ROBERT BRENT WATERS (NPI# 1619985736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619985736 |
Entity Type | Individual |
Full Name | ROBERT BRENT WATERS |
Credential | RPH |
Practice Address |
1030 Avenue D Ste 2 Snohomish WA 98290-2086 |
Mailing Address |
10330 Meridian Ave N Ste 180 Seattle WA 98133-9496 |
Practice Telephone | 3608633009 |
Practice Fax Number | 8443754097 |
Mailing Telephone | 2063686060 |
Mailing Fax Number | 2063686061 |
Enumeration Date | 2006-08-04 |
Last Update Date | 2017-11-29 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
PH00011060 | WA | Pharmacy Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | L&I | 003118 | 01 |
WA | 6010938 | 05 | |
WA | TAX ID | 91-1996749 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194948133 | Robert Scott Waters | General Practice | 320 Race St, Wisconsin Dells, WI 53965-1822 | 2007-04-10 |
1326486713 | Robert David Waters | Dentist | 6710 Oxon Hill Rd, Suite 350, Oxon Hill, MD 20745-1117 | 2013-06-07 |
1942539812 | Robert Scott Waters | Case Manager/Care Coordinator | 3204 E Moore Ave, Searcy, AR 72143 | 2009-12-23 |
1770612228 | Robert Cochran Waters | Pharmacist | 114 S Main St, Georgetown, OH 45121-1221 | 2007-03-02 |
1538241237 | Robert Waters | Orthopaedic Surgery | 7601 Imperial Hwy, Downey, CA 90242-3456 | 2006-10-20 |
1548252372 | Robert C Waters | Otolaryngology | 171 Ashley Ave, Charleston, SC 29425-8908 | 2005-08-18 |
Street Address |
1030 AVENUE D STE 2 |
City | SNOHOMISH |
State | WA |
Zip Code | 98290-2086 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376185579 | Payton Helene Lewis | Massage Therapist | 1101 Ave D, C-106, Snohomish, WA 98290 | 2019-10-09 |
1225542921 | Pacifica Sl Snohomish | Assisted Living Facility | 1124 Pine Avenue, Snohomish, WA 98290 | 2017-11-17 |
1649781469 | Julia Miller | Behavioral Analyst | 2621 Bickford Ave Ste C, Snohomish, WA 98290 | 2017-10-19 |
1417315821 | Sherrie June Cooper | Speech-Language Pathologist | 1131 Silva Street, Snohomish, WA 98290 | 2016-02-01 |
1689067514 | Gladdie Altura | Speech-Language Pathologist | 12125 Chain Lake Rd, Snohomish, WA 98290 | 2015-03-17 |
1740618321 | Rebekah Joanne Oldenkamp | Naturopath | 110 Cedar Avenue, Suite 101, Snohomish, WA 98290 | 2013-10-17 |
1356779151 | Cassandra Hurd | Naturopath | 110 Cedar Ave Apt 101, Snohomish, WA 98290 | 2013-10-15 |
1982937801 | Elisa Madeline Chimienti | Massage Therapist | 1610 145th Ave. S.e., Snohomish, WA 98290 | 2009-09-10 |
1144452319 | Crystal L Blankinship | Counselor | 1830 Bickford Ave Ste 211, Snohomish, WA 98290 | 2009-08-20 |
1649417528 | Sondra Deschell | Reflexologist | 127 Ave A, Ste 2b, Snohomish, WA 98290 | 2009-01-14 |
Find all providers in zip 98290 |
Taxonomy Code | 1835P1200X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacist |
Specialization | Pharmacotherapy |
A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. |
Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912362070 | Ashley Johnson | Pharmacist | 734 Crestview Pl, Walla Walla, WA 99362-4230 | 2015-12-16 |
1649516436 | Andrew James Harbison | Pharmacist | 7080 Killeen Pl Sw, Port Orchard, WA 98367-7617 | 2012-12-24 |
1265627640 | Marilyn G Bufton | Pharmacist | 2107 Wilderness Ridge Rd, Bellingham, WA 98229-6901 | 2007-09-10 |
1386835817 | Julia Ann Barnett | Pharmacist | 16550 177th Ave Se, Po Box 777, Monroe, WA 98272 | 2007-08-08 |
1336356443 | Trent Lawrence Danielson | Pharmacist | 236 2nd Ave N., Okanogan, WA 98840 | 2007-05-17 |
1295858934 | Jeffrey B Purcell | Pharmacist | 325 9th Ave Box 359885, Seattle, WA 98104-2499 | 2007-04-09 |
1144340654 | Teri Lynn Gilbert | Pharmacist | 713 Canyon View Pl, Yakima, WA 98908-2105 | 2007-03-29 |
1386776995 | Edward O. Bye | Pharmacist | 16325 Thorpe Rd Ne, Poulsbo, WA 98370-8010 | 2007-03-09 |
1063554954 | Kyle Downey | Pharmacist | 6727 S Moran View St, Spokane, WA 99224-8494 | 2007-02-13 |
1447319918 | Steven Harold Erickson | Pharmacist | 24914 153rd Pl Se, Monroe, WA 98272-9558 | 2006-12-08 |
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.