MARIATOU SISAY (NPI# 1104488071) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104488071 |
| Entity Type | Individual |
| Full Name | MARIATOU SISAY |
| Practice Address |
1330 Rockefeller Ave Ste 150 Everett WA 98201-1676 |
| Practice Telephone | 4252975220 |
| Mailing Telephone | 4252975220 |
| Enumeration Date | 2019-07-01 |
| Last Update Date | 2019-07-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | RPH80578 | CA | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | PH60864255 | WA | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PHARMACIST | RPH80578 | 01 |
| WA | PHARMACIST | PH60864255 | 01 |
| Street Address |
1330 ROCKEFELLER AVE STE 150 |
| City | EVERETT |
| State | WA |
| Zip Code | 98201-1676 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811457534 | Khushboo Patel | Pharmacist | 1330 Rockefeller Ave Ste 150, Everett, WA 98201 | 2019-03-20 |
| 1841855749 | Michael Phan | Pharmacist | 1330 Rockefeller Ave Ste 150, Everett, WA 98201-1676 | 2019-05-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306471867 | Shannon Michelle Dewald | Registered Nurse | D8s 1700 13th St, Everett, WA 98201 | 2020-03-05 |
| 1578123113 | Precious Medicial Spa, LLC | Registered Nurse | 1728 W. Marine View Dr Suite 212, Everett, WA 98201 | 2019-06-17 |
| 1508429796 | Alix Deschain | Counselor | 2801 Broadway, Everett, WA 98201 | 2019-04-15 |
| 1164991188 | Grace Talbot Davis | Registered Nurse | 2601 Summit Avenue, Bldg. C, Everett, WA 98201 | 2018-11-20 |
| 1063924603 | Tracy Sisk | Counselor | 3120 Colby Ave, 502, Everett, WA 98201 | 2017-11-03 |
| 1710403126 | Michelle Durham | Counselor | 3322 Boadway Fl 2, Everett, WA 98201 | 2017-08-17 |
| 1861927949 | Melanie Schmidt | Counselor | 2610 Westmore Ave, Everett, WA 98201 | 2017-04-26 |
| 1518413327 | Joseph Madson Dmd Pllc | Clinic/Center | 3802 Colby Ave, 4th Floor, Everett, WA 98201 | 2016-08-31 |
| 1043683162 | Jennifer Adams | Counselor | 1511 26th St, Everett, WA 98201 | 2015-11-11 |
| 1386034882 | Myla Marie Whitney | Counselor | 2613 W. Marine Drive, Everett, WA 98201 | 2015-02-04 |
| Find all providers in zip 98201 | ||||
| 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 |
|---|---|---|---|---|
| 1982211090 | Paul Vu | Pharmacist | 72 Winslow St, Everett, MA 02149-2112 | 2020-09-23 |
| 1053940031 | Sarah Ann Bottiglio | Pharmacist | Whidden Hospital, 103 Garland Street, Everett, MA 02149 | 2020-04-02 |
| 1609438035 | Samuel Choi | Pharmacist | 4920a Evergreen Way, Everett, WA 98203-2827 | 2019-07-05 |
| 1811457534 | Khushboo Patel | Pharmacist | 1330 Rockefeller Ave Ste 150, Everett, WA 98201 | 2019-03-20 |
| 1356855662 | Jonathan Phong Pham | Pharmacist | 10404 27th Dr Se, Everett, WA 98208-4465 | 2017-11-22 |
| 1497273528 | Mtm Clinical Care Rx | Pharmacist | 620 Se Everett Mall Way Ste 210b, Everett, WA 98208-3249 | 2017-09-09 |
| 1497278535 | Michael David Lawrence | Pharmacist | 1800 41st St Ste S-400, Everett, WA 98203-2355 | 2017-07-20 |
| 1962951582 | Abreham Shoangizaw | Pharmacist | 802 134th S B C, Everett, WA 98204 | 2016-09-23 |
| 1396292975 | Aisa Hodzic | Pharmacist | 11 Bellingham Ave, Everett, MA 02149-1218 | 2016-09-01 |
| 1659745842 | Andrea Rose Bedlington | Pharmacist | 11407 33rd Dr. Se, Everett, WA 98208 | 2015-11-25 |
| Find all providers in EVERETT | ||||
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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.