PHIBBS CAMANO PHARMACY, P.C. (NPI# 1487866984) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1487866984 |
Entity Type | Organization |
Organization Name | PHIBBS CAMANO PHARMACY, P.C. |
Other Organization Name | MARK'S CAMANO PHARMACY, P.C. |
Practice Address |
370 Ne Camano Dr Suite 6 Camano Island WA 98282-7279 |
Practice Telephone | 3603875757 |
Practice Fax Number | 3603873901 |
Enumeration Date | 2007-05-04 |
Last Update Date | 2016-07-22 |
Authorized Official Name | MR. MARK DUDLEY PHIBBS (OWNER, PHARMACIST) |
Authorized Official Telephone | 3603875757 |
Authorized Official Credential | RPH |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
CF00058888 | WA | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | NCPDP NUMBER | 4917083 | 01 |
WA | STATE TAX ID NUMBER | 602 645 617 | 01 |
WA | PHARMACIST LICENSE | PH00011737 | 01 |
WA | STATE LICENSE NUMBER | CF00058888 | 01 |
WA | DEA REGISTRATION NUMBER | FM0108375 | 01 |
WA | PHARMACIST OWNERS NPI # | 1225112360 | 01 |
Other Name | Type Code |
---|---|
Mark's Camano Pharmacy, P.C. | Doing Business As Name - Organization |
Street Address |
370 NE CAMANO DR SUITE 6 |
City | CAMANO ISLAND |
State | WA |
Zip Code | 98282-7279 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356456305 | Blooms Camano Pharmacy | Pharmacy | 370 Ne Camano Dr, Ste 6, Camano Island, WA 98282-7279 | 2006-08-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073012449 | Brenda Grinde | Massage Therapist | 122 W Mountain Rd, Camano Island, WA 98282 | 2018-02-12 |
1083122873 | Kathleen Jensen Bouranova | Registered Nurse | 1320 Sw Camano Dr, Camano Island, WA 98282 | 2018-01-16 |
1770968117 | Lisanne Olsen | Massage Therapist | 1143 Sr 532, Camano Island, WA 98282 | 2015-07-28 |
1063690501 | Anna Christine Mitchell | Specialist | 927 N.w. Camano Drive, Camano Island, WA 98282 | 2008-02-06 |
1558420489 | Martin Anthony Zimmerman | Dentist | 810 N Rekdal Road, Camano Island, WA 98282 | 2006-12-06 |
1225112360 | Mark Dudley Phibbs | Pharmacist | 370 N. East Camano Dr., Camano Island, WA 98282 | 2006-10-25 |
1437264322 | Matthew Robert Crouthamel | Surgery | 18 Anadar Pl, Camano Island, WA 98282 | 2006-08-20 |
1487125654 | Susan Land | Massage Therapist | 848 N Sunrise Blvd, Ste 102 Bld A, Camano Island, WA 98282 | 2018-12-16 |
1669982500 | Shelby Seay | Massage Therapist | 848 N Sunrise Blvd, Ste 102 Bld A, Camano Island, WA 98282 | 2017-10-05 |
1144388075 | Randall A Thompson Dds Ps | Dentist | 810 Rekdal Rd, Carmano Island, WA 98282 | 2006-12-04 |
Find all providers in zip 98282 |
Taxonomy Code | 3336C0003X |
Grouping | Suppliers |
Classification | Pharmacy |
Specialization | Community/Retail Pharmacy |
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
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] |
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1700417854 | Prosser Southgate Pharmacy Inc | Pharmacy | 207 Canyon Drive, Prosser, WA 99350-1009 | 2020-01-28 |
1700423639 | Venkateswara LLC | Pharmacy | 515 Minor Ave Ste 120, Seattle, WA 98104-2138 | 2019-12-10 |
Find all providers with the same taxonomy |
City | CAMANO ISLAND |
Zip Code | 98282 |
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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.