MR. JERRY ROBERT SMEAD (NPI# 1235174004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235174004 |
| Entity Type | Individual |
| Full Name | MR. JERRY ROBERT SMEAD |
| Credential | R.PH. |
| Practice Address |
2700 Stewart Parkway Roseburg OR 97471 |
| Mailing Address |
2700 Nw Stewart Pkwy Roseburg OR 97471-1281 |
| Practice Telephone | 5416774334 |
| Practice Fax Number | 5416772121 |
| Mailing Telephone | 5416774334 |
| Mailing Fax Number | 5416772121 |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2013-04-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
RPH-0013059 | OR | Pharmacy Service Providers |
| N | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
PH00016183 | WA | Pharmacy Service Providers |
| Street Address |
2700 STEWART PARKWAY |
| City | ROSEBURG |
| State | OR |
| Zip Code | 97471 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568980407 | Rachel Sutton | Dental Hygienist | 2700 Stewart Parkway, Roseburg, OR 97471 | 2017-08-30 |
| 1467987388 | Toryn Clark | Community Health Worker | 2700 Stewart Parkway, Roseburg, OREGON 97470 | 2017-04-28 |
| 1376905273 | Lisa Dawn Disante | Community Health Worker | 2700 Stewart Parkway, Annex B, Roseburg, OR 97471 | 2016-03-22 |
| 1598125346 | Mary Anne Worthington | Counselor | 2700 Stewart Parkway, Annex B, Roseburg, OR 97471 | 2016-03-07 |
| 1598130858 | Michael Dale Shipley | Case Manager/Care Coordinator | 2700 Stewart Parkway, Annex B, Roseburg, OR 97471 | 2015-12-11 |
| 1023480548 | Angela Marie Gross | Case Manager/Care Coordinator | 2700 Stewart Parkway, Annex B, Roseburg, OR 97471 | 2015-10-23 |
| 1578945804 | Rebecca Potuzak | Case Manager/Care Coordinator | 2700 Stewart Parkway, Annex B, Roseburg, OR 97471 | 2015-06-23 |
| 1396126942 | Staci Bryan | Case Manager/Care Coordinator | 2700 Stewart Parkway, Annex B, Roseburg, OR 97471 | 2015-06-09 |
| 1245610435 | Loriann Barber | Case Manager/Care Coordinator | 2700 Stewart Parkway, Annex B, Roseburg, OR 97471 | 2015-06-03 |
| 1144614553 | Imeya Raye Huntley | Case Manager/Care Coordinator | 2700 Stewart Parkway, Annex B, Roseburg, OR 97471 | 2015-03-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841805660 | Rae Ann Barnes | Pharmacist | 913 Ne Garden Valley Blvd, Pharmacy, Roseburg, OR 97471 | 2020-09-09 |
| 1023651031 | Colton Phillips | Behavioral Analyst | 940 Nw Garden Valley Bvld #104, Roseburg, OR 97471 | 2019-10-22 |
| 1952884876 | Meredith Krugel Lcsw PC | Clinic/Center | 2225 Nw Stewart Parkway Ste 200, Roseburg, OR 97471 | 2018-09-07 |
| 1114456563 | Philip Kaser Family, LLC | Pharmacy | 1175 W. Harvard Avenue, Roseburg, OR 97471 | 2017-06-08 |
| 1053854208 | Icco LLC | Clinic/Center | 1740 Nw Goetz Street, Roseburg, OR 97471 | 2016-11-21 |
| 1770034589 | Evie Jepsen | Case Manager/Care Coordinator | 2700 Stewart Parkway Annex B, Suite 110, Roseburg, OR 97471 | 2016-10-17 |
| 1932551256 | Jonathan Schmidt | Licensed Practical Nurse | 913 Nm Garden Valley Blvd, Va Roseburg Medical Center, Roseburg, OR 97471 | 2016-07-11 |
| 1932580586 | Jeffrey Mark Wareham | Case Manager/Care Coordinator | 2700 Medical Loop, Annex B, Roseburg, OR 97471 | 2015-06-09 |
| 1558784215 | Ginger Jean Thibedeau | Massage Therapist | 3019 Nw Stewart Parkway, Suite 304 #183, Roseburg, OR 97471 | 2014-01-30 |
| 1427303122 | Karishma Parekh | Internal Medicine | 2460 Nw Stewart Pkwy Ste 103, Roseburg, OR 97471 | 2012-07-18 |
| Find all providers in zip 97471 | ||||
| Taxonomy Code | 1835P1200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacotherapy |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295076461 | Kanan Rahul Agarwal | Pharmacist | 2700 Nw Stewart Pkwy, Roseburg, OR 97471-1281 | 2013-03-12 |
| 1902931173 | Deborah Carpenter | Pharmacist | 2700 Nw Stewart Pkwy, Roseburg, OR 97470-1281 | 2007-02-21 |
| 1427155381 | Inchul Kenneth Har | Pharmacist | 913 Nw Garden Valley Blvd, Roseburg, OR 97470-6523 | 2006-09-20 |
| 1245273713 | Daniel Neal | Pharmacist | 913 Nw Garden Valley Blvd, Roseburg, OR 97470-6523 | 2006-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730795212 | Ali Olyaei | Pharmacist | 13852 Amberwood Cir, Lake Oswego, OR 97035-6716 | 2020-09-19 |
| 1093341786 | James Slater | Pharmacist | 13344 Sw Havencrest St, Beaverton, OR 97005-0951 | 2020-03-13 |
| 1235621525 | Yvette Grando Holman | Pharmacist | 1311 Nw 21st Ave, Portland, OR 97209-1610 | 2018-06-01 |
| 1376812057 | Dan Colley | Pharmacist | 2995 Sw Vista Dr, Portland, OR 97225-4144 | 2011-12-23 |
| 1104078047 | Myrna Y. Munar | Pharmacist | 3303 Sw Bond Avenue, Ch12c, Osu / Ohsu College of Pharmacy, Portland, OR 97239-4501 | 2008-10-22 |
| 1518149913 | Steven Richard Martin | Pharmacist | 5417 Ne 138th Ave, Portland, OR 97230 | 2007-11-28 |
| 1255544631 | Kristina Lee Butler | Pharmacist | 4400 Ne Halsey St Ste 490, Portland, OR 97213-1545 | 2007-05-08 |
| 1528289998 | Dawn Chieko Fuke | Pharmacist | 4400 Ne Halsey St Fl 4, Portland, OR 97213-1545 | 2007-05-01 |
| 1003031485 | Robert Craig Adams | Pharmacist | 1220 Sw 3rd Ave Ste 476, Portland, OR 97204-2812 | 2007-04-13 |
| 1528107513 | Joel C Marrs | Pharmacist | 3303 Southwest Bond Ave., Campus Box, Ch12c, Portland, OR 97239-4501 | 2007-02-06 |
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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.