KIMBERLY S BRANDT (NPI# 1245503820) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245503820 |
| Entity Type | Individual |
| Full Name | KIMBERLY S BRANDT |
| Practice Address |
2510 Adams Ave La Grande OR 97850-3467 |
| Practice Telephone | 5419639515 |
| Practice Fax Number | 5419638907 |
| Mailing Telephone | 5419639515 |
| Mailing Fax Number | 5419638907 |
| Enumeration Date | 2012-02-13 |
| Last Update Date | 2012-02-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183700000X | Pharmacy Technician | CPT-0005931 | OR | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | PHARMACY TECHNICIAN | CPT-0005931 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245885094 | Kimberly Brandt | Technician | 4263 N Rushwood Ct, Bel Aire, KS 67226-1464 | 2019-08-08 |
| 1851304281 | Kimberly Anne Brandt | Nurse Practitioner | 10362 Sw Mcdonald St, Tigard, OR 97224-4863 | 2006-08-15 |
| 1205198884 | Kimberly Brandt | Nurse Anesthetist, Certified Registered | 800 Spruce St, Philadelphia, PA 19107-6130 | 2012-06-11 |
| 1497066740 | Kimberly Rachel Brandt | Psychiatry & Neurology | One Hospital Drive, Columbia, MO 65212 | 2010-07-01 |
| 1972632354 | Kimberly Berger Brandt | Physical Therapist | 109 Shult Dr, Suite 206, Columbus, TX 78934-3009 | 2007-03-03 |
| 1215934153 | Kimberly D. Brandt | Physical Therapist | 2021 23rd St, Columbus, NE 68601-3427 | 2005-07-07 |
| Street Address |
2510 ADAMS AVE |
| City | LA GRANDE |
| State | OR |
| Zip Code | 97850-3467 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356374615 | Bimart Corporation | Durable Medical Equipment & Medical Supplies | 2510 Adams Ave, La Grande, OR 97850-3467 | 2006-07-09 |
| 1568944031 | Ronald Robert Christensen | Pharmacist | 2510 Adams Ave, La Grande, OR 97850-3467 | 2018-08-31 |
| 1780108977 | James D Pellerin | Pharmacist | 2510 Adams Ave, La Grande, OR 97850-3467 | 2017-07-28 |
| 1851794580 | Sabrina Beeler | Pharmacist | 2510 Adams Ave, La Grande, OR 97850-3467 | 2014-10-08 |
| 1104178458 | Bonnie Faye Sparks | Pharmacist | 2510 Adams Ave, La Grande, OR 97850-3467 | 2012-10-11 |
| 1558634451 | Laurel Christine Cox | Pharmacist | 2510 Adams Ave, La Grande, OR 97850-3467 | 2012-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336749621 | Praxis Medical Group P.C. | Clinic/Center | 2011 Fourth St., La Grande, OR 97850 | 2020-10-27 |
| 1730794637 | Praxis Medical Group Inc | Clinic/Center | 2011 4th Street, La Grande, OR 97850 | 2020-09-09 |
| 1154956233 | Ellen Faye Barlow | Nurse Practitioner | 506 Fourth St., La Grande, OR 97850 | 2020-03-09 |
| 1811479991 | Kyle Jacob Roxby | Pharmacist | 2122 Island Avenue, #201, La Grande, OR 97850 | 2018-09-05 |
| 1093296519 | Grande Ronde Hospital, Inc. | Clinic/Center | 10303 S Walton Rd, La Grande, OR 97850 | 2018-08-23 |
| 1073050795 | Dana Marie Gaerke | Occupational Therapist | Parkway Therapies: La Grande Health and Rehab, 91 Aires Lane, La Grande, OR 97850 | 2017-01-20 |
| 1114393998 | Rachel Marie Gazeley | Dental Hygienist | 1507 4th Street, La Grande, OR 97850 | 2015-08-17 |
| 1104227297 | Sarah Blackwood | Pharmacist | 2212 Island Ave, La Grande, OR 97850 | 2014-09-09 |
| 1669890158 | Jean Mckern | Counselor | 902-a Sixth Street, La Grande, OR 97850 | 2014-04-01 |
| 1629333976 | Robert Caleb Mcilmoil | Physical Therapist | 570 8th Street, Eligin, OR 97850 | 2012-07-11 |
| Find all providers in zip 97850 | ||||
| Taxonomy Code | 183700000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacy Technician |
| A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. |
| Notes: Source: Pharmacy Technician Certification Board, www.ptcb.org [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184223356 | Sarah Miller | Pharmacy Technician | 8300 Sw Creekside Pl, Beaverton, OR 97008-8178 | 2020-10-20 |
| 1659991586 | Billy Dakota Medlin | Pharmacy Technician | 53 N 2nd St, Ashland, OR 97520-1889 | 2020-04-21 |
| 1881047553 | Kelli Tompkins | Pharmacy Technician | 2909 Daggett Ave Ste 225, Klamath Falls, OR 97601-7200 | 2016-07-19 |
| 1538550058 | Jinalyn Germond | Pharmacy Technician | 1813 W Harvard Ave Ste 210, Roseburg, OR 97471-2709 | 2015-02-06 |
| 1639443476 | Angela Lynn Mcginley | Pharmacy Technician | 20000 Se Highway 212, Damascus, OR 97089-8717 | 2012-02-24 |
| 1568750990 | Patricia Posteuca | Pharmacy Technician | 2602 Arbor Dr, West Linn, OR 97068-1104 | 2011-07-19 |
| 1487961272 | Peter James | Pharmacy Technician | 1215 Nw 23rd Ave, Portland, OR 97210-2905 | 2010-09-01 |
| 1356514145 | Kirk Thomas Gates | Pharmacy Technician | 12065 Sw Walnut St, Tigard, OR 97223-3033 | 2008-04-11 |
| 1013138338 | Joni Renee Killgore | Pharmacy Technician | 500 Summer St Ne, Salem, OR 97301-1063 | 2007-05-02 |
| 1780707547 | Ronald Johnson I | Pharmacy Technician | 3710 Southwest Us Veterans Hospital Road, Portland, OR 97239 | 2007-04-09 |
| Find all providers with the same taxonomy | ||||
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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.