DR. CHRISTOPHER JORGENSEN DE TARR (NPI# 1427532365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427532365 |
| Entity Type | Individual |
| Full Name | DR. CHRISTOPHER JORGENSEN DE TARR |
| Credential | PHARMD |
| Practice Address |
3290 S Santiam Hwy Lebanon OR 97355-3737 |
| Mailing Address |
40 Hatton Ave Apt 301 Eugene OR 97404-6814 |
| Practice Telephone | 5412587440 |
| Mailing Telephone | 5305453747 |
| Enumeration Date | 2018-09-17 |
| Last Update Date | 2018-09-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 2018026765 | MO | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | RPH-0016820 | OR | Pharmacy Service Providers |
| Street Address |
3290 S SANTIAM HWY |
| City | LEBANON |
| State | OR |
| Zip Code | 97355-3737 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598782633 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 3290 S Santiam Hwy, Lebanon, OR 97355-3737 | 2006-07-16 |
| 1083067417 | Whitney Macnab | Pharmacist | 3290 S Santiam Hwy, Lebanon, OR 97355-3737 | 2016-07-20 |
| 1154724540 | Walmart | Clinic/Center | 3290 S Santiam Hwy, Lebanon, OR 97355-3737 | 2014-09-30 |
| 1598809196 | Matthew W. Knecht LLC | Optometrist | 3290 S Santiam Hwy, Lebanon, OR 97355-3737 | 2007-02-16 |
| 1427143718 | Walmart Inc. | Technician/Technologist | 3290 S Santiam Hwy, Lebanon, OR 97355-3737 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710516182 | Patricia Hoangphuong Nguyen | Student in an Organized Health Care Education/Training Program | Western University of Health Sciences Comp-northwest, 200 Mullins Drive, Lebanon, OR 97355 | 2020-04-07 |
| 1528609740 | Liana Beaty | Technician | 31231 Mccraven Ln, Lebanon, OR 97355 | 2019-09-30 |
| 1710465323 | Jackie Welter | Health Educator | 35 Mullins Drvie Ste 3, Lebanon, OR 97355 | 2018-08-06 |
| 1518415371 | Kathleen Hillary | Registered Nurse | 525 North Santiam Highway, Lebanon, OR 97355 | 2016-09-21 |
| 1861849283 | Emily Marshall | Student in an Organized Health Care Education/Training Program | 200 Mullins Drive, Lebanon, OR 97355 | 2016-05-16 |
| 1033565551 | Celeste Maxine Croy-baker | Student in an Organized Health Care Education/Training Program | 200 Mullins Dr., Lebanon, OR 97355 | 2016-05-13 |
| 1770956963 | Jeff Parsons | Occupational Therapist | 600 Ne 5th St, Oregon Veterans Home, Lebanon, OR 97355 | 2015-11-10 |
| 1003289588 | Hong Ngoc Nguyen | Pharmacist | 675 N Fifth Street, Lebanon, OR 97355 | 2015-11-05 |
| 1801278049 | Darrel A Decker | Skilled Nursing Facility | 350 8th Street, Lebanon, OR 97355 | 2015-06-24 |
| 1679985113 | State of Oregon Department of Veterans' Affairs | Skilled Nursing Facility | 600 N. 5th Street, Lebanon, OR 97355 | 2014-06-02 |
| Find all providers in zip 97355 | ||||
| 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 |
|---|---|---|---|---|
| 1114541174 | Nextdoor Drug | Pharmacist | 932 W Main St, Lebanon, VA 24266 | 2020-06-04 |
| 1265063507 | Melyssia Marzerka | Pharmacist | 85 Mechanic St Ste C3-3, Lebanon, NH 03766-1537 | 2020-01-27 |
| 1831745439 | Amanda B Elkins | Pharmacist | 75 Oak Lawn Cir, Lebanon, VA 24266-6600 | 2019-08-11 |
| 1033560156 | Dianne L Gianakos | Pharmacist | 16 Chrystal Dr, Lebanon, NJ 08833-3245 | 2016-06-30 |
| 1083064836 | Charles Roberts II | Pharmacist | 597 Donald C. Moore Drive, Lebanon, VA 24266 | 2016-06-13 |
| 1003289588 | Hong Ngoc Nguyen | Pharmacist | 675 N Fifth Street, Lebanon, OR 97355 | 2015-11-05 |
| 1386014124 | Ashley Sanders | Pharmacist | 101 Woodland Dr, Lebanon, VA 24266-5366 | 2015-10-06 |
| 1962879676 | April Ballentine | Pharmacist | 19 North Mechanic St, Lebanon, OH 45036 | 2015-08-28 |
| 1982088985 | Troy Alan Miller | Pharmacist | 12 Centerra Pkwy Ste 10, Lebanon, NH 03766-1411 | 2015-07-20 |
| 1457782237 | Sandra Empey | Pharmacist | 363 Philadelphia Rd, Lebanon, TN 37087-8108 | 2013-12-04 |
| Find all providers in LEBANON | ||||
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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.