MR. MARK DUDLEY PHIBBS (NPI# 1225112360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225112360 |
| Entity Type | Individual |
| Full Name | MR. MARK DUDLEY PHIBBS |
| Credential | RPH |
| Practice Address |
370 N. East Camano Dr. Camano Island WA 98282 |
| Mailing Address |
1124 Puesta Del Sol Ave Camano Island WA 98282-5502 |
| Practice Telephone | 3603875757 |
| Practice Fax Number | 3603873901 |
| Mailing Telephone | 3603876072 |
| Mailing Fax Number | 3603876072 |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PH00011737 | WA | Pharmacy Service Providers |
| Street Address |
370 N. EAST CAMANO DR. |
| City | CAMANO ISLAND |
| State | WA |
| Zip Code | 98282 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073012449 | Brenda Grinde | Massage Therapist | 122 W Mountain Rd, Camano Island, WA 98282 | 2018-02-12 |
| 1083122873 | Kathleen Jensen Bouranova | Registered Nurse | 1320 Sw Camano Dr, Camano Island, WA 98282 | 2018-01-16 |
| 1770968117 | Lisanne Olsen | Massage Therapist | 1143 Sr 532, Camano Island, WA 98282 | 2015-07-28 |
| 1063690501 | Anna Christine Mitchell | Specialist | 927 N.w. Camano Drive, Camano Island, WA 98282 | 2008-02-06 |
| 1558420489 | Martin Anthony Zimmerman | Dentist | 810 N Rekdal Road, Camano Island, WA 98282 | 2006-12-06 |
| 1437264322 | Matthew Robert Crouthamel | Surgery | 18 Anadar Pl, Camano Island, WA 98282 | 2006-08-20 |
| 1487125654 | Susan Land | Massage Therapist | 848 N Sunrise Blvd, Ste 102 Bld A, Camano Island, WA 98282 | 2018-12-16 |
| 1669982500 | Shelby Seay | Massage Therapist | 848 N Sunrise Blvd, Ste 102 Bld A, Camano Island, WA 98282 | 2017-10-05 |
| 1144388075 | Randall A Thompson Dds Ps | Dentist | 810 Rekdal Rd, Carmano Island, WA 98282 | 2006-12-04 |
| 1508932427 | Public Hospital Dist No 1 Skagit | Clinic/Center | 127 N. East Camano Drive, Suite A, Camano Island, WA 98282 | 2006-11-24 |
| Find all providers in zip 98282 | ||||
| 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 |
|---|---|---|---|---|
| 1215362751 | Kimberly Ann Payne | Pharmacist | 628 Weston Rd, Camano Island, WA 98282-8418 | 2013-09-03 |
| 1659617843 | Anatole V Pavelko | Pharmacist | 930 Michael Way, Camano Island, WA 98282-6521 | 2012-12-17 |
| 1851378582 | Karen L Lampe | Pharmacist | 943 Cambell Dr, Camano Island, WA 98282-7378 | 2005-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043810088 | Melaku Abtew Melese | Pharmacist | 3201 S 192nd St Apt Noe102, Seatac, WA 98188-5365 | 2020-10-29 |
| 1922608199 | Kathy Tong | Pharmacist | 3941 S Warsaw St, Seattle, WA 98118-3253 | 2020-10-27 |
| 1346848702 | Bronston Stuart Lallier | Pharmacist | 23731 Se 243rd Ct, Maple Valley, WA 98038-5266 | 2020-10-16 |
| 1467050211 | Jungryul Koh | Pharmacist | 12611 49th Avenue Ct Sw Apt C302, Lakewood, WA 98499-5184 | 2020-10-14 |
| 1407453988 | Phuong Tran Chan Nguyen | Pharmacist | 2826 Se 2nd Ct, Renton, WA 98056-4016 | 2020-10-07 |
| 1881291797 | Jeffrey Douglas Bunce | Pharmacist | 4704 127th Street Ct Sw Apt A205, Lakewood, WA 98499-5863 | 2020-10-04 |
| 1518564590 | David Bye | Pharmacist | 1000 2nd Ave Ste 2400, Seattle, WA 98104-1041 | 2020-10-03 |
| 1720695372 | Vi Thuy-thi Tran | Pharmacist | 112 N Howard St Ste 115, Spokane, WA 99201-0656 | 2020-09-28 |
| 1720694144 | Lwam Dori Ekubazgi | Pharmacist | 5900 37th Ave S Apt H42, Seattle, WA 98118-6234 | 2020-09-21 |
| 1568078293 | Wrashmena Jalalyar | Pharmacist | 2431 S 38th Ave, West Richland, WA 99353-7346 | 2020-09-17 |
| Find all providers with the same taxonomy | ||||
| City | CAMANO ISLAND |
| Zip Code | 98282 |
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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.