MRS. VICTORIA AUTUMN GOMBERT HAYES (NPI# 1639506033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639506033 |
| Entity Type | Individual |
| Full Name | MRS. VICTORIA AUTUMN GOMBERT HAYES |
| Credential | PHARMD |
| Practice Address |
921 S 8th Ave Stop 8333 Isu College of Pharmacy Pocatello ID 83209-8333 |
| Practice Telephone | 2085893784 |
| Mailing Telephone | 2085893784 |
| Enumeration Date | 2013-09-30 |
| Last Update Date | 2013-09-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | P6845 | ID | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821613779 | Victoria E Hayes | Counselor | 5401 Fallowater Ln Ste C, Roanoke, VA 24018-0949 | 2020-06-16 |
| 1164982955 | Victoria Hayes | Student in an Organized Health Care Education/Training Program | 6420 Clayton Rd, Saint Louis, MO 63117-1811 | 2019-03-20 |
| 1447753371 | Victoria Elizabeth Hayes | Case Manager/Care Coordinator | 350 E 2100 S, Salt Lake City, UT 84115-2266 | 2018-03-16 |
| 1700110418 | Victoria Lynne Hayes | Physical Therapist | 300 Pasteur Dr, Stanford, CA 94305-2200 | 2009-09-28 |
| 1326271685 | Victoria Lynne Hayes | Nurse Practitioner | 405 W Greenlawn Ave, Suite 400, Lansing, MI 48910-2898 | 2009-09-02 |
| 1801002019 | Victoria Sellens Hayes | Speech-Language Pathologist | 23271 Verdugo Dr, #b, Laguna Hills, CA 92653-1347 | 2007-05-15 |
| 1699894006 | Victoria M Hayes | Family Medicine | 272 Congress St, Portland, ME 04101-3637 | 2007-03-28 |
| 1902940760 | Victoria Hayes | Technician, Other | 2100 2nd St Sw, Washington, DC 20593-0002 | 2007-02-16 |
| Street Address |
921 S 8TH AVE STOP 8333 ISU COLLEGE OF PHARMACY |
| City | POCATELLO |
| State | ID |
| Zip Code | 83209-8333 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093097081 | Eydie Kendall | Physical Therapist | 1400 Terry Drive, Pocatello, ID 83209 | 2011-09-15 |
| 1548548589 | Corrie Elizabeth Holmes | Audiologist | 650 Memorial Drive Building 68, Pocatello, ID 83209 | 2011-07-25 |
| 1730351081 | Idaho State University | Pharmacy | 990 South 8th, Pocatello, ID 83209 | 2008-03-27 |
| 1922204551 | Melody Ann Weaver | Nurse Practitioner | 921 S 8th Ave Stop 8101, Pocatello, ID 83209 | 2007-06-21 |
| 1710482500 | Ashley Letson | Specialist/Technologist | 921 S 8th Ave, Mcintosh Manor D9, Pocatello, ID 83209 | 2018-03-26 |
| 1407261407 | Stephen B Grandy | Dentist | 465 Memorial Drive, Pocatello, ID 83209-0000 | 2014-06-27 |
| 1811595929 | Idaho State University | Counselor | 1400 E Terry Dr Bldg 63, Pocatello, ID 83209-0001 | 2020-10-12 |
| 1174149389 | Santiago A Segura Barron | Specialist/Technologist | Holt Arena 550 Memorial Drive Building 50, Pocatello, ID 83209-0001 | 2020-06-23 |
| 1639658248 | Luis Rodriguez | Psychologist | 1400 Eas Terry Dr Bldg 63 Garrison Hall 5th Floor, Pocatello, ID 83209-0001 | 2018-08-14 |
| 1205384484 | Max Esposito | Physical Medicine & Rehabilitation | 1400 E Terry Dr, Pocatello, ID 83209-0001 | 2016-09-15 |
| Find all providers in zip 83209 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568078046 | Peter Chad Adamovich | Pharmacist | 3553 Summit Dr, Pocatello, ID 83201-8011 | 2020-09-19 |
| 1619523420 | Eric L Thomas | Pharmacist | 319 Roosevelt Ave, Pocatello, ID 83201-5025 | 2019-08-16 |
| 1265996003 | Emilee Risher | Pharmacist | 2442 Shayla Pl, Pocatello, ID 83201-7016 | 2019-01-25 |
| 1659855450 | Cheyanne Jane Williams | Pharmacist | 1465 Bannock Hwy, Pocatello, ID 83204-5077 | 2018-09-18 |
| 1760907869 | Rebecca Hoover | Pharmacist | 921 S 8th Ave Stop 8288, Pocatello, ID 83209-0002 | 2017-08-09 |
| 1457753394 | Allison Ann Cardona | Pharmacist | 26 Columbia St, Pocatello, ID 83201-3458 | 2014-09-23 |
| 1699191478 | Martin Joseph Reed | Pharmacist | 388 Filmore Ave, Pocatello, ID 83201 | 2014-03-17 |
| 1790032431 | Wynnona Sarah Warren | Pharmacist | 911 North Main Street, Pocatello, ID 83204 | 2012-08-13 |
| 1720346018 | Cara Mccoy | Pharmacist | 5901 Country Club Dr, Pocatello, ID 83204-4631 | 2012-04-24 |
| 1376818922 | Kimberly D. Wheatley | Pharmacist | 305 W. Quinn Rd., Pocatello, ID 83202 | 2012-03-15 |
| Find all providers in POCATELLO | ||||
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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.