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).
| 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 |
| 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 |
| Street Address |
400 NE MOTHER JOSEPH PL |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98664-3200 |
| 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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| 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 |
| Find all providers in zip 98664 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| 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] |
| 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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| 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.