DR. ZACHERY CARL WILSON (NPI# 1689220360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689220360 |
| Entity Type | Individual |
| Full Name | DR. ZACHERY CARL WILSON |
| Credential | PHARMD |
| Practice Address |
1501 Bay Ave Ocean Park WA 98640-4203 |
| Mailing Address |
Po Box 187 Long Beach WA 98631-0187 |
| Practice Telephone | 3606655181 |
| Enumeration Date | 2019-08-17 |
| Last Update Date | 2019-08-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PH60954577 | WA | Pharmacy Service Providers |
| Street Address |
1501 BAY AVE |
| City | OCEAN PARK |
| State | WA |
| Zip Code | 98640-4203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689756660 | Jeffrey Shane Harrell | Pharmacist | 1501 Bay Ave, Ocean Park, WA 98640 | 2006-10-19 |
| 1417482191 | Public Hospital District 3 of Pacific County | Clinic/Center | 1501 Bay Ave, Suite 201, Ocean Park, WA 98640-4203 | 2017-05-01 |
| 1992830137 | James Douglas Bannister | Pharmacist | 1501 Bay Ave, Ocean Park, WA 98640 | 2007-02-21 |
| 1770665754 | Peninsula Pharmacies Inc. | Pharmacy | 1501 Bay Ave, Ocean Park, WA 98640-4203 | 2006-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245726694 | Danielle Rene Glover-cloutier | Nurse Practitioner | 21610 Pacific Highway, Ocean Park, WA 98640 | 2018-07-09 |
| 1225044456 | Terri Miller | Registered Nurse | 21610 Pacific Hwy, Ocean Park, WA 98640 | 2006-07-31 |
| 1699749432 | Pacific County Fire Protection District 1 | Ambulance | 26109 Ridge Ave, Ocean Park, WA 98640 | 2006-02-16 |
| 1518338714 | Katherine Lindley | Nurse Practitioner | 21610 Pacific Hwy, Ocean Park, WA 98640 | 2015-10-13 |
| 1215355185 | Tobi N Thaller | Family Medicine | 1501 Bay Ave Ste 201, Ocean Park, WA 98640 | 2014-03-28 |
| 1144550773 | Tatiana Trott | Dentist | 21610 Pacific Hwy, Ocean Park, WA 98640 | 2010-01-04 |
| 1750408969 | Thomas R Geha | Acupuncturist | 21610 Pacific Hwy, Ocean Park, WA 98640 | 2007-03-23 |
| 1891856142 | Cowlitz Family Health Center | Clinic/Center | 21610 Pacific Hwy, Ocean Park, WA 98640 | 2006-12-12 |
| 1225300213 | Free By The Sea At Sunset View Freedom Center | Substance Abuse Rehabilitation Facility | 25517 Park Ave., Ocean Park, WA 98640-0399 | 2012-02-06 |
| 1033201322 | Kevin P Mcginley | Social Worker | 20701 Crane Pl, Ocean Park, WA 98640-3110 | 2006-09-28 |
| Find all providers in zip 98640 | ||||
| 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 |
|---|---|---|---|---|
| 1689756660 | Jeffrey Shane Harrell | Pharmacist | 1501 Bay Ave, Ocean Park, WA 98640 | 2006-10-19 |
| 1992830137 | James Douglas Bannister | Pharmacist | 1501 Bay Ave, Ocean Park, WA 98640 | 2007-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043810088 | Melaku Abtew Melese | Pharmacist | 3201 S 192nd St Apt Noe102, Seatac, WA 98188-5365 | 2020-10-29 |
| 1922608199 | Kathy Tong | Pharmacist | 3941 S Warsaw St, Seattle, WA 98118-3253 | 2020-10-27 |
| 1346848702 | Bronston Stuart Lallier | Pharmacist | 23731 Se 243rd Ct, Maple Valley, WA 98038-5266 | 2020-10-16 |
| 1467050211 | Jungryul Koh | Pharmacist | 12611 49th Avenue Ct Sw Apt C302, Lakewood, WA 98499-5184 | 2020-10-14 |
| 1407453988 | Phuong Tran Chan Nguyen | Pharmacist | 2826 Se 2nd Ct, Renton, WA 98056-4016 | 2020-10-07 |
| 1881291797 | Jeffrey Douglas Bunce | Pharmacist | 4704 127th Street Ct Sw Apt A205, Lakewood, WA 98499-5863 | 2020-10-04 |
| 1518564590 | David Bye | Pharmacist | 1000 2nd Ave Ste 2400, Seattle, WA 98104-1041 | 2020-10-03 |
| 1720695372 | Vi Thuy-thi Tran | Pharmacist | 112 N Howard St Ste 115, Spokane, WA 99201-0656 | 2020-09-28 |
| 1720694144 | Lwam Dori Ekubazgi | Pharmacist | 5900 37th Ave S Apt H42, Seattle, WA 98118-6234 | 2020-09-21 |
| 1568078293 | Wrashmena Jalalyar | Pharmacist | 2431 S 38th Ave, West Richland, WA 99353-7346 | 2020-09-17 |
| Find all providers with the same taxonomy | ||||
| City | OCEAN PARK |
| Zip Code | 98640 |
Please comment or provide details below to improve the information on DR. ZACHERY CARL WILSON.
| 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.