MR. EZEKIEL VK DEENA (NPI# 1457643900) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1457643900 |
Entity Type | Individual |
Full Name | MR. EZEKIEL VK DEENA |
Practice Address |
551 South Market Blvd Chehalis WA 98532 |
Mailing Address |
316 Oso Berry St Nw Olympia WA 98502 |
Practice Telephone | 3607488801 |
Mailing Telephone | 3608789597 |
Enumeration Date | 2011-05-03 |
Last Update Date | 2011-05-03 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 183500000X | Pharmacist | PH60074866 | WA | Pharmacy Service Providers |
Street Address |
551 SOUTH MARKET BLVD |
City | CHEHALIS |
State | WA |
Zip Code | 98532 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275140832 | Joshua Russell Wachter | Registered Nurse | 275 W. Vine St., Napavine, WA 98532 | 2020-09-28 |
1891339123 | Dara Casey | Technician | 271-1 Romerman Rd, Chehalis, WA 98532 | 2019-10-30 |
1265997704 | April D Bacongco | Counselor | 500 Se Washington St, Chehalis, WA 98532 | 2019-02-08 |
1235610155 | Alyssa Dawn Ware | Physical Therapist | 1441 Kresky Ave, Chehalis, WA 98532 | 2018-08-28 |
1609365238 | American Behavioral Health Systems, Inc. | Substance Abuse Rehabilitation Facility | 500 Se Adams Ave, Chehalis, WA 98532 | 2018-05-09 |
1043709314 | Kevin Bumatay Duran | Family Medicine | 931 S. Market Blvd, Chehalis, WA 98532 | 2018-05-02 |
1164922324 | William I. Mcmillan | Counselor | 121 Nw Chehalis St., Chehalis, WA 98532 | 2018-02-14 |
1285155366 | Great Rivers Behavioral Health Organization | Community/Behavioral Health | 57 W Main Street, Suite 260, Chehalis, WA 98532 | 2017-06-29 |
1396273637 | Misty Anne Glenn | Counselor | 121 Nw Chehalis Ave, Chehalis, WA 98532 | 2017-05-31 |
1841726221 | Dodi Forgione | Counselor | 2401 Ne Kresky Ave Ste D, Chehalis, WA 98532 | 2017-05-04 |
Find all providers in zip 98532 |
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 |
---|---|---|---|---|
1164822011 | Kelley Ramsey | Pharmacist | 1201 Northwest Louisina, Chehalis, WA 98532 | 2014-08-28 |
1659612141 | Eldon G Johnston | Pharmacist | 1201 Nw Louisiana Ave, Chehalis, WA 98532-1816 | 2013-03-07 |
1730436593 | Robert T Douglas | Pharmacist | 335 Se Valley View Way, Chehalis, WA 98532-4304 | 2012-08-11 |
1982936134 | Samuel G Mardini | Pharmacist | 1610 Luoisiana Ave Nw, Chehalis, WA 98532-1711 | 2010-02-12 |
1104023415 | Janice P. Oien | Pharmacist | 551 S Market Blvd, Chehalis, WA 98532-3045 | 2007-06-29 |
1083229363 | Zachrey Skelly | Pharmacist | 551 S Market Blvd, Chehalis, WA 98532-3045 | 2020-09-13 |
1356968770 | Naomi Veloso | Pharmacist | 1100 S Market Blvd, Chehalis, WA 98532-3428 | 2020-07-01 |
1477101400 | Kenneth Fill | Pharmacist | 931 S Market Blvd, Chehalis, WA 98532-3423 | 2019-09-03 |
1588159149 | Jon K Wiley | Pharmacist | 2690 Ne Kresky Ave, Chehalis, WA 98532-2412 | 2018-06-26 |
1104313378 | Alma R Mowry | Pharmacist | 2690 Ne Kresky Ave, Chehalis, WA 98532-2412 | 2018-04-13 |
Find all providers in CHEHALIS |
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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.