DR. AUSTIN SORENSEN (NPI# 1497303879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497303879 |
| Entity Type | Individual |
| Full Name | DR. AUSTIN SORENSEN |
| Credential | PHARMD |
| Practice Address |
803 S Main St Ste 120 Moscow ID 83843-2695 |
| Mailing Address |
611 N Iron Bridge Way Spokane WA 99202-4932 |
| Practice Telephone | 2088488300 |
| Mailing Telephone | 5094448888 |
| Enumeration Date | 2019-08-29 |
| Last Update Date | 2020-04-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | P8489 | ID | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982831202 | Austin L Sorensen | Social Worker | 802 Avenue E, Ely, NV 89301-2423 | 2009-06-12 |
| Street Address |
803 S MAIN ST STE 120 |
| City | MOSCOW |
| State | ID |
| Zip Code | 83843-2695 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619936549 | Dan J Schmidt | Family Medicine | 803 S Main St Ste 120, Moscow, ID 83843 | 2006-03-20 |
| 1366085847 | Ashley Ann Tadehara | Dental Hygienist | 803 S Main St Ste 120, Moscow, ID 83843-2695 | 2019-10-28 |
| 1396387916 | Community Health Assoc | Pharmacy | 803 S Main St Ste 120, Moscow, ID 83843-2695 | 2019-10-15 |
| 1093372229 | Shannon Snyder | Nurse Practitioner | 803 S Main St Ste 120, Moscow, ID 83843-2695 | 2019-05-22 |
| 1073095501 | Carmen Lee Koepl | Dental Hygienist | 803 S Main St Ste 120, Moscow, ID 83843-2695 | 2018-08-31 |
| 1831695691 | Jillene Amow | Nurse Practitioner | 803 S Main St Ste 120, Moscow, ID 83843 | 2018-04-02 |
| 1528501475 | Dennis Falen | Physician Assistant | 803 S Main St Ste 120, Moscow, ID 83843-2695 | 2016-11-27 |
| 1497205652 | Community Health Association of Spokane | Dentist | 803 S Main St Ste 120, Moscow, ID 83843 | 2016-10-11 |
| 1659825073 | Trang Minh Doan | Dentist | 803 S Main St Ste 120, Moscow, ID 83843-2695 | 2016-08-15 |
| 1528419959 | Jennifer Rae Arp | Counselor | 803 S Main St Ste 120, Moscow, ID 83843-2695 | 2016-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033726880 | Moscow Physical Therapy, LLC | Clinic/Center | 1174 Alturas Drive, Suite 2, Moscow, ID 83843 | 2020-09-25 |
| 1831703057 | Hydee Flishaw Tubbs Becker | Dietitian, Registered | 614 North Hayes Street, Moscow, ID 83843 | 2020-09-04 |
| 1528626959 | Ryan Steven Clark | Student in an Organized Health Care Education/Training Program | 212 Farm Road, #201, Moscow, ID 83843 | 2019-05-31 |
| 1770141384 | Lingwen Zhang | Specialist/Technologist | 901 Paradise Creek Rd, Moscow, ID 83843 | 2019-05-30 |
| 1306363478 | Elizabeth Campbell | Dietitian, Registered | 611 S. Main, Moscow, ID 83843 | 2017-08-29 |
| 1598285496 | Gina Cretser | Counselor | 212 Rodeo Dr. #410, Moscow, ID 83843 | 2017-06-21 |
| 1124558721 | Morgan Leigh Derloshon | Specialist/Technologist | 275 Southview Ave, Apt 206, Moscow, ID 83843 | 2017-06-15 |
| 1619411790 | Kaylene Howard | Massage Therapist | 127 South Washington, Suite 6, Moscow, ID 83843 | 2016-12-08 |
| 1407237043 | Jacob Kent Christensen | Family Medicine | 831 S Ash St, Moscow, ID 83843 | 2015-06-09 |
| 1366851388 | Elisabeth Henry | Pharmacist | 2740 West Pullman Rd, Moscow, ID 83843 | 2014-08-04 |
| Find all providers in zip 83843 | ||||
| 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 |
|---|---|---|---|---|
| 1275040388 | Jordan J Sebastian | Pharmacist | 6 Bochicchio Blvd, Moscow, PA 18444-6691 | 2018-01-10 |
| 1366851388 | Elisabeth Henry | Pharmacist | 2740 West Pullman Rd, Moscow, ID 83843 | 2014-08-04 |
| 1568637080 | Lisa M Morse | Pharmacist | 1810 W Pullman Rd, Moscow, ID 83843-4014 | 2008-04-25 |
| 1821263666 | Jay Joseph Sochoka | Pharmacist | Routes 435 & 502, Moscow, PA 18444 | 2008-04-23 |
| 1356327779 | Michael D. Revilak | Pharmacist | Rr 6 Box 6220, Moscow, PA 18444-9062 | 2005-12-17 |
| 1730177247 | Shelley Lynn Chambers Fox | Pharmacist | 719 S Main St, Moscow, ID 83843-3041 | 2005-10-10 |
| 1164030938 | Marlee Motyer | Pharmacist | 2470 W Pullman Rd, Moscow, ID 83843-4034 | 2020-07-17 |
| 1720616188 | Kaylee Drenker | Pharmacist | 700 S Main St, Moscow, ID 83843-3046 | 2020-03-31 |
| 1538704432 | Taylor Chesnut | Pharmacist | 1320 S Blaine St, Moscow, ID 83843-3971 | 2019-11-14 |
| 1326526898 | Tiffany Michele Thomas | Pharmacist | 2470 W Pullman Rd, Moscow, ID 83843-4034 | 2018-08-06 |
| Find all providers in MOSCOW | ||||
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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.