JASON COLLINS (NPI# 1669010906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669010906 |
| Entity Type | Individual |
| Full Name | JASON COLLINS |
| Practice Address |
4701 Highway 101 Florence OR 97439-8807 |
| Mailing Address |
1090 15th Ave Sw Albany OR 97321-2111 |
| Practice Telephone | 5419027333 |
| Mailing Telephone | 5415700089 |
| Enumeration Date | 2019-12-17 |
| Last Update Date | 2019-12-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | RPH-0017429 | OR | Pharmacy Service Providers |
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
RPH-0017429 | OR | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245542281 | Jason Collins | Licensed Practical Nurse | 2843 Seneca St, West Seneca, NY 14224-1882 | 2010-07-07 |
| 1700041183 | Jason Collins | Speech-Language Pathologist | 60 Charlestown Rd, Amherst, NY 14226-4606 | 2008-07-24 |
| 1801908165 | Jason P Collins | Family Medicine | 1612 Choto Markets Way, Knoxville, TN 37922-5760 | 2006-08-31 |
| 1871530022 | Jason Wayne Collins | Physician Assistant | 1700 E Parks Hwy # 200, Wasilla, AK 99654-7352 | 2006-05-31 |
| 1619949625 | Jason Michael Collins | Chiropractor | 903 Nw 9th Street, Bentonville, AR 72712 | 2006-02-03 |
| 1164064960 | Jason Collins | Behavior Technician | 2400 E Katella Ave Ste 800, Anaheim, CA 92806-5955 | 2019-10-13 |
| 1003331158 | Jason Collins | Nurse Practitioner | 701 Grove Rd, Greenville, SC 29605-4210 | 2017-08-10 |
| 1679004733 | Jason Collins | Student in an Organized Health Care Education/Training Program | 401 W Greenlawn Ave, Lansing, MI 48910-2819 | 2017-03-21 |
| 1568873099 | Jason Collins | Specialist | 401 Cypress St, Manchester, NH 03103-3628 | 2014-05-19 |
| 1558689976 | Jason Burton Collins | Pharmacist | 104 River Square Plz, Hueytown, AL 35023-1667 | 2010-05-10 |
| Street Address |
4701 HIGHWAY 101 |
| City | FLORENCE |
| State | OR |
| Zip Code | 97439-8807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740223957 | Fred Meyer Stores Inc | Durable Medical Equipment & Medical Supplies | 4701 Highway 101, Florence, OR 97439-8807 | 2006-06-14 |
| 1962926600 | Paul Merrill Davidson | Pharmacist | 4701 Highway 101, Florence, OR 97439-8807 | 2017-08-02 |
| 1912358748 | Dempsey L Petty | Pharmacist | 4701 Highway 101, Florence, OR 97439-8807 | 2016-06-22 |
| 1225478076 | Regina Moore | Pharmacist | 4701 Highway 101, Florence, OR 97439-8807 | 2013-06-25 |
| 1548534365 | Shane Day Turner | Pharmacist | 4701 Highway 101, Pharmacy, Florence, OR 97439-8807 | 2012-02-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417586488 | Kelcie-may S Toledo | Pharmacist | 700 Us-101, Florence, OR 97439 | 2020-04-02 |
| 1144875444 | Steven Mee | Dentist | 1225 Us - 101, Florence, OR 97439 | 2019-08-05 |
| 1164944351 | Karie James | Massage Therapist | 2010 11th St, Florence, OR 97439 | 2017-07-10 |
| 1205266046 | Deborah Lynne Grigsby | Counselor | 1490 1st Street, Unit #1, Florence, OR 97439 | 2013-11-14 |
| 1811247398 | Luke Henry | Occupational Therapist | 1951 East 21st Street, Florence, OR 97439 | 2012-09-12 |
| 1144589102 | Ryan Charles Korando | Denturist | 1705 22nd Street, Florence, OR 97439 | 2012-05-11 |
| 1568728640 | Deborah Lynn Pasternak | Massage Therapist | 1495 8th Street, Suite C, Florence, OR 97439 | 2012-04-03 |
| 1275844185 | Serena Appel | Counselor | 1525 12th St Ste 8, Florence, OR 97439 | 2010-06-24 |
| 1669702056 | Monarch Medical Group LLC | Clinic/Center | 2775 Hwy 101, Suite B, Florence, OR 97439 | 2010-01-06 |
| 1871722231 | Aen Brauer | Social Worker | 1445 W 8th St, Florence, OR 97439 | 2009-07-07 |
| Find all providers in zip 97439 | ||||
| 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 |
|---|---|---|---|---|
| 1649524034 | Lisa Louise Stokes | Pharmacist | 510 Camellia Cir, Florence, SC 29501-5772 | 2012-11-06 |
| 1104443332 | Teanna Nichole Nixon | Pharmacist | 4900 Houston Rd, Florence, KY 41042-4824 | 2020-07-04 |
| 1912423153 | Mary Vivas Dail | Pharmacist | 200 N Beltline Dr, Florence, SC 29501-7403 | 2017-08-18 |
| 1194260539 | Robert Evan Nix | Pharmacist | 144 N Ravenel St, Florence, SC 29506-2641 | 2016-12-20 |
| 1245657238 | James Flynn | Pharmacist | 2498 2nd Loop Rd, Florence, SC 29501-6162 | 2014-03-27 |
| 1184045817 | Megan Kappes | Pharmacist | 4990 Houston Rd, Meijer Pharmacy #151, Florence, KY 41042-4851 | 2013-12-24 |
| 1447596531 | Bradley Edward Schmidt | Pharmacist | 4900 Houston Rd, Florence, KY 41042-4824 | 2012-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194385674 | Joseph Lee Combee | Pharmacist | 4956 Sw Aster St, Corvallis, OR 97333-1367 | 2019-06-17 |
| 1538627377 | Jacquelyn Jessica Lansing | Pharmacist | 33190 Bloomberg Rd, Eugene, OR 97405-9609 | 2019-03-12 |
| 1972097699 | Nathan Daniel Hoover | Pharmacist | 1401 North 10th Ave, Stayton, OR 97383 | 2018-06-16 |
| 1083119994 | Timothy Warren Evans | Pharmacist | 2714 Harbeck Rd, Grants Pass, OR 97527-5630 | 2018-03-24 |
| 1144737677 | Matthew Ito | Pharmacist | 5805 Sw Delker Rd, Tualatin, OR 97062-7753 | 2018-01-05 |
| 1588178701 | Daniel Hendrickson | Pharmacist | 503 Sw 5th Avenue, Portland, OR 97204 | 2017-11-27 |
| 1336662204 | Jenny French | Pharmacist | 9427 Sw Barnes Rd Ste 295, Portland, OR 97225-6652 | 2017-07-21 |
| 1104378199 | Derek Andrus | Pharmacist | 5717 Nw 138th, Portland, OR 97230 | 2016-10-26 |
| 1841747649 | Richard Bennett | Pharmacist | 425 Burlwood Ave N, Monmouth, OR 97361-2252 | 2016-09-09 |
| 1316390008 | Timothy L Lichlyter | Pharmacist | 2924 Siskiyou Blvd Ste 102, Medford, OR 97504-8194 | 2016-07-18 |
| 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.