PENINSULA COMMUNITY HEALTH SERVICES (NPI# 1497205223) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497205223 |
| Entity Type | Organization |
| Organization Name | PENINSULA COMMUNITY HEALTH SERVICES |
| Other Organization Name | PCHS BELFAIR PHARMACY |
| Practice Address |
31 Ne State Route 300 Suite 102 Belfair WA 98528-8611 |
| Mailing Address |
Po Box 960 Bremerton WA 98337-0212 |
| Practice Telephone | 3603773776 |
| Mailing Telephone | 3603773776 |
| Enumeration Date | 2016-10-05 |
| Last Update Date | 2017-01-31 |
| Authorized Official Name | JENNIFER KREIDLER-MOSS (CEO) |
| Authorized Official Telephone | 3603773776 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183700000X | Pharmacy Technician | Pharmacy Service Providers | ||
| Y | 183500000X | Pharmacist | Pharmacy Service Providers |
| Other Name | Type Code |
|---|---|
| PCHS Belfair Pharmacy | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235759879 | Peninsula Community Health Services | Counselor | 4841 Auto Center Way Ste 203, Bremerton, WA 98312-4388 | 2020-04-23 |
| 1356995534 | Peninsula Community Health Services | Counselor | 2650 Ne John Carlson Rd, Bremerton, WA 98311-3928 | 2019-07-26 |
| 1407400682 | Peninsula Community Health Services | Counselor | 8107 Central Valley Rd Ne, Bremerton, WA 98311-9155 | 2019-07-26 |
| 1942861000 | Peninsula Community Health Services | Counselor | 3100 Nw Bucklin Hill Rd Ste 202, Silverdale, WA 98383-8362 | 2019-06-27 |
| 1770062242 | Peninsula Community Health Services | Clinic/Center | 300 E Campus Dr, Belfair, WA 98528-8307 | 2018-08-07 |
| 1528547940 | Peninsula Community Health Services | Dentist | 19705 Viking Avenue Nw, Suite 201 Bldg A, Poulsbo, WA 98370-8351 | 2018-08-07 |
| 1528517216 | Peninsula Community Health Services | Family Medicine | 31 Ne State Route 300, Suite 200, Belfair, WA 98528-8611 | 2016-09-23 |
| 1760617997 | Peninsula Community Health Services | Pharmacy | 19917 7th Ave Ne Ste 205, Suite 205, Poulsbo, WA 98370-6555 | 2009-05-18 |
| 1457990509 | Peninsula Community Health Services | Clinic/Center | 616 6th St, Bremerton, WA 98337-1420 | 2020-01-06 |
| 1053950832 | Peninsula Community Health Services | Nurse Practitioner | 320 S Kitsap Blvd, Port Orchard, WA 98366-3778 | 2019-12-27 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PENINSULA COMMUNITY HEALTH SERVICES | 400 Warren Ave Suite 200, Bremerton, WA 98337-1467 |
| System for Award Management (SAM) Entities | PENINSULA COMMUNITY HEALTH SERVICES OF ALASKA, INC. | 230 E Marydale Ave Ste 3, Soldotna, AK 99669-7648 |
| Street Address |
31 NE STATE ROUTE 300 SUITE 102 |
| City | BELFAIR |
| State | WA |
| Zip Code | 98528-8611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528517216 | Peninsula Community Health Services | Family Medicine | 31 Ne State Route 300, Suite 200, Belfair, WA 98528-8611 | 2016-09-23 |
| 1679023493 | Peninsula Community Health Services | Dental Hygienist | 31 Ne State Route 300, Suite 200, Belfair, WA 98528-8611 | 2016-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316589419 | Jody Fletcher | Speech-Language Pathologist | 22900 Ne Hwy 3, Belfair, WA 98528 | 2019-10-10 |
