MARY C SHULTS (NPI# 1083747331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083747331 |
| Entity Type | Individual |
| Full Name | MARY C SHULTS |
| Practice Address |
1900 Se Sedgwick Rd Port Orchard WA 98366-9500 |
| Mailing Address |
10730 Snake River Rd Asotin WA 99402-9541 |
| Practice Telephone | 3608747173 |
| Practice Fax Number | 3608747167 |
| Mailing Telephone | 5092439470 |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2020-04-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | P5623 | ID | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730687450 | Mary Lynne Shults | Pediatrics | 1 Childrens Way # 653, Little Rock, AR 72202-3500 | 2018-01-28 |
| 1306884630 | Mary L. Shults | Counselor | 2094 Woodruff Rd, Greenville, SC 29607-5939 | 2006-06-02 |
| Street Address |
1900 SE SEDGWICK RD |
| City | PORT ORCHARD |
| State | WA |
| Zip Code | 98366-9500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992740062 | Fred Meyer Stores Inc | Durable Medical Equipment & Medical Supplies | 1900 Se Sedgwick Rd, Port Orchard, WA 98366-9500 | 2006-06-20 |
| 1700150182 | Michelle Deanne Sherman | Pharmacist | 1900 Se Sedgwick Rd, Port Orchard, WA 98366-9500 | 2012-03-01 |
| 1992078968 | Tracy L Thompson | Pharmacist | 1900 Se Sedgwick Rd, Port Orchard, WA 98366-9500 | 2012-02-21 |
| 1669745634 | Chris Edward Whitley | Pharmacist | 1900 Se Sedgwick Rd, Port Orchard, WA 98366-9500 | 2012-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003423302 | Teresa M Derouin | Speech-Language Pathologist | Harbor Speech Pathology, 463 Tremont St W Suite 110, Port Orchard, WA 98366 | 2020-09-30 |
| 1316591217 | Martin Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 8079 E Main Street, Suite 101, Port Orchard, WA 98366 | 2019-07-29 |
| 1952822660 | Kristian Thomas Workman Haskins | Hearing Instrument Specialist | 1328 Colchester Drive S.e., Port Orchard, WA 98366 | 2017-07-03 |
| 1013466929 | Jenna Olafson | Counselor | 414 Front St. N, Issaquah, WA 98366 | 2016-10-04 |
| 1063884534 | Laurine Burrer | Licensed Practical Nurse | 2874 Se Lund Ave, Port Orchard, WA 98366 | 2015-10-23 |
| 1346640836 | Karen Diane Thompson | Pharmacy Technician | 1800 Sidney Ave, Apt 1-201, Port Orchard, WA 98366 | 2014-09-03 |
| 1588912042 | Celeste Kyle Interrante | Physical Therapy Assistant | 2051 Pottery Ave., Port Orchard, WA 98366 | 2012-08-15 |
| 1013227339 | Christine Davis | Massage Therapist | 1800 Se Mile Hill Drive, Suite 150, Port Orchard, WA 98366 | 2010-10-20 |
| 1932421724 | Mary Jo Stump | Physical Therapy Assistant | 2051 Pottery Avenue, Port Orchard, WA 98366 | 2010-02-19 |
| 1669707626 | Shannon Mary Baurichter | Speech-Language Pathologist | 1230 Bay St, Port Orchard, WA 98366 | 2009-10-08 |
| Find all providers in zip 98366 | ||||
| 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 |
|---|---|---|---|---|
| 1801308457 | Angela Williams | Pharmacist | 8843 Clearwater Ln Se, Port Orchard, WA 98367-7812 | 2017-11-03 |
| 1144567199 | Andy Biondi | Pharmacist | 1434 Olney St Se, Port Orchard, WA 98366-4041 | 2013-01-10 |
| 1023318995 | Ronald E Glover | Pharmacist | 3355 Bethel Rd Se, Port Orchard, WA 98366-5635 | 2010-10-26 |
| 1326359423 | Richard Ross Wagner | Pharmacist | 3282 Bethel Rd Se, Port Orchard, WA 98366-5603 | 2010-06-23 |
| 1740321926 | Robert Gus Geiger | Pharmacist | 567 Bay St, Port Orchard, WA 98366 | 2007-02-09 |
| 1194359588 | Chinsu Pak | Pharmacist | 3099 Bethel Rd Se, Port Orchard, WA 98366-2432 | 2020-02-25 |
| 1629609078 | Kevin Li | Pharmacist | 3099 Bethel Rd Se, Port Orchard, WA 98366-2432 | 2020-02-03 |
| 1578062139 | Jensen Lau | Pharmacist | 3282 Bethel Rd Se, Port Orchard, WA 98366-5603 | 2018-02-08 |
| 1417481805 | Prajakta Palkar Albrecht | Pharmacist | 3497 Bethel Rd Se, Port Orchard, WA 98366-5634 | 2017-04-12 |
| 1316300668 | Alexandra Youssef | Pharmacist | 3355 Bethel Rd Se, Port Orchard, WA 98366-5635 | 2016-04-04 |
| Find all providers in PORT ORCHARD | ||||
| City | PORT ORCHARD |
| Zip Code | 98366 |
Please comment or provide details below to improve the information on MARY C SHULTS.
| 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.