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).
| 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 |
| 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 |
| Street Address |
2811 TIETON DR |
| City | YAKIMA |
| State | WA |
| Zip Code | 98902-3761 |
| 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 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 98902 | ||||
| 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 |
| 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 |
| 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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| 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.