DAVID NYGREN (NPI# 1326456351) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326456351 |
| Entity Type | Individual |
| Full Name | DAVID NYGREN |
| Practice Address |
506 5th St Clarkston WA 99403 |
| Practice Telephone | 5097586660 |
| Practice Fax Number | 5097589461 |
| Mailing Telephone | 5097586660 |
| Mailing Fax Number | 5097589461 |
| Enumeration Date | 2014-07-22 |
| Last Update Date | 2014-07-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PH00009092 | WA | Pharmacy Service Providers |
| Street Address |
506 5TH ST |
| City | CLARKSTON |
| State | WA |
| Zip Code | 99403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306409669 | Jessica Elaine Krull | Specialist/Technologist | 807 3rd Street, Clarkston, WA 99403 | 2019-04-22 |
| 1477006526 | Idaho County Rideshare | Non-emergency Medical Transport (VAN) | 1470 Elm Street, Clarkston, WA 99403 | 2016-07-25 |
| 1679921340 | Jonathan Preszler | Counselor | 629 6th Street, Educational and Psychological Services, Clarkston, WA 99403 | 2016-06-02 |
| 1104204957 | Optimal Health and Wellness | Clinic/Center | 1267 Belmont Way, Clarkston, WA 99403 | 2015-05-13 |
| 1255672895 | Alpowa Healthcare, Inc. | Hospice Care, Community Based | 1370 Bridge Street, Clarkston, WA 99403 | 2013-03-06 |
| 1265799407 | Elizabeth Bagnulo Dacey | Pathology | 1225 Highland Avenue, Clarkston, WA 99403 | 2012-04-12 |
| 1649586256 | Zeeshan Afzal | Internal Medicine | 1119 Highland Ave Ste 3, Clarkston, WA 99403 | 2010-08-20 |
| 1154657955 | Twin River Vision, Inc. | Optometrist | 306 5th Street, Clarkston, WA 99403 | 2009-10-29 |
| 1649429317 | Elizabeth Marie Allen-racicot | Specialist | 1013 Bridge Street, Clarkston, WA 99403 | 2008-09-17 |
| 1750405767 | Jennifer Altmiller Kaufman | Nurse Practitioner | 302 5th St, Ste 3, Clarkston, WA 99403 | 2007-03-16 |
| Find all providers in zip 99403 | ||||
| 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 |
|---|---|---|---|---|
| 1548782840 | Joshua Wonjoon Yang | Pharmacist | 5635 Parview Dr Apt 112, Clarkston, MI 48346-2847 | 2017-07-09 |
| 1003348608 | Cathy Steward Hruska | Pharmacist | 7651 Somerhill Ln, Clarkston, MI 48348-4382 | 2017-04-01 |
| 1063965143 | Bertukan Worku Demas | Pharmacist | 3671 Cobble Mill Ln, Clarkston, GA 30021 | 2016-07-26 |
| 1184090284 | Tammy Tran | Pharmacist | 5317 Greenview Dr, Clarkston, MI 48348-3718 | 2015-08-12 |
| 1861837486 | Suleman Daya | Pharmacist | 926 Montreal Rd Ste 2, Clarkston, GA 30021-1399 | 2013-05-09 |
| 1447577549 | John Fisher Barrett | Pharmacist | 4810 Fox Crk E, Apt 180, Clarkston, MI 48346-4938 | 2010-04-28 |
| 1447493598 | Nishant Patel | Pharmacist | 5789 S Main St, Clarkston, MI 48346-2959 | 2009-04-18 |
| 1184836587 | Joseph William Karasek | Pharmacist | 7210 N Main St Ste 102, Clarkston, MI 48346-1575 | 2007-05-06 |
| 1548326911 | George Stehpen Didur | Pharmacist | 5751 Clarkston Rd, Clarkston, MI 48348 | 2006-12-29 |
| 1235290065 | Kristen Clarissa Adams | Pharmacist | 1275 Highland Ave, Clarkston, WA 99403-2846 | 2006-12-13 |
| Find all providers in CLARKSTON | ||||
Please comment or provide details below to improve the information on DAVID NYGREN.
| 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.