DR. GWENDOLYN BROOKE MOSCOE


Address: 400 Ne Mother Joseph Pl, Vancouver, WA 98664-3200
Phone: 3605142208

DR. GWENDOLYN BROOKE MOSCOE (NPI# 1558597617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1558597617
Entity Type Individual
Full Name DR. GWENDOLYN BROOKE MOSCOE
Credential PHARM.D.
Practice Address 400 Ne Mother Joseph Pl
Vancouver
WA 98664-3200
Mailing Address 400 Ne Mother Joseph Pl
Po Box 1600
Vancouver
WA 98664-3200
Practice Telephone 3605142208
Practice Fax Number 3605142928
Enumeration Date 2009-06-03
Last Update Date 2009-06-03
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1835P0018X Pharmacist
Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
PH00018971 WA Pharmacy Service Providers

Office Location

Street Address 400 NE MOTHER JOSEPH PL
City VANCOUVER
State WA
Zip Code 98664-3200

Providers in the same location

NPI Name Taxonomy Address Enumeration
1538161955 Jacintha Stall Cauffield Pharmacist 400 Ne Mother Joseph Pl, Vancouver, WA 98664-3200 2005-08-15
1255967675 Veronica Leung Mo Social Worker 400 Ne Mother Joseph Pl, Vancouver, WA 98664-3200 2020-03-17
1982234530 Aaryo Bakhtiar Nurse Anesthetist, Certified Registered 400 Ne Mother Joseph Pl, Vancouver, WA 98664-3200 2020-01-23
1881233120 Knoll Kristoffer Aguilar Pharmacist 400 Ne Mother Joseph Pl, Vancouver, WA 98664-3200 2020-01-03
1356988042 Trevor Swedeen Nurse Anesthetist, Certified Registered 400 Ne Mother Joseph Pl, Vancouver, WA 98664-3200 2019-12-02
1801458906 John Alin Bucur Registered Nurse 400 Ne Mother Joseph Pl, Vancouver, WA 98664-3200 2019-06-28
1619430196 Catherine Winter Student in an Organized Health Care Education/Training Program 400 Ne Mother Joseph Pl, Vancouver, WA 98664-3200 2019-04-10
1750846903 Stephanie Ann Potter Pharmacist 400 Ne Mother Joseph Pl, Vancouver, WA 98664-3200 2019-02-01
1548734205 Peacehealth Southwest Medical Center Rehabilitation Unit 400 Ne Mother Joseph Pl, Vancouver, WA 98664-3200 2019-01-16
1386146173 Erin Eleanor Mills Nurse Anesthetist, Certified Registered 400 Ne Mother Joseph Pl, Vancouver, WA 98664-3200 2018-03-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1285249938 Angelica Maria Parle-fresquez Speech-Language Pathologist Early Childhood Assessment Center - Lieser School, 301 S. Lieser Rd, Vancouver, WA 98664 2020-09-10
1467923441 Elizabeth Steen Counselor 230 E. State St., Mossyrock, WA 98664 2018-12-17
1497241657 Chelsey Nicole Parker Peer Specialist 9815 Ne 3rd St, Vancouver, WA 98664 2018-07-10
1881145431 Brent Homan Occupational Therapist 807 Se Morgan Rd., Vancouver, WA 98664 2016-10-19
1114474277 Rebecca Marie Stefan Nurse's Aide 10025 Ne 19th St, Vancouver, WA 98664 2016-09-07
1528454105 Alicia Ford Dietitian, Registered 700 Ne 87th Ave Ste 280, Vancouver, WA 98664 2015-04-10
1033504261 Reid Roberts Bennett Anesthesiology 505 Ne 87th Ave Ste 210, Vancouver, WA 98664 2015-04-03
1235550856 Nikolay Nikolaevich Chernukhin Jr. Chiropractor 221-a Ne 104th Ave, Suite 205, Vancouver, WA 98664 2013-12-27
1013278712 Serena Harker Physical Therapy Assistant 221a Ne 104th Ave, Suite #205, Vancouver, WA 98664 2012-05-30
1295091080 Rebeca C Johnson Massage Therapist 11015 Ne 4th Plain Suite B, Vancouver, WA 98664 2012-04-05
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Taxonomy Information

Taxonomy Code 1835P0018X
Grouping Pharmacy Service Providers
Classification Pharmacist
Specialization Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Taxonomy Definition

Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1659880938 Hazel Ann Feist Pharmacist 14406 Nw 20th Ave, Vancouver, WA 98685-8007 2017-09-29
1417486127 Teresa Michele Vaeretti Pharmacist 12607 Se Mill Plain Blvd, Vancouver, WA 98684 2017-06-06
1942751755 Alison M Johnston Pharmacist 7101 Ne 137th Ave, Vancouver, WA 98682-4933 2016-10-17
1003366782 Abera Geleto Abu Pharmacist 12607 Se Mill Plain Blvd, Vancouver, WA 98684-6055 2016-10-06
1578012738 Shalli Deyo Pharmacist 7101 Ne 137th Ave, Vancouver, WA 98682-4933 2016-09-29
1083080634 Lisa Janssen Carlson Pharmacist 5400 Macarthur Blvd, Vancouver, WA 98661-7049 2015-08-18
1427424084 Robin Carney Pharmacist 5400 Macarthur Blvd, Vancouver, WA 98661-7049 2015-08-18
1124442587 Ann L Anthony Pharmacist 400 Ne Mother Joseph Pl, Vancouver, WA 98664-3200 2014-02-05
1114369519 Judith Annette Richardson Pharmacist 501 Se 172nd Ave, Vancouver, WA 98684-9542 2013-07-25
1669720645 Ciprian Bogdan Pascu Pharmacist 1000 Se Tech Center Dr Ste 120, Vancouver, WA 98683-5548 2012-08-21
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Competitor

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City VANCOUVER
Zip Code 98664

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Dataset Information

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.

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