DR. JAMIE MAZON (NPI# 1124460423) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124460423 |
| Entity Type | Individual |
| Full Name | DR. JAMIE MAZON |
| Credential | PHARM.D |
| Practice Address |
401 15th Ave Se Puyallup WA 98372-3715 |
| Mailing Address |
5009 Talbot Pl S Unit A Renton WA 98055-7931 |
| Practice Telephone | 2536974000 |
| Enumeration Date | 2013-07-27 |
| Last Update Date | 2013-07-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
PH60283526 | WA | Pharmacy Service Providers |
| Street Address |
401 15TH AVE SE |
| City | PUYALLUP |
| State | WA |
| Zip Code | 98372-3715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629020847 | Paul B Nutter | Physical Medicine & Rehabilitation | 401 15th Ave Se, Puyallup, WA 98372-3715 | 2006-05-16 |
| 1669089207 | Angela Enlow | Social Worker | 401 15th Ave Se, Puyallup, WA 98372-3715 | 2020-09-28 |
| 1740897644 | Erika Maria Bahler | Registered Nurse | 401 15th Ave Se, Puyallup, WA 98372-3715 | 2020-09-25 |
| 1750996963 | Katherine Anne Nelson | Registered Nurse | 401 15th Ave Se, Puyallup, WA 98372-3715 | 2020-09-14 |
| 1871105833 | Rebecca Danbe Kim | Pharmacy | 401 15th Ave Se, Puyallup, WA 98372-3715 | 2020-08-20 |
| 1366068637 | Danielle Broberg | Occupational Therapist | 401 15th Ave Se, Puyallup, WA 98372-3715 | 2020-06-22 |
| 1023639333 | Gordon Baldwin | Pharmacist | 401 15th Ave Se, Puyallup, WA 98372-3715 | 2020-04-28 |
| 1427686088 | Austin Nguyen | Student in an Organized Health Care Education/Training Program | 401 15th Ave Se, Puyallup, WA 98372-3715 | 2020-03-30 |
| 1336777903 | Mauna Emilyn B Edrozo | Student in an Organized Health Care Education/Training Program | 401 15th Ave Se, Puyallup, WA 98372-3715 | 2020-03-30 |
| 1235767807 | Cuong Dan Vien | Student in an Organized Health Care Education/Training Program | 401 15th Ave Se, Puyallup, WA 98372-3715 | 2020-03-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295371532 | Jeffrey Allen Zhan | Urology | Good Samaritan Medical Office Bldg 1450 5th St Se, Suite 2100- Urology Clinic, Puyallup, WA 98372 | 2019-11-21 |
| 1447811419 | Serenity Counseling & Consulting, LLC | Marriage & Family Therapist | 102 23rd St Se, Unit B, Puyallup, WA 98372 | 2019-06-21 |
| 1316401565 | Katherine Juarez Davidson | Nurse Practitioner | 325 E Pioneer # A145, Puyallup, WA 98372 | 2019-01-22 |
| 1679041404 | Cara Ann Lundin | Nurse Practitioner | 11926 43rd St Crt E, Edgewood, WA 98372 | 2018-11-09 |
| 1104392109 | Megan Black | Occupational Therapist | 40 29th St Ne, Puyallup, WA 98372 | 2018-10-17 |
| 1063919470 | Myriah Shekinah Olakpe | Occupational Therapist | 516 Se 23rd Ave, Puyallup, WA 98372 | 2018-04-11 |
| 1902330202 | Tyler Girdler | Student in an Organized Health Care Education/Training Program | 1322 3rd Street Se Suite 240, Puyallup, WA 98372 | 2017-04-13 |
| 1770039471 | Mahalakshmi Hariharan | Pharmacist | 2117 28th St Se, Puyallup, WA 98372 | 2016-09-01 |
| 1801241112 | Nawazish Ali | Internal Medicine | 401 15th Ave Se Multicare God Samartian Hopsital, Puyallup, WA 98372 | 2016-04-25 |
| 1932567559 | Denice L. Voss | Physical Therapist | 400 29th St. Ne, Puyallup, WA 98372 | 2016-02-10 |
| Find all providers in zip 98372 | ||||
| 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 |
|---|---|---|---|---|
| 1083021521 | Nicholas Clayville | Pharmacist | 3909 10th St Se, Suite 2, Puyallup, WA 98374-2189 | 2014-07-16 |
| 1396973004 | Kirks Pharmacy At Hartland, Inc. | Pharmacist | 618 S Meridian, Puyallup, WA 98371-5999 | 2009-07-01 |
| 1174777486 | Jeffery Robert Williams | Pharmacist | 2622 S Meridian, Puyallup, WA 98373-1500 | 2008-11-13 |
| 1962654970 | Mark Brockway | Pharmacist | 2622 Meridian St S, Health Care Resource Center, Puyallup, WA 98373-1500 | 2008-10-21 |
| 1710998216 | Kirks Pharmacy At Sunrise Inc. | Pharmacist | 11212 Sunrise Blvd E Ste 204, Puyallup, WA 98374-8847 | 2006-08-10 |
| 1922359363 | Charlie David Crow | Pharmacist | 1100 N Meridian, Puyallup, WA 98371-4403 | 2012-09-25 |
| 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.