MR. DAVID JACK WELLER (NPI# 1659692309) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659692309 |
| Entity Type | Individual |
| Full Name | MR. DAVID JACK WELLER |
| Credential | PHARMACIST |
| Practice Address |
11700 Mukilteo Speedway Mukilteo WA 98275-5432 |
| Practice Telephone | 4255140620 |
| Practice Fax Number | 4253483041 |
| Mailing Telephone | 4255140620 |
| Mailing Fax Number | 4253483041 |
| Enumeration Date | 2010-06-17 |
| Last Update Date | 2010-06-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PH 00009143 | WA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033388723 | David Wayne Weller | Nurse Practitioner | 1673 Columbus Rd, West Sacramento, CA 95691-4902 | 2008-02-27 |
| 1255510400 | David M Weller | Social Worker | 101 Bodin Cir, Travis Afb, CA 94535-1809 | 2007-10-24 |
| 1144308313 | David Roberts Weller | Dentist | 4606 Bridgeport Way W, University Place, WA 98466 | 2006-11-02 |
| Street Address |
11700 MUKILTEO SPEEDWAY |
| City | MUKILTEO |
| State | WA |
| Zip Code | 98275-5432 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487601142 | Julie Mahler | Dietitian, Registered | 11700 Mukilteo Speedway, Suite 503, Mukilteo, WA 98275-5432 | 2006-05-28 |
| 1417215104 | Integrated Rehab Group Limited Partnership | Physical Therapist | 11700 Mukilteo Speedway, Suite 503, Mukilteo, WA 98275-5432 | 2012-05-01 |
| 1770897274 | Jeremy Cornwell | Physical Therapist | 11700 Mukilteo Speedway, Suite 503, Mukilteo, WA 98275-5432 | 2010-07-27 |
| 1518100098 | Pacific Eyecare Professionals Inc | Optometrist | 11700 Mukilteo Speedway, #501, Mukilteo, WA 98275-5432 | 2009-04-13 |
| 1134361413 | Christine A Toma | Physical Therapist | 11700 Mukilteo Speedway, Suite 503, Mukilteo, WA 98275-5432 | 2009-04-01 |
| 1871788836 | Madelaine Katrina Taylor | Pharmacist | 11700 Mukilteo Speedway, Suite 500, Mukilteo, WA 98275-5432 | 2007-09-12 |
| 1770787947 | David Ryan White | Massage Therapist | 11700 Mukilteo Speedway, Suite 503, Mukilteo, WA 98275-5432 | 2007-06-12 |
| 1619193778 | Jennifer Shaw | Dentist | 11700 Mukilteo Speedway, #502, Mukilteo, WA 98275-5432 | 2007-04-17 |
| 1629166772 | Seema Bali-sharma | Optometrist | 11700 Mukilteo Speedway, Suite 501, Mukilteo, WA 98275-5432 | 2006-10-11 |
| 1689783904 | Thrifty Payless Inc | Durable Medical Equipment & Medical Supplies | 11700 Mukilteo Speedway, Suite 500, Mukilteo, WA 98275-5435 | 2006-08-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477030245 | Brandon Eugene Moore | Social Worker | 12303 Cyrus Way, Suite 107, Mukilteo, WA 98275 | 2018-07-25 |
| 1407349962 | Cascade Endocrinology Pllc | Internal Medicine | 8423 Mukilteo Spdwy Ste 102, Mukilteo, WA 98275 | 2018-06-10 |
| 1780059899 | Jamie Kowatch | Dietitian, Registered | 8423 Mukilteo Speedway Ste 102, Mukilteo, WA 98275 | 2015-12-01 |
| 1225479025 | Helen Ra | Pharmacist | 5600 Harbour Pointe Blvd., Unit 1-105, Mukilteo, WA 98275 | 2013-07-10 |
| 1861731333 | Lynn Sharon Schmidt | Physical Therapist | 10520 Harbour Pointe Blvd, Columbia Elementary School - Msd #6, Mukilteo, WA 98275 | 2013-02-04 |
| 1023318326 | Hillary E Hofstaedter | Registered Nurse | 10710 Mukilteo Speedway # 67, Mukilteo, WA 98275 | 2010-11-02 |
| 1528371416 | Zita Molnar Fekete | Counselor | 4460 73rd Pl Sw, Mukilteo, WA 98275 | 2010-07-20 |
| 1497900609 | Heidi S. Rendall | Family Medicine | 8227 44th Ave W., Ste E, Mukilteo, WA 98275 | 2008-12-02 |
| 1558583609 | Ana B Rountree | Physician Assistant | 10710 Mukilteo Spdwy, Mukilteo, WA 98275 | 2007-05-02 |
| 1376769752 | Wahid Elbahr | Dentist | 12121 Harbour Reach Dr., Ste 210, Mukilteo, WA 98275 | 2007-04-17 |
| Find all providers in zip 98275 | ||||
| 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 |
|---|---|---|---|---|
| 1487213419 | Thai Hoa Truong Nguyen | Pharmacist | 8686 45th Pl W, Mukilteo, WA 98275-3401 | 2019-06-12 |
| 1427599133 | Leela Pannu | Pharmacist | 4780 Arbors Cir, Mukilteo, WA 98275-6087 | 2017-03-14 |
| 1255702270 | Bo Min Kim | Pharmacist | 12614 Hummingbird St, Mukilteo, WA 98275-5471 | 2015-10-16 |
| 1225479025 | Helen Ra | Pharmacist | 5600 Harbour Pointe Blvd., Unit 1-105, Mukilteo, WA 98275 | 2013-07-10 |
| 1427379171 | Elise Ng | Pharmacist | 11700 Mukilteo Speedway Ste 500, Mukilteo, WA 98275-5435 | 2010-06-17 |
| 1720302698 | John Kae | Pharmacist | 12630 49th Ave W, Mukilteo, WA 98275-5600 | 2010-03-22 |
| 1497882492 | Elizabeth Michelle Valentine Iv | Pharmacist | 1501 W Horizon Dr, Mukilteo, WA 98275-2111 | 2007-02-27 |
| 1194377119 | Jungeun Kate Kim | Pharmacist | 11700 Mukilteo Speedway Ste 500, Mukilteo, WA 98275-5435 | 2019-07-10 |
| 1003332263 | Dan Doan Truong | Pharmacist | 11700 Mukilteo Speedway Ste 500, Mukilteo, WA 98275-5435 | 2017-08-19 |
| 1104374222 | Tat Wa Yiu | Pharmacist | 10200 Mukilteo Speedway, Mukilteo, WA 98275-4743 | 2016-09-18 |
| Find all providers in MUKILTEO | ||||
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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.