DR. AMY KILLORAN (NPI# 1174846323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174846323 |
| Entity Type | Individual |
| Full Name | DR. AMY KILLORAN |
| Practice Address |
6797 St Hwy 303 Ne Bremerton WA 98311-3736 |
| Practice Telephone | 3606983446 |
| Practice Fax Number | 3606981326 |
| Mailing Telephone | 3606983446 |
| Mailing Fax Number | 3606981326 |
| Enumeration Date | 2010-03-02 |
| Last Update Date | 2016-08-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PH60586422 | WA | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | 0507791 | NY | Pharmacy Service Providers |
| Street Address |
6797 ST HWY 303 NE |
| City | BREMERTON |
| State | WA |
| Zip Code | 98311-3736 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942756028 | Kelly Smith | Pharmacist | 6797 St Hwy 303 Ne, Bremerton, WA 98311-3736 | 2016-08-29 |
| 1952707713 | Paul Jared Fredenberg | Pharmacist | 6797 St Hwy 303 Ne, Bremerton, WA 98311-3736 | 2014-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811535420 | Naomi Arguelles | Counselor | 5455 Almira Drve Ne, Bremerton, WA 98311 | 2019-12-13 |
| 1306495775 | Audra Rose Kuoppala | Chiropractor | 5050 Wa State Hwy 303, Suite A101, Bremerton, WA 98311 | 2019-09-09 |
| 1891351888 | Amanda Olney Flint | Massage Therapist | 5050 Wa-303, A101, Bremerton, WA 98311 | 2019-05-15 |
| 1265995385 | Daniel Mcclough | Massage Therapist | 5050 Wa-303 A101, Bremerton, WA 98311 | 2019-04-08 |
| 1073032157 | Kingston Crossing Wellness Ps | Chiropractor | 5050 Hwy 303 Ne, Suite A 101, Bremerton, WA 98311 | 2017-09-11 |
| 1811252117 | Kayla Sue Kooker | Massage Therapist | 5050 State Hwy 303 Ne #a101, Bremerton, WA 98311 | 2012-07-12 |
| 1336458983 | Shannon Christine Stewart | Mechanotherapist | 1487 Dawn Rd. Ne, Bremerton, WA 98311 | 2010-09-30 |
| 1174779656 | Kimberly Ann Vickery | Specialist | 5060 Highway 303 Ne, Suite 103, Bremerton, WA 98311 | 2008-08-15 |
| 1790988228 | Cynthia Erickson | Specialist | 9125 Central Valley Rd., Bremerton, WA 98311 | 2007-06-11 |
| 1114132388 | Jennifer Ross Tanguay | Nurse Anesthetist, Certified Registered | 1275 Ne Franklin Ave Ste A, Bremerton, WA 98311 | 2007-05-11 |
| Find all providers in zip 98311 | ||||
| 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 |
|---|---|---|---|---|
| 1225492291 | Indrajeetsinh Sarvaiya | Pharmacist | 124 Ne Miramar Cir, Bremerton, WA 98311-8502 | 2016-04-06 |
| 1225405251 | Josiah Soto | Pharmacist | 8507 Bender Cir Ne, Bremerton, WA 98311-8824 | 2015-08-25 |
| 1972841443 | David Dragovich | Pharmacist | 5050 St Hwy 303 Ne, Bremerton, WA 98311-3629 | 2013-01-17 |
| 1083925341 | Kyoung Mi Lee | Pharmacist | 4220 Wheaton Way, Bremerton, WA 98310-3604 | 2010-07-01 |
| 1437478492 | Jamie Lynn Robinson | Pharmacist | 3955 Ne Campus Ln, Bremerton, WA 98311-9424 | 2010-05-28 |
| 1174742084 | Tonya M Vance | Pharmacist | 2900 Wheaton Way, Bremerton, WA 98310-3452 | 2007-04-25 |
| 1366472656 | Toni Leyba | Pharmacist | 400 Warren Ave Ste 300, Bremerton, WA 98337-1408 | 2006-07-03 |
| 1700858271 | Derrik Richard Clay | Pharmacist | Naval Hospital Code 053, Hp-01 Boone Rd, Bremerton, WA 98312-1898 | 2006-02-07 |
| 1821060021 | Brian C Avery | Pharmacist | Hp-01 Boone Rd #053, Bremerton, WA 98312 | 2006-02-02 |
| 1770553570 | Garyn Fredrick Shuler | Pharmacist | Boone Rd, Naval Hospital Bremerton, Bremerton, WA 98312 | 2006-01-24 |
| Find all providers in BREMERTON | ||||
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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.