COMMUNITY HEALTH & REFERRAL CENTER (NPI# 1356531990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356531990 |
| Entity Type | Organization |
| Organization Name | COMMUNITY HEALTH & REFERRAL CENTER |
| Other Organization Name | CHC OF SNOHOMISH COUNTY EVERETT-SOUTH PHARMACY |
| Practice Address |
1019 112th St Sw Everett WA 98204-4875 |
| Mailing Address |
8609 Evergreen Way Everett WA 98208-2619 |
| Practice Telephone | 4255516521 |
| Practice Fax Number | 4255516525 |
| Mailing Telephone | 4257893700 |
| Mailing Fax Number | 4257893780 |
| Enumeration Date | 2007-07-30 |
| Last Update Date | 2018-07-19 |
| Authorized Official Name | ROBERT FARRELL (CEO) |
| Authorized Official Telephone | 4257893717 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
PHAR.CF.00059092 | WA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2109097 | 01 | |
| WA | 1054803 | 05 |
| Other Name | Type Code |
|---|---|
| CHC of Snohomish County Everett-South Pharmacy | Doing Business As Name - Organization |
| Street Address |
1019 112TH ST SW |
| City | EVERETT |
| State | WA |
| Zip Code | 98204-4875 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598753733 | Yvonne Qing Ma | Pediatrics | 1019 112th St Sw, Everett, WA 98204-4875 | 2005-10-12 |
| 1548867302 | Ran Tao | Dental Hygienist | 1019 112th St Sw, Everett, WA 98204-4875 | 2020-10-05 |
| 1881254464 | Sandra Lynn Crannell | Dental Hygienist | 1019 112th St Sw, Everett, WA 98204-4875 | 2019-06-17 |
| 1871058073 | Lauren Nguyen | Registered Nurse | 1019 112th St Sw, Everett, WA 98204-4875 | 2019-02-01 |
| 1104394097 | Reginah Nampinga | Registered Nurse | 1019 112th St Sw, Everett, WA 98204-4875 | 2018-11-08 |
| 1790252708 | Elroy Dean Quemado | Dental Hygienist | 1019 112th St Sw, Everett, WA 98204-4875 | 2018-10-29 |
| 1487008462 | Hiruy Gebrewold | Dental Hygienist | 1019 112th St Sw, Everett, WA 98204-4875 | 2016-04-15 |
| 1972961571 | Courtney Fisher | Dental Hygienist | 1019 112th St Sw, Everett, WA 98204-4875 | 2016-02-10 |
| 1699132001 | Samina Quidwai | Dentist | 1019 112th St Sw, Everett, WA 98204-4875 | 2016-01-15 |
| 1699131284 | Marissa Lee Darling | Dietitian, Registered | 1019 112th St Sw, Everett, WA 98204 | 2016-01-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588262869 | Samuel Lin, Nd, Pllc | Naturopath | 13410 Hwy 99, Ste 202, Everett, WA 98204 | 2020-10-09 |
| 1003458225 | Svetlana A Gayevskaya | Technician | 12605 E. Gibson Rd. Unit # 87, Everett, WA 98204 | 2019-10-09 |
| 1821555921 | Kymberly Ann Shepherd | Counselor | 1011 128th St Sw, E201, Everett, WA 98204 | 2019-02-25 |
| 1609392653 | Mohammed Bayo | Nurse's Aide | 9217 4th Ave. West, Everett, WA 98204 | 2017-08-21 |
| 1962951582 | Abreham Shoangizaw | Pharmacist | 802 134th S B C, Everett, WA 98204 | 2016-09-23 |
| 1588012694 | Tammy J Laird | Counselor | 9300 Evergreen Way, Everett, WA 98204 | 2016-05-31 |
| 1083011282 | Bernadette K Stanek | Massage Therapist | 13410 Washington 99 #204, Everett, WA 98204 | 2014-12-03 |
| 1356771067 | Dixon Stopper | Hearing Instrument Specialist | 12811 8th Ave W Ste B203, Everett, WA 98204 | 2013-11-15 |
| 1427312495 | Dan Huy Nguyen | Respiratory Therapist, Registered | 1919 112th Street Southwest, Everett, WA 98204 | 2012-06-25 |
| 1942571880 | Alena A Klimenko | Specialist | 12811 8th- Ave W, Suite B-103, Everett, WA 98204 | 2012-01-24 |
| Find all providers in zip 98204 | ||||
| Taxonomy Code | 3336C0002X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Clinic Pharmacy |
| A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598190597 | Sea Mar Community Health Centers | Pharmacy | 1920 100th St Se Ste B, Everett, WA 98208-3832 | 2013-09-09 |
| 1346374352 | Kaiser Foundation Health Plan of Washington | Pharmacy | 2930 Maple St, Everett, WA 98201-3832 | 2007-03-15 |
| 1124150859 | Community Health Center of Snohomish County | Pharmacy | 1424 Broadway, Everett, WA 98201-1720 | 2007-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023678240 | Washington Institute for Coagulation | Pharmacy | 921 Terry Ave Ste A, Seattle, WA 98104-1239 | 2019-06-19 |
| 1093274458 | Ksr Health Care LLC | Pharmacy | 507 Stevens Avenue, Suite Aaa, Sultan, WA 98294 | 2019-03-15 |
| 1184171704 | Pharmacy Corporation of America | Pharmacy | 18110 Se 34th St Bldg 2, Vancouver, WA 98683-9440 | 2016-09-01 |
| 1770995722 | Healthpoint | Pharmacy | 13030 Military Rd S Ste 206, Tukwila, WA 98168-3080 | 2014-05-27 |
| 1447678875 | Community Health Center of Snohomish County | Pharmacy | 23300 Highway 99, Edmonds, WA 98026-8744 | 2014-04-02 |
| 1982025128 | Seattle Cancer Care Alliance | Pharmacy | 1560 N 115th St Ste G-16a, Seattle, WA 98133-8414 | 2013-12-13 |
| 1326472234 | Lourdes West Pasco Pharmacy | Pharmacy | 7425 Wrigley Dr Ste 104, Pasco, WA 99301-5292 | 2013-08-27 |
| 1386089761 | Unity Care Northwest | Pharmacy | 218 Unity St, Bellingham, WA 98225-4420 | 2013-04-30 |
| 1619205267 | Puget Sound Pharmacy LLC | Pharmacy | 1112 6th Ave Ste 101, Tacoma, WA 98405-4048 | 2009-11-19 |
| 1235263245 | Kaiser Foundation Health Plan of Washington | Pharmacy | 1420 5th Ave., Suite 375, Seattle, WA 98101 | 2007-03-15 |
| 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.