| 1811538465 | Nikia Lee Frohlich | Speech-Language Pathologist | Mary E Theler Center Nmsd Preschool, 22871 Wa-3, Belfair, WA 98528 | 2019-10-04 |
| 1821568601 | Christen Ann Harlow | Specialist/Technologist | 250 E Campus Dr, Belfair, WA 98528 | 2018-12-05 |
| 1669817623 | Lillian Michelle White | Nurse Practitioner | 31 Ne State Route 300 Ste 200, Belfair, WA 98528 | 2013-05-05 |
| 1144589300 | Novelita Duyan Feldman | Massage Therapist | 24160 Northeast Sr-3, Belfair, WA 98528 | 2012-05-09 |
| 1700178373 | Patrick Bates | Massage Therapist | 24160 Ne Sr-3, Belfair, WA 98528 | 2011-05-13 |
| 1720285059 | Mc Kinney Whitemarsh Pllc | Optometrist | 23160 St Hwy 3, Belfair, WA 98528 | 2007-06-29 |
| 1427260389 | Public Hospital District No.1 of Mason County Washington | Clinic/Center | 140 Ne State Rte 300, Belfair, WA 98528 | 2007-05-04 |
| 1649313156 | Christy Rice | Massage Therapist | 151 Ne State Rt 300, Belfair, WA 98528 | 2007-02-14 |
| 1669510970 | Donald R Lepere Dds Ps | Dentist | 22921 Ne State Route, 3, Belfair, WA 98528 | 2007-02-01 |
| Find all providers in zip 98528 | ||||
| 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 |
|---|---|---|---|---|
| 1730441494 | Peggy E Vanbuskirk | Pharmacist | 201 Ne State Route 300, Belfair, WA 98528-9617 | 2012-06-08 |
| 1841503372 | Paul William Haney | Pharmacist | 23940 Ne State Route 3, Belfair, WA 98528-9697 | 2010-07-26 |
| 1548819238 | Asia Davis | Pharmacist | 23940 Ne State Route 3, Belfair, WA 98528-9697 | 2019-09-05 |
| 1548714637 | Alan Lawson Brown | Pharmacist | 23940 Ne State Route 3, Belfair, WA 98528-9697 | 2016-08-07 |
| 1417321712 | Catherine Nguyen | Pharmacist | 31 Ne State Route 300 Ste 200, Belfair, WA 98528 | 2015-11-24 |
| 1275896839 | Terry L Mills | Pharmacist | 201 Ne State Route 300, Belfair, WA 98528 | 2012-06-19 |
| 1295036820 | Sharon Marie Nelson | Pharmacist | 23961 Ne State Route 3, Belfair, WA 98528-9698 | 2010-11-12 |
| 1295036911 | Lillieth Diane Truemper | Pharmacist | 23961 Ne State Route 3, Belfair, WA 98528-9698 | 2010-11-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043810088 | Melaku Abtew Melese | Pharmacist | 3201 S 192nd St Apt Noe102, Seatac, WA 98188-5365 | 2020-10-29 |
| 1922608199 | Kathy Tong | Pharmacist | 3941 S Warsaw St, Seattle, WA 98118-3253 | 2020-10-27 |
| 1346848702 | Bronston Stuart Lallier | Pharmacist | 23731 Se 243rd Ct, Maple Valley, WA 98038-5266 | 2020-10-16 |
| 1467050211 | Jungryul Koh | Pharmacist | 12611 49th Avenue Ct Sw Apt C302, Lakewood, WA 98499-5184 | 2020-10-14 |
| 1407453988 | Phuong Tran Chan Nguyen | Pharmacist | 2826 Se 2nd Ct, Renton, WA 98056-4016 | 2020-10-07 |
| 1881291797 | Jeffrey Douglas Bunce | Pharmacist | 4704 127th Street Ct Sw Apt A205, Lakewood, WA 98499-5863 | 2020-10-04 |
| 1518564590 | David Bye | Pharmacist | 1000 2nd Ave Ste 2400, Seattle, WA 98104-1041 | 2020-10-03 |
| 1720695372 | Vi Thuy-thi Tran | Pharmacist | 112 N Howard St Ste 115, Spokane, WA 99201-0656 | 2020-09-28 |
| 1720694144 | Lwam Dori Ekubazgi | Pharmacist | 5900 37th Ave S Apt H42, Seattle, WA 98118-6234 | 2020-09-21 |
| 1568078293 | Wrashmena Jalalyar | Pharmacist | 2431 S 38th Ave, West Richland, WA 99353-7346 | 2020-09-17 |
| 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.