TIMOTHY MCDONALD (NPI# 1336629823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336629823 |
| Entity Type | Individual |
| Full Name | TIMOTHY MCDONALD |
| Practice Address |
2040 Broadway Ave North Bend OR 97459-2328 |
| Mailing Address |
817 Kentucky Ave Coos Bay OR 97420-6804 |
| Practice Telephone | 5417567531 |
| Enumeration Date | 2018-08-15 |
| Last Update Date | 2018-08-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RPH-0016741 | OR | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538697131 | Timothy Mcdonald | Psychologist | 191 E Orchard Rd Ste A, Littleton, CO 80121-8055 | 2017-05-25 |
| 1902059504 | Timothy John Mcdonald | Otolaryngology | 577 Michigan Ave Ste 101, Holland, MI 49423-4911 | 2008-10-28 |
| 1992886089 | Timothy Mcdonald | Dentist | 2765 E Grand River Ave, Howell, MI 48843-8590 | 2006-10-17 |
| 1619327988 | Timothy Michael Mcdonald | Pathology | 424 S 56th St Ste 110, Phoenix, AZ 85034-2177 | 2016-06-17 |
| 1619250503 | Timothy A. Mcdonald | Pharmacist | 20 W Main St, Brownsburg, IN 46112-1242 | 2011-09-27 |
| 1528387636 | Timothy L Mcdonald | Social Worker | 396 Broadway, Monticello, NY 12701-1157 | 2010-05-28 |
| 1336307917 | Timothy Mcdonald | Physical Therapist | 900 E King St, Lancaster, PA 17602-3272 | 2008-05-30 |
| 1184847535 | Timothy John Mcdonald | Physical Therapist | 1232 University of Oregon, University of Oregon Student Health Center, Eugene, OR 97403-1205 | 2007-04-11 |
| 1942386065 | Timothy John Mcdonald | Internal Medicine | 1000 Johnson Ferry Road, Hospital Services, Atlanta, GA 30342 | 2006-10-31 |
| 1316032857 | Timothy B. Mcdonald | Anesthesiology | 1740 W. Taylor, Chicago, IL 60612 | 2006-10-03 |
| Street Address |
2040 BROADWAY AVE |
| City | NORTH BEND |
| State | OR |
| Zip Code | 97459-2328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376164350 | Andrew Edwin Adams | Pharmacist | 2040 Broadway Ave, North Bend, OR 97459-2328 | 2020-05-01 |
| 1396220158 | Joshua Wesley Krall | Pharmacist | 2040 Broadway Ave, North Bend, OR 97459-2328 | 2018-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568002749 | Ya-chi Claire Chang | Nurse Practitioner | 1229 1890 Waite St #1, North Bend, OR 97459 | 2020-01-15 |
| 1629573977 | Heather M Coates | Counselor | 400 Virginia Ave Ste 100, North Bend, OR 97459 | 2018-03-28 |
| 1205257219 | Melissa Sperry | Health Educator | 510 Lockhart Street, North Bend, OR 97459 | 2013-12-17 |
| 1265862627 | Elizabeth Sylvester | Counselor | 1592 Monroe Street, North Bend, OR 97459 | 2013-11-22 |
| 1124370291 | Brian Noble Thompson | Pharmacist | 3411 Broadway St., North Bend, OR 97459 | 2012-10-12 |
| 1295081230 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3411 Broadway St, North Bend, OR 97459 | 2012-07-27 |
| 1366728370 | Melissa Jean Kovach | Occupational Therapy Assistant | 3959 Sheridan Ave., North Bend, OR 97459 | 2011-10-24 |
| 1295045052 | Mary Kay Weikel | Massage Therapist | 3229 Broadway St Suite G Serenity Therapy Center, North Bend, OR 97459 | 2010-10-14 |
| 1902080013 | Anthony Eugene Baldacci | Registered Nurse | 1836 Meade Street, North Bend, OR 97459 | 2007-12-26 |
| 1952595340 | Inland Point Senior Estates Jv LLC | Clinic/Center | 2265 Inland Drive, North Bend, OR 97459 | 2007-08-29 |
| Find all providers in zip 97459 | ||||
| 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 |
|---|---|---|---|---|
| 1407267727 | James Michael Dugan | Pharmacist | 3052 Triplecrown Dr, North Bend, OH 45052-9607 | 2014-05-09 |
| 1720419823 | John Anthony Ciarniello | Pharmacist | 9730 Mount Nebo Rd, North Bend, OH 45052-9721 | 2013-11-28 |
| 1932536406 | Takeshi Shikuma | Pharmacist | 3411 Broadway Ave, North Bend, OR 97459-1201 | 2013-09-30 |
| 1265776066 | Barry Crossan | Pharmacist | 360 E North Bend Way, North Bend, WA 98045 | 2012-11-16 |
| 1124370291 | Brian Noble Thompson | Pharmacist | 3411 Broadway St., North Bend, OR 97459 | 2012-10-12 |
| 1114292935 | Scott Allen Curtis | Pharmacist | 46221 Se 139th Pl, North Bend, WA 98045-8600 | 2012-03-12 |
| 1023631843 | Zachary Adam Walter | Pharmacist | 460 Sw Mt Si Blvd, North Bend, WA 98045-8291 | 2020-05-27 |
| 1376164350 | Andrew Edwin Adams | Pharmacist | 2040 Broadway Ave, North Bend, OR 97459-2328 | 2020-05-01 |
| 1679051569 | April Rose White | Pharmacist | 3411 Broadway Ave, North Bend, OR 97459-1201 | 2018-08-01 |
| 1265937171 | Wendi Liszka | Pharmacist | 3411 Broadway Ave, North Bend, OR 97459-1201 | 2018-03-24 |
| Find all providers in NORTH BEND | ||||
| City | NORTH BEND |
| Zip Code | 97459 |
Please comment or provide details below to improve the information on TIMOTHY MCDONALD.
| 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.