MR. THOMAS OSCAR MATICH (NPI# 1114047412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114047412 |
Entity Type | Individual |
Full Name | MR. THOMAS OSCAR MATICH |
Credential | RPH |
Practice Address |
11225 Pacific Ave S Tacoma WA 98444-5525 |
Mailing Address |
13622 Se 171st Pl Renton WA 98058-7032 |
Practice Telephone | 2535366257 |
Practice Fax Number | 2535366261 |
Mailing Telephone | 4252772504 |
Enumeration Date | 2007-03-30 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 183500000X | Pharmacist | PH00015517 | WA | Pharmacy Service Providers |
Street Address |
11225 PACIFIC AVE S |
City | TACOMA |
State | WA |
Zip Code | 98444-5525 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134166168 | Dianna May Roberts | Nurse Practitioner | 11225 Pacific Ave S, Tacoma, WA 98444-5525 | 2006-05-31 |
1790221836 | Marina Hradil | Pharmacist | 11225 Pacific Ave S, Tacoma, WA 98444-5525 | 2017-01-12 |
1619333242 | Emily Hunt | Registered Nurse | 11225 Pacific Ave S, Tacoma, WA 98444-5525 | 2016-01-12 |
1760869861 | Judy M. Claffy | Dental Hygienist | 11225 Pacific Ave S, Tacoma, WA 98444-5525 | 2015-04-28 |
1912396789 | Aurora Jeneane-marie Jewell | Nurse Practitioner | 11225 Pacific Ave S, Tacoma, WA 98444-5525 | 2015-01-16 |
1336457258 | Blanca Viridiana Zuniga | Family Medicine | 11225 Pacific Ave S, Tacoma, WA 98444-5525 | 2010-09-14 |
1639309123 | Urooj Bakht Nadeem Jaffer | Family Medicine | 11225 Pacific Ave S, Community Health Care, Tacoma, WA 98444-5525 | 2009-07-20 |
1326289117 | Mary Ashley Ryan | Physician Assistant | 11225 Pacific Ave S, Tacoma, WA 98444-5525 | 2009-03-09 |
1316167026 | Community Health Care | Clinic/Center | 11225 Pacific Ave S, Tacoma, WA 98444-5525 | 2007-04-26 |
1386733483 | Giang Van Vu | Physician Assistant | 11225 Pacific Ave S, Tacoma, WA 98444-5525 | 2006-10-12 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356820039 | Reuben Edward Robinson | Massage Therapist | 10603 16th Avenue Ct S Apt 8, Tacoma, WA 98444 | 2018-08-13 |
1720507601 | Jayna Marie Owens | Counselor | 14016 A Street South, Tacoma, WA 98444 | 2017-09-12 |
1578011425 | Kyleigh Harlow | Dietitian, Registered | 11011 Park Ave S, C212, Tacoma, WA 98444 | 2016-09-20 |
1104220565 | Kehau Tester | Specialist | 9020 A Street, Tacoma, WA 98444 | 2014-10-14 |
1669874061 | Andrea Dawn Mckamey | Massage Therapist | 101 138th St. E., 28, Tacoma, WA 98444 | 2014-09-17 |
1841609666 | Marci Oswald | Dental Hygienist | 130 131st Street South, Tacoma, WA 98444 | 2014-08-06 |
1841611829 | Lucas Victor Briggs | Physical Therapist | 223 140th St. South Suite # 700, Elite Physical Therapy, Tawma, WA 98444 | 2013-12-18 |
1457798092 | Dent Korsmo & Henry D.d.s., P.s. | Dentist | 12165 Pacific Ave, Suite A, Tacoma, WA 98444 | 2013-05-22 |
1740521566 | Kristine-cassandra B. Papa | Massage Therapist | 10202 Pacific Ave. S, Suite 215, Tacoma, WA 98444 | 2013-03-04 |
1356687941 | Matthew Hockin | Dentist | 223 140th Street South, Suite 800, Tacoma, WA 98444 | 2012-12-31 |
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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 |
---|---|---|---|---|
1275008070 | Kristi Anne Escalante | Pharmacist | 2368 Yakima Ave Unit 714, Tacoma, WA 98405-3966 | 2018-10-08 |
1851890180 | Chae Yun Kim | Pharmacist | 1902 96th St S, Tacoma, WA 98444-2808 | 2018-02-01 |
1407367980 | Heather Tilley | Pharmacist | 1717 S J St # Ms 01-79, Tacoma, WA 98405-4933 | 2017-10-23 |
1477097756 | Debra M Hines | Pharmacist | 9040a Jackson, Tacoma, WA 98431-0001 | 2016-12-06 |
1154879575 | Min Shim | Pharmacist | 3806 E L St, Tacoma, WA 98404-3735 | 2016-09-14 |
1689129413 | Amanda Nguyen | Pharmacist | 1901 S Union Ave Ste A252, Tacoma, WA 98405-1713 | 2016-08-22 |
1649659301 | Shirley So | Pharmacist | 315 Mlk. Jr Way, Tacoma, WA 98405-9997 | 2015-05-27 |
1245623628 | David Johnson | Pharmacist | 10223 50th Ave E, Tacoma, WA 98446-5412 | 2015-03-10 |
1972995967 | Tuyen Huynh | Pharmacist | 1608 South J St, Tacoma, WA 98405 | 2015-02-27 |
1396134060 | Chun Choi | Pharmacist | 13817 12th Ave S, Tacoma, WA 98444-2044 | 2015-01-17 |
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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.