MR. MICHAEL RAY CODDINGTON (NPI# 1720346794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720346794 |
Entity Type | Individual |
Full Name | MR. MICHAEL RAY CODDINGTON |
Credential | R.PH. |
Practice Address |
725 S Wahanna Rd Seaside OR 97138-7735 |
Mailing Address |
2152 Cedar St Seaside OR 97138-7714 |
Practice Telephone | 5037177307 |
Practice Fax Number | 5037177308 |
Mailing Telephone | 5033388788 |
Mailing Fax Number | 5037177308 |
Enumeration Date | 2012-04-27 |
Last Update Date | 2012-04-27 |
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 |
7038 | OR | Pharmacy Service Providers |
Street Address |
725 S WAHANNA RD |
City | SEASIDE |
State | OR |
Zip Code | 97138-7735 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033100532 | Michael Paul Adler | Obstetrics & Gynecology | 725 S Wahanna Rd, Seaside, OR 97138-7735 | 2005-11-02 |
1548896178 | Bradley Louis Roberts | Radiology | 725 S Wahanna Rd, Seaside, OR 97138-7735 | 2020-03-16 |
1346803707 | Emmalee Thornton | Pharmacist | 725 S Wahanna Rd, Seaside, OR 97138-7735 | 2019-04-20 |
1275011447 | Lynne Marie Heroux | Occupational Therapist | 725 S Wahanna Rd, Seaside, OR 97138-7735 | 2018-07-31 |
1447702485 | Carol L Crowe | Nurse Practitioner | 725 S Wahanna Rd, Seaside, OR 97138-7735 | 2016-10-25 |
1093266769 | Providence Health & Services Oregon | Anesthesiology | 725 S Wahanna Rd, Seaside, OR 97138-7735 | 2016-10-18 |
1134678972 | Carly Hall Haas | Nurse Practitioner | 725 S Wahanna Rd, Suite 230, Seaside, OR 97138-7735 | 2016-09-21 |
1154772911 | Karina Marie Squire | Nurse Practitioner | 725 S Wahanna Rd, Seaside, OR 97138-7735 | 2016-06-23 |
1093176471 | Amanda Washington | Physician Assistant | 725 S Wahanna Rd, Providence North Coast Clinic, Seaside, OR 97138 | 2016-03-14 |
1902264559 | Zachary Caverley | Physician Assistant | 725 S Wahanna Rd, Seaside, OR 97138-7735 | 2016-02-10 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881238376 | Abigail Mcneil | Social Worker | 1150 N Roosevelt Dr., Suite 104, Seaside, OR 97138 | 2019-10-29 |
1124564455 | Shelby James | Massage Therapist | 620 S Holladay Dr Ste 3, Seaside, OR 97138 | 2017-01-10 |
1699151902 | Joseph Alphonse Sutton | Pharmacist | 79380 Highway 202, Seaside, OR 97138 | 2015-08-10 |
1487047197 | Seaside Dental Clinic | Dentist | 729 S Holladay Drive, Seaside, OR 97138 | 2015-03-05 |
1215331020 | Jessica Jones | Massage Therapist | 1601 S. Roosevelt, Seaside, OR 97138 | 2014-10-22 |
1952735987 | Derk Penrod | Pharmacist | 401 S Roosevelt, Seaside, OR 97138 | 2013-08-27 |
1194166025 | Scott Allen Kafader | Pharmacist | 1150 N. Roosevelt Dr., Suite 104, Seaside, OR 97138 | 2013-07-08 |
1326391459 | Addiction Medicine Consulting | Substance Abuse Rehabilitation Facility | 1325 North Holladay Dr., Seaside, OR 97138 | 2012-10-26 |
1548552938 | Robert W Olson | Pharmacist | 313 S Rosevelt Drive, Seaside, OR 97138 | 2011-05-04 |
1831395144 | Delores Swigert Sullivan | Social Worker | 564 Pacific Way, Gearhart, OR 97138 | 2007-06-23 |
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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 |
---|---|---|---|---|
1659698850 | Christopher Eric Jorgensen | Pharmacist | 725 S Wahanna Rd, Seaside, OR 97138-7735 | 2010-04-27 |
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 |
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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.