GREGORY ALLEN EDMISTON


Address: 2811 Tieton Dr, Yakima, WA 98902-3761
Phone: 5095758036

GREGORY ALLEN EDMISTON (NPI# 1689929960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1689929960
Entity Type Individual
Full Name GREGORY ALLEN EDMISTON
Credential PHARM.D,.
Practice Address 2811 Tieton Dr
Yakima
WA 98902-3761
Mailing Address 9033 Loyal Ave Nw
Seattle
WA 98117-2648
Practice Telephone 5095758036
Practice Fax Number 5095758700
Enumeration Date 2012-07-23
Last Update Date 2012-07-23
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1835P0018X Pharmacist
Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
PH60284840 WA Pharmacy Service Providers

Office Location

Street Address 2811 TIETON DR
City YAKIMA
State WA
Zip Code 98902-3761

Providers in the same location

NPI Name Taxonomy Address Enumeration
1699763318 Susie Ball Genetic Counselor, MS 2811 Tieton Dr, Genetics - Memorial, Yakima, WA 98902-3761 2005-10-06
1336740901 Tyler Reed Pharmacist 2811 Tieton Dr, Yakima, WA 98902-3761 2020-11-02
1629683610 Moro Kim Pharmacist 2811 Tieton Dr, Yakima, WA 98902-3761 2020-09-15
1467067207 Mandi Nicole Wilcox Registered Nurse 2811 Tieton Dr, Yakima, WA 98902-3761 2020-09-09
1588278576 Chad Schmitt Pharmacist 2811 Tieton Dr, Yakima, WA 98902-3761 2020-09-07
1306463450 Rigoberto Zepeda Nurse Practitioner 2811 Tieton Dr, Yakima, WA 98902-3761 2020-07-05
1750906269 Timothy Joseph Bowman Nurse Anesthetist, Certified Registered 2811 Tieton Dr, Yakima, WA 98902-3761 2020-06-10
1700416062 Terry J Tieman Nurse Anesthetist, Certified Registered 2811 Tieton Dr, Yakima, WA 98902-3761 2020-01-24
1891343414 Ashley Walker Pharmacist 2811 Tieton Dr, Yakima, WA 98902-3761 2019-08-27
1639725377 Shannon Rodriguez Pharmacist 2811 Tieton Dr, Yakima, WA 98902-3761 2019-08-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1922653203 Laboratory Corporation of America Clinical Medical Laboratory 314 S 11th Ave Suite A, Yakima, WA 98902 2019-08-05
1669967865 Rebecca Schrader Speech-Language Pathologist Children's Village 3801 Kern Road, Yakima, WA 98902 2018-06-29
1720572928 Hyperbaric Centers of Washington Preventive Medicine 302 S. 12th Ave., Yakima, WA 98902 2018-06-20
1487155503 Courtney Lombardi Nurse Practitioner 1515 W Yakima Ave, Yakima, WA 98902 2018-02-23
1003329665 Maria-elena Mendoza Case Manager/Care Coordinator 918 E Mead Avenue, Yakima, WA 98902 2017-11-06
1679017610 Claudia Zepeda Massage Therapist 3908 Creekside Loop Ste # 110, Yakima, WA 98902 2016-12-09
1093194425 Silas Klaver Podiatrist 1607 Creekside Loop Ste 140, Yakima, WA 98902 2015-05-18
1821490905 Jen Lynn Silver Massage Therapist 3512 Tieton Dr, Yakima, WA 98902 2014-09-20
1194131383 Brenna Claire Hayes Genetic Counselor, MS 2903 W Walnut, Yakima, WA 98902 2014-07-08
1720400435 Agnes Nadine Jeske Speech-Language Pathologist 621 S. 13th Ave., Mckinley Elementary School, Yakima, WA 98902 2014-01-15
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Taxonomy Information

Taxonomy Code 1835P0018X
Grouping Pharmacy Service Providers
Classification Pharmacist
Specialization Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Taxonomy Definition

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]

Providers in the same taxonomy and city

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
1639697576 Konnor Allen Wyckoff Pharmacist 5606 Summitview Ave, Yakima, WA 98908-3038 2017-08-30
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
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

Providers in the same taxonomy and state

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
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Competitor

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City YAKIMA
Zip Code 98902

Improve Information

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Dataset Information

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.

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