ROBERT BRENT WATERS


Address: 1030 Avenue D Ste 2, Snohomish, WA 98290-2086
Phone: 3608633009

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1835P1200X Pharmacist
Specialization: Pharmacotherapy
PH00011060 WA Pharmacy Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
WA L&I 003118 01
WA 6010938 05
WA TAX ID 91-1996749 01

Other Providers ROBERT WATERS

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

Office Location

Street Address 1030 AVENUE D STE 2
City SNOHOMISH
State WA
Zip Code 98290-2086

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 1835P1200X
Grouping Pharmacy Service Providers
Classification Pharmacist
Specialization Pharmacotherapy

Taxonomy Definition

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]

Providers in the same taxonomy and state

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
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Competitor

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City SNOHOMISH
Zip Code 98290

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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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