MR. BRAD CRAIG BOEHME (NPI# 1235559881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235559881 |
| Entity Type | Individual |
| Full Name | MR. BRAD CRAIG BOEHME |
| Practice Address |
9775 Sw Gemini Dr Ste 1 Beaverton OR 97008-7148 |
| Practice Telephone | 8662024014 |
| Mailing Telephone | 8662024014 |
| Enumeration Date | 2014-04-22 |
| Last Update Date | 2014-04-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | S015044 | AZ | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | 13142 | NE | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | 47988 | TX | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | 0008601 | OR | Pharmacy Service Providers |
| Street Address |
9775 SW GEMINI DR STE 1 |
| City | BEAVERTON |
| State | OR |
| Zip Code | 97008-7148 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669668752 | Walgreens Specialty Pharmacy LLC | Pharmacy | 9775 Sw Gemini Dr, Ste 1, Beaverton, OR 97008 | 2007-09-21 |
| 1790196509 | Chris Fuegy | Pharmacist | 9775 Sw Gemini Dr, Beaverton, OR 97008-7148 | 2014-05-14 |
| 1720498371 | Nicole Jeane O'kane | Pharmacist | 9775 Sw Gemini Dr, Ste 1, Beaverton, OR 97008-7148 | 2014-05-05 |
| 1053721084 | Sharon Okabayashi Branham | Pharmacist | 9775 Sw Gemini Dr, Beaverton, OR 97008-7148 | 2014-04-29 |
| 1588074520 | Sheryl Blodgett | Pharmacist | 9775 Sw Gemini Dr, Suite 1, Beaverton, OR 97008-7148 | 2014-04-29 |
| 1538589809 | Elizabeth Asai | Pharmacist | 9775 Sw Gemini Dr, Beaverton, OR 97008-7148 | 2014-04-24 |
| 1164842597 | Sandra Scott | Pharmacist | 9775 Sw Gemini Dr, Beaverton, OR 97008-7148 | 2014-04-24 |
| 1346660990 | Clay Parkel | Pharmacist | 9775 Sw Gemini Dr, Beaverton, OR 97008-7148 | 2014-04-22 |
| 1275953879 | Alan Kanning | Pharmacist | 9775 Sw Gemini Dr, Beaverton, OR 97008-7148 | 2014-04-22 |
| 1508289356 | Stephanie Wang | Pharmacist | 9775 Sw Gemini Dr, Beaverton, OR 97008-7148 | 2014-01-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972136638 | Kelly Mitchell | Counselor | 6600 Sw 105th Ave Suite 120, Beaverton, OR 97008 | 2020-02-20 |
| 1700305315 | Heather Denise Glenn | Counselor | 6700 Sw 105th Avenue, Suite 203, Beaverton, OR 97008 | 2017-09-14 |
| 1649798265 | Timothy Wilkins | Counselor | 8285 Sw Nimbus Ave #148, Beaverton, OR 97008 | 2017-09-04 |
| 1962920751 | West End Surgical, LLC | Clinic/Center | 9405 Sw Nimbus Ave, Beaverton, OR 97008 | 2017-09-01 |
| 1073054714 | University Professional Services | Durable Medical Equipment & Medical Supplies | 9317 Sw Nimbus Ave, Beaverton, OR 97008 | 2017-03-14 |
| 1508311424 | Mitra Gaspeed | Dental Hygienist | 8615 Sw Thoroughbred Pl., Beaverton, OR 97008 | 2016-08-20 |
| 1740521988 | Donna Louise Grenier | Registered Nurse | 1413 E St, Independence, OR 97008 | 2013-03-13 |
| 1508105735 | Mary Elizabeth Smith | Specialist/Technologist, Other | 11855sw Ridgecrest Dr, #209, Beaverton, OR 97008 | 2013-02-07 |
| 1629315551 | Adelfino J Zuriaga | Massage Therapist | 11985 Sw Camden Ln, Beaverton, OR 97008 | 2013-01-11 |
| 1760738330 | Lih-wern Wang | Pharmacist | 9775 Sw Gemini Dr Ste 1, Beaverton, OR 97008 | 2012-07-31 |
| Find all providers in zip 97008 | ||||
| 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 |
|---|---|---|---|---|
| 1699244749 | Sohrob Yavari | Pharmacist | 14742 Sw Scholls Ferry Rd, Beaverton, OR 97007-9108 | 2018-11-19 |
| 1033667456 | Andre Vo | Pharmacist | 2575 Sw Walker Rd, Beaverton, OR 97005 | 2016-09-14 |
| 1316348428 | Christopher Lau | Pharmacist | 12855 Sw Barlow Rd, Beaverton, OR 97008-5181 | 2014-09-08 |
| 1275968455 | Michael L Garcia | Pharmacist | 14856 Sw Conor Cir, Beaverton, OR 97006-5893 | 2013-09-06 |
| 1720338759 | Aman Patel | Pharmacist | 210 Sw Edgeway Drive, #j382, Beaverton, OR 97006 | 2012-09-18 |
| 1760738330 | Lih-wern Wang | Pharmacist | 9775 Sw Gemini Dr Ste 1, Beaverton, OR 97008 | 2012-07-31 |
| 1104199876 | Chamnan Ing | Pharmacist | 4750 Sw Western Ave, Beaverton, OR 97005-3431 | 2012-02-10 |
| 1902122377 | Barbara Ellen Nye | Pharmacist | 15005 Nw Blaze Ter, Beaverton, OR 97006-5784 | 2010-04-10 |
| 1841523750 | Jenny Thuy Phan Yee | Pharmacist | 14600 Sw Murray Scholls Dr Ste 102, Beaverton, OR 97007-9712 | 2009-09-09 |
| 1811154974 | Jordianne Orallo Balan | Pharmacist | 16029 Nw Joscelyn St, Beaverton, OR 97006-7261 | 2008-05-16 |
| Find all providers in BEAVERTON | ||||
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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.