MRS. DENEICE GURRAD (NPI# 1386263820) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386263820 |
| Entity Type | Individual |
| Full Name | MRS. DENEICE GURRAD |
| Credential | RPH |
| Practice Address |
90 Se Klah Che Min Dr Shelton WA 98584-9216 |
| Mailing Address |
5439 Klipsun Ln Sw Olympia WA 98512-7937 |
| Practice Telephone | 3604323990 |
| Mailing Telephone | 3607901891 |
| Enumeration Date | 2020-04-14 |
| Last Update Date | 2020-04-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PH00019299 | WA | Pharmacy Service Providers |
| Street Address |
90 SE KLAH CHE MIN DR |
| City | SHELTON |
| State | WA |
| Zip Code | 98584-9216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669532578 | Squaxin Island Tribe | Clinic/Center | 90 Se Klah Che Min Dr, Shelton, WA 98584-9216 | 2006-12-11 |
| 1316329980 | Jonathan Corbin Wilton | Family Medicine | 90 Se Klah Che Min Dr, Shelton, WA 98584-9216 | 2015-06-19 |
| 1619241882 | Douglas Reitsch | Pharmacist | 90 Se Klah Che Min Dr, Shelton, WA 98584-9216 | 2012-03-05 |
| 1063647923 | Pamela Lynn Peters | Registered Nurse | 90 Se Klah Che Min Dr, Shelton, WA 98584-9216 | 2009-05-21 |
| 1114184579 | Susan Rowson | Counselor | 90 Se Klah Che Min Dr, Shelton, WA 98584-9216 | 2008-05-21 |
| 1205007762 | Brenda Dorsey | Counselor | 90 Se Klah Che Min Dr, Shelton, WA 98584-9216 | 2008-03-12 |
| 1114135779 | Squaxin Island Medicaid Encounter | Clinic/Center | 90 Se Klah Che Min Dr, Shelton, WA 98584-9216 | 2007-05-18 |
| 1598973158 | Squaxin Island Medical Encounter | Clinic/Center | 90 Se Klah Che Min Dr, Shelton, WA 98584-9216 | 2007-05-18 |
| 1255546578 | Squaxin Island Dental Clinic Ffs | Clinic/Center | 90 Se Klah Che Min Dr, Shelton, WA 98584-9216 | 2007-05-11 |
| 1003021338 | Squaxin Island Dental Clinic Encounter | Clinic/Center | 90 Se Klah Che Min Dr, Shelton, WA 98584-9216 | 2007-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023627478 | Ashley Maria Elena Armstrong | Counselor | 307 W Cota St Shelton, Shelton, WA 98584 | 2020-07-30 |
| 1962011015 | Perry Philemon Little IIi | Dentist | 503 N 4th St, Shelton, WA 98584 | 2020-07-24 |
| 1588215271 | Rebecca Lynn Adams | Counselor | 601 West Franklin St, Shelton, WA 98584 | 2019-09-24 |
| 1366939670 | Robbie Chandler | Social Worker | 807 West Pine, Shelton, WA 98584 | 2018-04-23 |
| 1831603075 | Fir Lane Health-shelton,llc | Skilled Nursing Facility | 2430 North 13th St, Shelton, WA 98584 | 2017-11-27 |
| 1306361738 | Christine Lee Woods | Counselor | 58150 E. 66th Road, Miami, OK 98584 | 2017-08-07 |
| 1174063051 | Claudette V. Selkridge | Counselor | 1620 N. Olympic Hwy, Shelton, WA 98584 | 2017-02-27 |
| 1003278755 | Edward Charles Herman | Social Worker | 50 Se Bluff Loop Rd., Shelton, WA 98584 | 2016-03-22 |
| 1023497310 | Darren Cuevas | Family Medicine | 939 Mountain View Dr Ste 100, Shelton, WA 98584 | 2015-05-20 |
| 1639572977 | Thomas Vincent Phung Duffy | Dentist | 717 W. Railroad Ave., Shelton, WA 98584 | 2014-10-01 |
| Find all providers in zip 98584 | ||||
| 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 |
|---|---|---|---|---|
| 1003420340 | Katie Ann Laskin | Pharmacist | 100 Trap Falls Road Ext, Shelton, CT 06484-4646 | 2020-09-03 |
| 1144793340 | Theodore N. Zengou | Pharmacist | 875 Bridgeport Av., Shelton, CT 06484 | 2019-01-10 |
| 1346734639 | Anthony Piaty | Pharmacist | 35 Hearthstone Dr, Shelton, CT 06484-2439 | 2018-06-19 |
| 1427555697 | Andrew Thibeault | Pharmacist | 512 W Franklin St, Shelton, WA 98584-3517 | 2018-04-12 |
| 1235683012 | Robert T Ferrante | Pharmacist | 38 Birchbank Rd, Shelton, CT 06484-1720 | 2016-08-09 |
| 1841743358 | Simon Tam | Pharmacist | 700 Bridgeport Ave # 101, Shelton, CT 06484-4734 | 2016-08-01 |
| 1528479441 | Edward A Boulanger | Pharmacist | 23 Rouleau Ln, Shelton, CT 06484-5752 | 2014-05-13 |
| 1235487240 | Katherine Jacob | Pharmacist | 10 Gene Dr, Shelton, CT 06484-5733 | 2012-08-22 |
| 1043580566 | Uzma Naheed Zakir | Pharmacist | 8 Birdseye Road Ext, Shelton, CT 06484-2140 | 2012-01-02 |
| 1477820678 | Paul Bukowski | Pharmacist | 700 Bridgeport Ave Ste 101, Shelton, CT 06484-4734 | 2011-11-17 |
| Find all providers in SHELTON | ||||
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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.