JOHN WALTER MCCLATCHY (NPI# 1093966830) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093966830 |
| Entity Type | Individual |
| Full Name | JOHN WALTER MCCLATCHY |
| Credential | R. PH. |
| Practice Address |
325 5th St Brookings OR 97415-9658 |
| Practice Telephone | 5414691643 |
| Practice Fax Number | 5414691637 |
| Mailing Telephone | 5414691643 |
| Mailing Fax Number | 5414691637 |
| Enumeration Date | 2008-10-09 |
| Last Update Date | 2008-10-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 10197 | OR | Pharmacy Service Providers |
| Street Address |
325 5TH ST |
| City | BROOKINGS |
| State | OR |
| Zip Code | 97415-9658 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922095306 | Kristine Gyving | Optometrist | 325 5th St, Brookings, OR 97415-9658 | 2005-09-30 |
| 1174134852 | Nathaniel Steven Gutierrez | Pharmacist | 325 5th St, Brookings, OR 97415-9656 | 2020-08-14 |
| 1316585060 | Holly Rawlings | Pharmacist | 325 5th St, Brookings, OR 97415-9656 | 2019-12-12 |
| 1578085247 | Amanda Rachelle Noble | Pharmacist | 325 5th St, Brookings, OR 97415 | 2017-07-13 |
| 1255787669 | Denise Burnham | Pharmacist | 325 5th St, Brookings, OR 97415-9658 | 2016-05-05 |
| 1255763991 | Ronald B Williams | Pharmacist | 325 5th St, Brookings, OR 97415-9658 | 2013-08-05 |
| 1508208893 | Suzanne Bedke | Pharmacist | 325 5th St, Brookings, OR 97415-9658 | 2013-07-26 |
| 1841567914 | Aaron Weiss | Pharmacist | 325 5th St, Brookings, OR 97415-9656 | 2011-11-17 |
| 1528376290 | Sandra Welborn Hincher | Pharmacist | 325 5th St, Brookings, OR 97415-9658 | 2010-09-15 |
| 1669647228 | Vincent Van Houten, O.d., PC | Optometrist | 325 5th St, Located In The Optical Shoppe, Brookings, OR 97415-9658 | 2008-04-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013549575 | Christopher Scott Mayo Jr. | Denturist | 937 Chetco Ave Ste. B, Brookings, OR 97415 | 2020-02-12 |
| 1912564329 | Lori A Burkart | Speech-Language Pathologist | Curry Medical Ctr, 500 5th Street, Brookings, OR 97415 | 2019-05-21 |
| 1881144178 | Costa Clinical Psychology, LLC | Social Worker | 625 Spruce St., # 7666, Brookings, OR 97415 | 2016-10-11 |
| 1194173898 | Columbiacare Services | Community Based Residential Treatment Facility, Mental Illness | 410 Maple St, Brookings, OR 97415 | 2016-06-03 |
| 1336595784 | Monica Shaw | Case Manager/Care Coordinator | 412 Alder, Brookings, OR 97415 | 2016-05-04 |
| 1639531437 | Ian Leonard | Behavioral Analyst | 450 Sb Chetco River Road, Brookings, OR 97415 | 2016-03-22 |
| 1518201151 | Columbacare Services | Community Based Residential Treatment Facility, Mental Illness | 210 Cove Lane, Brookings, OR 97415 | 2012-11-20 |
| 1699033365 | Sunlight Family Center, LLC | Clinic/Center | 604 Spruce Street, Brookings, OR 97415 | 2012-05-01 |
| 1649544784 | Oregon Coast Wellness Inc. | Clinic/Center | 648 Chetco Ave., Brookings, OR 97415 | 2012-03-07 |
| 1790072544 | Elizabeth A. Nation | Registered Nurse | 96343 Alder Ridge Road, Brookings, OR 97415 | 2011-06-30 |
| Find all providers in zip 97415 | ||||
| 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 |
|---|---|---|---|---|
| 1588119226 | Laura Martin | Pharmacist | 1319 Wahpeton Pass, Brookings, SD 57006-3641 | 2016-08-23 |
| 1427303080 | Amy Richmond Aylor | Pharmacist | 320 10th St W, Brookings, SD 57006-1164 | 2012-07-19 |
| 1215203542 | Jerry E Mccamman | Pharmacist | 248 Wharf St, Brookings, OR 97415-9653 | 2012-03-30 |
| 1518258128 | Raymond John Greenway | Pharmacist | 16261 South Hwy 101, Riteaid, Brookings, OR 97415 | 2011-04-29 |
| 1265473748 | Timothy L Yantis | Pharmacist | 890 Chetco Avenue, Brookings, OR 97415 | 2006-06-08 |
| 1467449330 | Gary Cornelius Van Riper | Pharmacist | 2027 Laurel Ln, Brookings, SD 57006-5404 | 2005-10-05 |
| 1679174825 | Theresa B Frederick | Pharmacist | 2233 6th St, Brookings, SD 57006-1731 | 2020-11-04 |
| 1700486883 | Hailey Arlene Will | Pharmacist | 2233 6th St, Brookings, SD 57006-1731 | 2020-10-28 |
| 1174134852 | Nathaniel Steven Gutierrez | Pharmacist | 325 5th St, Brookings, OR 97415-9656 | 2020-08-14 |
| 1316585060 | Holly Rawlings | Pharmacist | 325 5th St, Brookings, OR 97415-9656 | 2019-12-12 |
| Find all providers in BROOKINGS | ||||
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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.