KONNOR ALLEN WYCKOFF (NPI# 1639697576) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639697576 |
| Entity Type | Individual |
| Full Name | KONNOR ALLEN WYCKOFF |
| Credential | PHARMD |
| Practice Address |
5606 Summitview Ave Yakima WA 98908-3038 |
| Practice Telephone | 5099652037 |
| Practice Fax Number | 5099652164 |
| Enumeration Date | 2017-08-30 |
| Last Update Date | 2017-08-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
PH60751118 | WA | Pharmacy Service Providers |
| Street Address |
5606 SUMMITVIEW AVE |
| City | YAKIMA |
| State | WA |
| Zip Code | 98908-3038 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598075756 | Amandeep Kaur Paik | Pharmacist | 5606 Summitview Ave, Yakima, WA 98908-3038 | 2010-10-20 |
| 1184113128 | Mohamadia Nasser Hashash | Pharmacist | 5606 Summitview Ave, Yakima, WA 98908-3038 | 2018-05-04 |
| 1528411469 | John Kyle Guyot | Pharmacist | 5606 Summitview Ave, Yakima, WA 98908-3038 | 2016-07-15 |
| 1477955797 | Kimberly Bell | Pharmacist | 5606 Summitview Ave, Yakima, WA 98908-3038 | 2014-09-17 |
| 1902212285 | Mohammad Tariq Khan | Pharmacist | 5606 Summitview Ave, Rite Aid Pharmacy, Yakima, WA 98908-3038 | 2014-07-07 |
| 1518395177 | Amro Ali | Pharmacist | 5606 Summitview Ave, Yakima, WA 98908-3038 | 2013-10-17 |
| 1881977130 | Lynne Workman | Pharmacist | 5606 Summitview Ave, Yakima, WA 98908-3038 | 2011-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447857941 | Hillary Leigh Frank | Massage Therapist | 607 S 48th Ave Suite A, Yakima, WA 98908 | 2020-10-07 |
| 1255976056 | Olusegun Adesesan Bamgbelu | Pharmacist | Memorial Cornerstone Pharmacy, 4003 Creekside Loop, Yakima, WA 98908 | 2019-11-15 |
| 1699325811 | Sunrise Dental of Yakima | Dentist | 1020 South 40th Avenue, Suite G, Yakima, WA 98908 | 2019-09-19 |
| 1558896175 | Alyssa Noelle Wickenhagen | Specialist/Technologist | 106 N 91st Ave, Yakima, WA 98908 | 2017-04-21 |
| 1962861591 | Vanessa Roth | Massage Therapist | 10607 Wide Hollow Road, Yakima, WA 98908 | 2016-02-10 |
| 1407214000 | Kristine Mcclure | Counselor | 506 N 40th Ave Ste 201, Yakima, WA 98908 | 2016-02-10 |
| 1245635069 | Harry Williams | Pharmacist | 6600 West Nob Hill Blvd, Yakima, WA 98908 | 2014-10-23 |
| 1508107509 | Richard Paul Bustetter | Registered Nurse | 6513 West Chestnut Ave, Elite Nursing P.l.l.c., Yakima, WA 98908 | 2013-03-15 |
| 1528305331 | Beverly Irene Chandler | Licensed Practical Nurse | 6573 W. Chestnut Ave, Yakima, WA 98908 | 2013-01-14 |
| 1225373764 | Susan Schell | Licensed Practical Nurse | 6513 W.chestnut Ave, Elite Nursing, Yakima, WA 98908 | 2012-12-11 |
| Find all providers in zip 98908 | ||||
| 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 |
|---|---|---|---|---|
| 1962839563 | Elizabeth Ann Ferrero | Pharmacist | 7 South 10th Avenue, Yakima Regional Hospital & Hospice, Yakima, WA 98902 | 2013-09-27 |
| 1245733146 | Thao Nguyen | Pharmacist | 2811 Tieton Dr, Yakima, WA 98902-3761 | 2018-03-16 |
| 1336649102 | Chuck Leevan Figueras Baluca | Pharmacist | 2811 Tieton Dr, Yakima, WA 98902 | 2018-02-18 |
| 1568918407 | Anthony Gall | Pharmacist | 4003 Creekside Loop, Yakima, WA 98908 | 2016-08-31 |
| 1194271171 | Carl Mikota | Pharmacist | 2811 Tieton Dr, Yakima, WA 98902-3761 | 2016-08-30 |
| 1689929960 | Gregory Allen Edmiston | Pharmacist | 2811 Tieton Dr, Yakima, WA 98902-3761 | 2012-07-23 |
| 1275821472 | Gary Dean Burton Jr. | Pharmacist | 402 S 12th Ave, Yakima, WA 98902-3115 | 2011-07-21 |
| 1447548755 | Brenda K Van Horn | Pharmacist | 402 S 12th Ave, Yakima, WA 98902-3115 | 2011-07-20 |
| 1073762118 | Damianne Chrystal Brand-eubanks | Pharmacist | 12 S 8th St, Yakima, WA 98901-3020 | 2008-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891395760 | Evelyn Tong | Pharmacist | 4229 122nd Ave Se, Bellevue, WA 98006-1915 | 2020-10-29 |
| 1356985345 | Nancy Celine Tran | Pharmacist | 906 S 38th Ct, Renton, WA 98055-5897 | 2019-11-01 |
| 1265087654 | Valorie Swensen | Pharmacist | 4500 Harrison St, Bellingham, WA 98229-3323 | 2019-08-02 |
| 1982110805 | Derek Matlock | Pharmacist | 3715 Ocean Beach Hwy # 2, Longview, WA 98632-4801 | 2017-12-15 |
| 1659880938 | Hazel Ann Feist | Pharmacist | 14406 Nw 20th Ave, Vancouver, WA 98685-8007 | 2017-09-29 |
| 1528586732 | Mayumi Robbins | Pharmacist | 410 9th Ave N Fl 7, Seattle, WA 98109-4708 | 2017-09-07 |
| 1699293688 | Jin Man Choe | Pharmacist | 105 W 8th Ave Ste 350, Spokane, WA 99204-2312 | 2017-08-30 |
| 1821457813 | Marie Cermak | Pharmacist | 12333 Ne 130th Ln # Lane415, Kirkland, WA 98034-7467 | 2016-02-18 |
| 1902281959 | Carmen Joy Berg | Pharmacist | 2320 South Salnave Road, Medical Lake, WA 99022 | 2015-07-20 |
| 1639574981 | Loi Chau | Pharmacist | 601 Broadway Rm 117, Seattle, WA 98122-5330 | 2014-10-29 |
| 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.