ELIZA DEGUZMAN (NPI# 1275995409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275995409 |
| Entity Type | Individual |
| Full Name | ELIZA DEGUZMAN |
| Credential | PHARMD |
| Practice Address |
410 Providence Ln Ne Emilie Gamelin Pavilion Olympia WA 98506-6927 |
| Practice Telephone | 3604935369 |
| Mailing Telephone | 3604935369 |
| Enumeration Date | 2016-03-26 |
| Last Update Date | 2016-03-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P2201X |
Pharmacist Specialization: Ambulatory Care |
PH 00039667 | WA | Pharmacy Service Providers |
| Street Address |
410 PROVIDENCE LN NE EMILIE GAMELIN PAVILION |
| City | OLYMPIA |
| State | WA |
| Zip Code | 98506-6927 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578673430 | Susan U Doolittle | Physical Therapist | 410 Providence Ln Ne, Olympia, WA 98506-6927 | 2006-08-30 |
| 1043741549 | Angelica Kim | Physical Therapist | 410 Providence Ln Ne, Emilie Gamelin Pavilion, 2nd Floor, Olympia, WA 98506-6927 | 2017-03-25 |
| 1356709695 | Robin Wooldridge | Pharmacist | 410 Providence Ln Ne, Emilie Gamelin Pavilion, Olympia, WA 98506-6927 | 2016-02-01 |
| 1528436995 | Mackenzie Smith | Pharmacist | 410 Providence Ln Ne, Olympia, WA 98506 | 2015-09-02 |
| 1881016681 | Kristin Bradshaw | Physical Therapist | 410 Providence Ln Ne, Olympia, WA 98506-6927 | 2014-01-13 |
| 1538581715 | Robert Bell | Physical Therapist | 410 Providence Ln Ne, Olympia, WA 98506-6927 | 2014-01-07 |
| 1508287848 | Deanna Carol Knoll | Physical Therapist | 410 Providence Ln Ne, Olympia, WA 98506-6927 | 2014-01-03 |
| 1194146506 | Nancy Willard | Speech-Language Pathologist | 410 Providence Ln Ne, Olympia, WA 98506-6927 | 2014-01-02 |
| 1538580956 | Brenda Mckey | Occupational Therapist | 410 Providence Ln Ne, Olympia, WA 98506-6927 | 2014-01-02 |
| 1134476575 | Kenneth Eugene Schnell | Physical Therapist | 410 Providence Ln Ne, Olympia, WA 98506-6927 | 2012-08-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477185460 | Chloe Harper | Technician, Other | 3443 Lilly Rd Se, Ste B, Olympia, WA 98506 | 2020-02-07 |
| 1912543539 | Jessica Marie Radakovich | Licensed Practical Nurse | 3426 Mary Elder Rd, Olympia, WA 98506 | 2019-11-19 |
| 1669014973 | Arlene Josephine Adams | Registered Nurse | 413 Lily Rd Ne, Olympia, WA 98506 | 2019-10-09 |
| 1861999120 | Debra Delores Barker | Licensed Practical Nurse | 3710 South Bay Rd Ne, Olympia, WA 98506 | 2018-04-12 |
| 1801304431 | Michelle Warner | Nurse Practitioner | 205 Lilly Rd Ne Ste A1, Olympia, WA 98506 | 2018-01-17 |
| 1396258364 | Institute for Family Development | Community/Behavioral Health | 204 Quince St. Ne, Suite 200, Olympia, WA 98506 | 2017-11-13 |
| 1083137715 | Cameron Kunkel | Specialist/Technologist | 2512 20th Ave Ne, Olympia, WA 98506 | 2017-07-25 |
| 1184144768 | Trevor Shane Kwan | Family Medicine | 525 Lilly Road Ne, Olympia, WA 98506 | 2017-06-23 |
| 1073043212 | Michael H Harburg | Behavior Technician | 3857 Martin Way Ne, Olympia, WA 98506 | 2017-06-19 |
| 1780114371 | Priscilla Kangyang Jadu | Counselor | 3857 Martin Way E., Olympia, WA 98506 | 2017-06-15 |
| Find all providers in zip 98506 | ||||
| Taxonomy Code | 1835P2201X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Ambulatory Care |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in the provision of integrated, accessible health care services by pharmacists and is accountable for addressing medication needs, developing sustained partnerships with patients, and practicing in the context of family and community. |
| Notes: Source: Board of Pharmacy Specialties, www.bpsweb.org [7/1/2015: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992220214 | Rachel Ann Alm | Pharmacist | 525 Lilly Rd Ne Ste 204, Olympia, WA 98506-5101 | 2017-08-08 |
| 1215495866 | Vinh Hoang Nguyen | Pharmacist | 700 Lilly Rd Ne, Olympia, WA 98506-5115 | 2019-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245839935 | Zackary Beard | Pharmacist | 17700 Se 272nd St # 100, Covington, WA 98042-4951 | 2020-10-22 |
| 1073110581 | Vince Pinaroc | Pharmacist | 4545 Pt Fosdick Dr Nw Ste 250, Gig Harbor, WA 98335-1700 | 2020-10-07 |
| 1881212751 | Jordan C Smith | Pharmacist | 105 W 8th Ave # 350e, Spokane, WA 99204-2302 | 2020-07-08 |
| 1255976056 | Olusegun Adesesan Bamgbelu | Pharmacist | Memorial Cornerstone Pharmacy, 4003 Creekside Loop, Yakima, WA 98908 | 2019-11-15 |
| 1922586023 | Kimberly Jane Comito | Pharmacist | 1002 15th St Sw Ste 101, Auburn, WA 98001-6502 | 2018-07-31 |
| 1760974315 | Rachna Burman I | Pharmacist | 1708 Yakima Ave Ste 20, Tacoma, WA 98405-5307 | 2018-05-30 |
| 1942792676 | John K Guffey | Pharmacist | 12607 Se Mill Pain Blvd, Vancouver, WA 98684-4098 | 2018-05-30 |
| 1790297232 | Racha Aldughli | Pharmacist | 1901 S Union Ave Ste 7009, Tacoma, WA 98405-1702 | 2017-10-24 |
| 1881104297 | Beverly Moua | Pharmacist | 207 E Stanley St, Granite Falls, WA 98252-8480 | 2017-10-11 |
| 1023565371 | Lloyd Stever | Pharmacist | 532 S Battery Rd, Moses Lake, WA 98837-2997 | 2016-09-03 |
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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.