1932566429 | Liliya Yakimenko | Pharmacist | 6305 Bridgeport Way W, University Place, WA 98467-5117 | 2016-01-28 |
| 1609267327 | Carrie Casey | Pharmacist | 6305 Bridgeport Way W, University Place, WA 98467-5117 | 2015-02-17 |
| 1508124850 | Dae Ok Kim | Pharmacist | 6305 Bridgeport Way W, Fred Meyer #615, University Place, WA 98467-5117 | 2012-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689218927 | Juliette Gallardo-zamora | Behavioral Analyst | 5915 Orchard St. W, Tacoma, WA 98467 | 2019-10-30 |
| 1306310925 | Nancy Rubi Rosas Rodriguez | Counselor | 5915 Orchard St W., Tacoma, WA 98467 | 2019-01-16 |
| 1801309091 | Penny L Crawford | Registered Nurse | 5424 57th Ave Ct. W., G8, University Place, WA 98467 | 2017-11-09 |
| 1316465578 | C.f. Bridgeport, LLC | Assisted Living Facility | 5250 Bridgeport Way W., University Place, WA 98467 | 2017-09-07 |
| 1265950422 | University Place Rehabilitation Center, LLC | Skilled Nursing Facility | 5520 Bridgeport Way W., University Place, WA 98467 | 2017-09-07 |
| 1689127037 | Rachel Ann Cruz | Counselor | 5915 Orcahrd St W, Tacoma, WA 98467 | 2016-08-02 |
| 1396099313 | Ryan Jack Holbrook | Massage Therapist | 6915 Lakewood Dr W Unit A2, Tacoma, WA 98467 | 2012-10-29 |
| 1740519701 | Laura Jean Hubert | Physical Therapist | 5520 Bridgeport Way, University Place, WA 98467 | 2009-12-21 |
| 1437395548 | Karen Marie Noyes | Occupational Therapy Assistant | 5520 Bridgeport Way West, University Place, WA 98467 | 2008-12-18 |
| 1770751083 | Orchard Medical Clinic | Internal Medicine | 5320 Orchard St W, University Place, WA 98467 | 2008-02-20 |
| Find all providers in zip 98467 | ||||
| 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 |
|---|---|---|---|---|
| 1699298760 | Tyree Williams | Pharmacist | 7512 50th St W, University Place, WA 98467-4572 | 2017-07-20 |
| 1306374798 | Julie Anne Waterfield | Pharmacist | 2700 Bridgeport Way W Ste D, University Place, WA 98466-4600 | 2017-05-30 |
| 1902225634 | Jason Hitchcock | Pharmacist | 4009 Bridgeport Way W Ste A, University Place, WA 98466-4326 | 2014-04-09 |
| 1871869693 | Kimberly Shin Nakamura | Pharmacist | 3842 Bridgeport Way W, University Place, WA 98466-4427 | 2012-03-27 |
| 1376875559 | Youn H Lee | Pharmacist | 2650 Bridgeportway W, University Place, WA 98466 | 2010-02-12 |
| 1578695953 | Thomas Millar Killen | Pharmacist | 3840 Bridgeport Way W, University Place, WA 98466-4416 | 2007-03-11 |
| 1720063373 | Raymond Bryan Heilman | Pharmacist | 2700 Bridgeport Way W, Suite D, University Place, WA 98466-4600 | 2005-12-07 |
| 1629545710 | Jin Koo | Pharmacist | 7451 Cirque Dr W, University Place, WA 98467-2273 | 2018-10-27 |
| 1215449483 | Jae B. Pak | Pharmacist | 3838 Bridgeport Way W, University Place, WA 98466-4416 | 2017-10-28 |
| 1114461167 | Franklin Ikenna Nduka | Pharmacist | 3838 Bridgeport Way W, University Place, WA 98466-4416 | 2016-12-10 |
| Find all providers in UNIVERSITY PLACE | ||||
| City | UNIVERSITY PLACE |
| Zip Code | 98467 |
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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.