BRETT WILLIAM SAMPSON (NPI# 1225686108) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225686108 |
| Entity Type | Individual |
| Full Name | BRETT WILLIAM SAMPSON |
| Credential | PHARMD, RPH |
| Practice Address |
135 Ne Terry Ln Grants Pass OR 97526-4801 |
| Mailing Address |
337 Brookhaven Dr Central Point OR 97502-2396 |
| Practice Telephone | 5414712820 |
| Mailing Telephone | 7027381334 |
| Enumeration Date | 2019-09-03 |
| Last Update Date | 2019-09-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RPH-0017360 | OR | Pharmacy Service Providers |
| Street Address |
135 NE TERRY LN |
| City | GRANTS PASS |
| State | OR |
| Zip Code | 97526-4801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063450013 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 135 Ne Terry Ln, Grants Pass, OR 97526-4801 | 2006-06-03 |
| 1225514375 | Dane M Fickes | Pharmacist | 135 Ne Terry Ln, Grants Pass, OR 97526-4801 | 2018-07-12 |
| 1104234616 | Mariah Rossi | Pharmacist | 135 Ne Terry Ln, Grants Pass, OR 97526-4801 | 2014-07-28 |
| 1023426939 | Deirdre Swarts | Pharmacist | 135 Ne Terry Ln, Grants Pass, OR 97526-4801 | 2014-07-24 |
| 1821335977 | Fickes LLC | Optometrist | 135 Ne Terry Ln, Grants Pass, OR 97526-4801 | 2013-01-09 |
| 1689742132 | Eyeglass Center | Optometrist | 135 Ne Terry Ln, Grants Pass, OR 97526-4801 | 2006-12-01 |
| 1427126986 | Tom Fickes | Optometrist | 135 Ne Terry Ln, Grants Pass, OR 97526-4801 | 2006-12-01 |
| 1669540050 | Eva Fickes | Optometrist | 135 Ne Terry Ln, Grants Pass, OR 97526-4801 | 2006-12-01 |
| 1225055361 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 135 Ne Terry Ln, Grants Pass, OR 97526-4801 | 2006-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205476777 | Kyla M Mccormick | Peer Specialist | 109 Nw Manzanita Avenue, Grants Pass, OR 97526 | 2020-01-13 |
| 1164076469 | Alicia Yvonne Hansen | Counselor | 1055 Clarey St., Grants Pass, OR 97526 | 2019-07-25 |
| 1841842598 | Michael Liam Reynolds, Dds, LLC | Dentist | 984 Ne 8th Street, Grants Pass Oregon, Grants Pass, OR 97526 | 2019-07-12 |
| 1881254746 | Brandi Mccrorey | Counselor | 418 Ne 6th Street, Suite 102, Grants Pass, OR 97526 | 2019-06-13 |
| 1700364502 | Premier Community Supports, LLC. | Day Training, Developmentally Disabled Services | 1439 Ne 6th St Ste C, Grants Pass, OR 97526 | 2018-08-02 |
| 1821584509 | Stefani Mcintyre | Massage Therapist | 1590 Se N Street, Warehouse #1574, Grants Pass, OR 97526 | 2018-07-06 |
| 1114467438 | Sandra P Martin | Chiropractor | 333 Sw 5th St. Suite B, Grants Pass, OR 97526 | 2017-03-06 |
| 1801347612 | Maci Wageman | Counselor | 1215 Sw G St Grants Pass Oregon 97526, Grants Pass, OR 97526 | 2016-10-17 |
| 1902353907 | Optimal Health of Southern Oregon, LLC | Family Medicine | 1600 Nw 6th St South Suite, Grants Pass, OR 97526 | 2016-09-07 |
| 1982150793 | Tanya White | Counselor | 402 Nw Fstreet, Grants Pass, OR 97526 | 2016-08-31 |
| Find all providers in zip 97526 | ||||
| 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 |
|---|---|---|---|---|
| 1235681966 | Sean Clark | Pharmacist | 2407 Stringer Gap Rd, Grants Pass, OR 97527-9573 | 2016-10-28 |
| 1578971131 | Trina Stratman | Pharmacist | 2700 Sw Acres Rd, Grants Pass, OR 97527-9082 | 2014-07-28 |
| 1891103305 | William Pennington | Pharmacist | 5008 Williams Hwy, Grants Pass, OR 97527-7703 | 2014-07-28 |
| 1457619199 | Gary S. Hedrick | Pharmacist | 500 S.w. Ramsey, Grants Pass, OR 97527 | 2012-05-01 |
| 1457620635 | Matthew E Lassfolk | Pharmacist | 1690 Allen Creek Rd, Grants Pass, OR 97527-5559 | 2011-12-18 |
| 1720364821 | Stephanie Benade | Pharmacist | 915 Ne D St, Rite Aid Pharmacy Store # 5386, Grants Pass, OR 97526-2320 | 2011-11-02 |
| 1144509456 | Gary Fuller | Pharmacist | 842 N Pinnon Rd, Grants Pass, OR 97526-8304 | 2011-08-04 |
| 1073807269 | Harley Glenn Mckewen | Pharmacist | 1642 Williams Hwy, Grants Pass, OR 97527-5660 | 2011-06-05 |
| 1548573546 | Jacki L Schrader | Pharmacist | 476 Three Pines Rd, Grants Pass, OR 97526-8754 | 2010-07-19 |
| 1861642308 | Daryl M Barnes | Pharmacist | 4300 Leonard Rd, Grants Pass, OR 97527-9255 | 2008-09-20 |
| Find all providers in GRANTS PASS | ||||
| City | GRANTS PASS |
| Zip Code | 97526 |
Please comment or provide details below to improve the information on BRETT WILLIAM SAMPSON.
| 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.