MI NI PAEK (NPI# 1114157146) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114157146 |
| Entity Type | Individual |
| Full Name | MI NI PAEK |
| Credential | PHARMD |
| Practice Address |
700 Lilly Rd Ne Olympia WA 98506-5115 |
| Practice Telephone | 7346575714 |
| Enumeration Date | 2009-07-24 |
| Last Update Date | 2009-07-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
61996 | CA | Pharmacy Service Providers |
| Street Address |
700 LILLY RD NE |
| City | OLYMPIA |
| State | WA |
| Zip Code | 98506-5115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447253596 | Sarah Hulsey | Family Medicine | 700 Lilly Rd Ne, Olympia, WA 98506-5115 | 2005-05-23 |
| 1720600141 | Kaiser Foundation Health Plan of Washington | Clinic/Center | 700 Lilly Rd Ne, Olympia, WA 98506-5115 | 2020-05-07 |
| 1780214809 | Mary Mallette | Dietitian, Registered | 700 Lilly Rd Ne, Olympia, WA 98506-5115 | 2020-01-16 |
| 1588207534 | Phillip Inouye | Audiologist | 700 Lilly Rd Ne, Olympia, WA 98506-5115 | 2019-10-22 |
| 1083263289 | Michael Allen Foster | Physical Therapist | 700 Lilly Rd Ne, Olympia, WA 98506-5115 | 2019-09-10 |
| 1003478207 | Rhena Valentine | Midwife | 700 Lilly Rd Ne, Olympia, WA 98506-5115 | 2019-07-08 |
| 1215495866 | Vinh Hoang Nguyen | Pharmacist | 700 Lilly Rd Ne, Olympia, WA 98506-5115 | 2019-03-02 |
| 1588147185 | Haley Mae Fuchs | Physician Assistant | 700 Lilly Rd Ne, Olympia, WA 98506-5115 | 2018-09-10 |
| 1922588722 | Linnea Christine Robinson | Physician Assistant | 700 Lilly Rd Ne, Olympia, WA 98506-5115 | 2018-08-21 |
| 1891272506 | Cassie Ann Icenogle | Counselor | 700 Lilly Rd Ne, Olympia, WA 98506-5115 | 2018-07-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477185460 | Chloe Harper | Technician, Other | 3443 Lilly Rd Se, Ste B, Olympia, WA 98506 | 2020-02-07 |
| 1912543539 | Jessica Marie Radakovich | Licensed Practical Nurse | 3426 Mary Elder Rd, Olympia, WA 98506 | 2019-11-19 |
| 1669014973 | Arlene Josephine Adams | Registered Nurse | 413 Lily Rd Ne, Olympia, WA 98506 | 2019-10-09 |
| 1861999120 | Debra Delores Barker | Licensed Practical Nurse | 3710 South Bay Rd Ne, Olympia, WA 98506 | 2018-04-12 |
| 1801304431 | Michelle Warner | Nurse Practitioner | 205 Lilly Rd Ne Ste A1, Olympia, WA 98506 | 2018-01-17 |
| 1396258364 | Institute for Family Development | Community/Behavioral Health | 204 Quince St. Ne, Suite 200, Olympia, WA 98506 | 2017-11-13 |
| 1083137715 | Cameron Kunkel | Specialist/Technologist | 2512 20th Ave Ne, Olympia, WA 98506 | 2017-07-25 |
| 1184144768 | Trevor Shane Kwan | Family Medicine | 525 Lilly Road Ne, Olympia, WA 98506 | 2017-06-23 |
| 1073043212 | Michael H Harburg | Behavior Technician | 3857 Martin Way Ne, Olympia, WA 98506 | 2017-06-19 |
| 1780114371 | Priscilla Kangyang Jadu | Counselor | 3857 Martin Way E., Olympia, WA 98506 | 2017-06-15 |
| Find all providers in zip 98506 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225647506 | William Kyle Davis | Pharmacist | 305 Cooper Point Rd Nw, Olympia, WA 98502-4436 | 2020-07-23 |
| 1578012142 | Kristine Gillas | Pharmacist | 413 Lilly Rd Ne, Olympia, WA 98506-5133 | 2016-09-23 |
| 1326442609 | Randy Kent Pair | Pharmacist | 1313 Cooper Point Rd Sw, Olympia, WA 98502-5729 | 2014-10-15 |
| 1063661270 | Jeffrey Ervin Mangus | Pharmacist | 3900 Capitol Mall Dr Sw, Olympia, WA 98502-8654 | 2008-09-11 |
| 1154586576 | Janet Elaine Schade | Pharmacist | 3900 Capital Mall Dr Sw, Olympia, WA 98502-5026 | 2008-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891395760 | Evelyn Tong | Pharmacist | 4229 122nd Ave Se, Bellevue, WA 98006-1915 | 2020-10-29 |
| 1356985345 | Nancy Celine Tran | Pharmacist | 906 S 38th Ct, Renton, WA 98055-5897 | 2019-11-01 |
| 1265087654 | Valorie Swensen | Pharmacist | 4500 Harrison St, Bellingham, WA 98229-3323 | 2019-08-02 |
| 1982110805 | Derek Matlock | Pharmacist | 3715 Ocean Beach Hwy # 2, Longview, WA 98632-4801 | 2017-12-15 |
| 1659880938 | Hazel Ann Feist | Pharmacist | 14406 Nw 20th Ave, Vancouver, WA 98685-8007 | 2017-09-29 |
| 1528586732 | Mayumi Robbins | Pharmacist | 410 9th Ave N Fl 7, Seattle, WA 98109-4708 | 2017-09-07 |
| 1699293688 | Jin Man Choe | Pharmacist | 105 W 8th Ave Ste 350, Spokane, WA 99204-2312 | 2017-08-30 |
| 1821457813 | Marie Cermak | Pharmacist | 12333 Ne 130th Ln # Lane415, Kirkland, WA 98034-7467 | 2016-02-18 |
| 1902281959 | Carmen Joy Berg | Pharmacist | 2320 South Salnave Road, Medical Lake, WA 99022 | 2015-07-20 |
| 1639574981 | Loi Chau | Pharmacist | 601 Broadway Rm 117, Seattle, WA 98122-5330 | 2014-10-29 |
| Find all providers with the same taxonomy | ||||
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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.