SHALLI DEYO (NPI# 1578012738) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578012738 |
| Entity Type | Individual |
| Full Name | SHALLI DEYO |
| Credential | PHARMD |
| Practice Address |
7101 Ne 137th Ave Vancouver WA 98682-4933 |
| Mailing Address |
4807 Ne 125th Cir Vancouver WA 98686-3153 |
| Practice Telephone | 8008132000 |
| Mailing Telephone | 3604489603 |
| Enumeration Date | 2016-09-29 |
| Last Update Date | 2016-10-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
RPH-0013892 | OR | Pharmacy Service Providers |
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
PH-00041485 | WA | Pharmacy Service Providers |
| Street Address |
7101 NE 137TH AVE |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98682-4933 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518941467 | Elisa Maureen Hawley | Physical Therapist | 7101 Ne 137th Ave, Vancouver, WA 98682 | 2005-12-05 |
| 1558994459 | Lauren Michelle Kissock | Student in an Organized Health Care Education/Training Program | 7101 Ne 137th Ave, Vancouver, WA 98682-4933 | 2020-02-19 |
| 1619516028 | Janelle Marie Tomagan | Student in an Organized Health Care Education/Training Program | 7101 Ne 137th Ave, Vancouver, WA 98682-4933 | 2020-01-02 |
| 1295373959 | Micah Franklin Anderson | Student in an Organized Health Care Education/Training Program | 7101 Ne 137th Ave, Vancouver, WA 98682-4933 | 2019-12-12 |
| 1659916690 | Daniel Carlson | Student in an Organized Health Care Education/Training Program | 7101 Ne 137th Ave, Vancouver, WA 98682-4933 | 2019-11-13 |
| 1407406994 | Kristle Brown | Student in an Organized Health Care Education/Training Program | 7101 Ne 137th Ave, Vancouver, WA 98682-4933 | 2019-09-17 |
| 1124672415 | Sarah E Barrick | Student in an Organized Health Care Education/Training Program | 7101 Ne 137th Ave, Vancouver, WA 98682-4933 | 2019-07-25 |
| 1982258190 | Ashley Marie Adams | Student in an Organized Health Care Education/Training Program | 7101 Ne 137th Ave, Vancouver, WA 98682-4933 | 2019-07-25 |
| 1851953970 | Amy Luu | Student in an Organized Health Care Education/Training Program | 7101 Ne 137th Ave, Vancouver, WA 98682-4933 | 2019-06-29 |
| 1760044879 | Sydney Leigh Svob | Student in an Organized Health Care Education/Training Program | 7101 Ne 137th Ave, Vancouver, WA 98682-4933 | 2019-06-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184230625 | Helen Trinidad Uy | Registered Nurse | 15814 Ne 72nd St., Vancouver, WA 98682 | 2020-09-21 |
| 1891258711 | Washington Dental Corporation, PC | Dentist | 14411 Ne Fourth Plain, Suite 134, Vancouver, WA 98682 | 2019-04-08 |
| 1588174833 | Oliver Uy | Nurse Practitioner | 15814 Ne 72nd, Vancouver, WA 98682 | 2017-10-01 |
| 1285095000 | Julia Melinda Zamora | Naturopath | 15640 Ne Fourth Plain Blvd Ste 120a, Vancouver, WA 98682 | 2016-03-08 |
| 1871999243 | Jumana Sayyam | Counselor | 13114 Ne 41st St, Vancouver, WA 98682 | 2014-11-13 |
| 1679998538 | Chris Briggs | Massage Therapist | 6700 N.e. 162 Ave, Suite 415, Vancouver, WA 98682 | 2014-02-28 |
| 1790113371 | Kaiser Foundation Health Plan of The Northwest | Pharmacy | 1230 7th Ave., Longview, WA 98682 | 2013-10-17 |
| 1821336736 | Carol Lynn Fischer | Occupational Therapist | 13501 Ne 28th Street, Vancouver, WA 98682 | 2013-01-28 |
| 1336412485 | Erica Paige Schmidt | Massage Therapist | 13025 Ne 4th Plain Blvd, Suite 102, Vancouver, WA 98682 | 2012-02-21 |
| 1669767828 | Scott Germann | Contractor | 15410 Ne 85th Street, Vancouver, WA 98682 | 2011-06-16 |
| Find all providers in zip 98682 | ||||
| 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 |
| 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 |
| 1558597617 | Gwendolyn Brooke Moscoe | Pharmacist | 400 Ne Mother Joseph Pl, Vancouver, WA 98664-3200 | 2009-06-03 |
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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.