SUZANNE C. SELISCH (NPI# 1720351778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720351778 |
| Entity Type | Individual |
| Full Name | SUZANNE C. SELISCH |
| Credential | PRH |
| Practice Address |
834 Sheridan Pharmacy Department Port Townsend WA 98368 |
| Practice Telephone | 3603852200 |
| Practice Fax Number | 3603856926 |
| Mailing Telephone | 3603852200 |
| Mailing Fax Number | 3603856925 |
| Enumeration Date | 2012-02-21 |
| Last Update Date | 2012-02-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
PH00041482 | WA | Pharmacy Service Providers |
| Street Address |
834 SHERIDAN PHARMACY DEPARTMENT |
| City | PORT TOWNSEND |
| State | WA |
| Zip Code | 98368 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912270968 | Kathleen Jean Ryan | Pharmacist | 834 Sheridan, Pharmacy Department, Port Townsend, WA 98368 | 2012-02-21 |
| 1013421114 | Jefferson County Public Hospital District No 2 | Clinic/Center | 834 Sheridan, Suite B, Port Townsend, WA 98368-2443 | 2017-11-28 |
| 1205376290 | Amber Mckinlay Benner | Registered Nurse | 834 Sheridan, Port Townsend, WA 98368 | 2017-02-24 |
| 1841563772 | Karen Ankerholz Turley | Pharmacist | 834 Sheridan, Pharmacy Department, Port Townsend, WA 98368 | 2012-02-23 |
| 1427321470 | Shirley Ann Tinsley | Pharmacist | 834 Sheridan, Pharmacy, Port Townsend, WA 98358 | 2012-02-21 |
| 1881967834 | Adam Sims Crabtree | Pharmacist | 834 Sheridan, Pharmacy Department, Port Townsend, WA 98368 | 2012-02-21 |
| 1043583099 | Brenda Ann Diprete | Pharmacist | 834 Sheridan, Pharmacy Department, Port Townsend, WA 98368 | 2012-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730727827 | Ace It Employment & Transition Services LLC | Community/Behavioral Health | 1233 Lawrence Street, Port Townsend, WA 98368 | 2019-12-19 |
| 1942862792 | Peninsula Midwives | Midwife | 203 Pocket Lane, Port Townsend, WA 98368 | 2019-07-02 |
| 1700349461 | Kelle Gayelena Ronnfeldt | Nurse Practitioner | 844 West Park Ave, Port Townsend, WA 98368 | 2019-04-10 |
| 1841769031 | Richard Sankey Hansen | Counselor | 448 Hastings Ave, Port Townsend, WA 98368 | 2018-11-16 |
| 1255800595 | Alan P Brown | Counselor | 821 Mcpherson St, Port Townsend, WA 98368 | 2018-11-15 |
| 1699257873 | Megan E Smith | Counselor | 260 Kala Point Dr, Ste 99, Port Townsend, WA 98368 | 2018-09-04 |
| 1093297434 | Jacqueline Levin | Clinical Nurse Specialist | 234 Pond Road, Port Townsend, WA 98368 | 2018-09-02 |
| 1306335682 | Matthew D Hust | Physical Therapy Assistant | 751 Kearney Street, Port Townsend, WA 98368 | 2018-05-02 |
| 1306368238 | Michael Ozar | Psychologist | 1806 Walnut Street, Port Townsend, WA 98368 | 2017-07-12 |
| 1336674076 | Yuko Umeda | Registered Nurse | 615 Sheridan Street, Port Townsend, WA 98368 | 2017-05-01 |
| Find all providers in zip 98368 | ||||
| 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 |
|---|---|---|---|---|
| 1912270968 | Kathleen Jean Ryan | Pharmacist | 834 Sheridan, Pharmacy Department, Port Townsend, WA 98368 | 2012-02-21 |
| 1841563772 | Karen Ankerholz Turley | Pharmacist | 834 Sheridan, Pharmacy Department, Port Townsend, WA 98368 | 2012-02-23 |
| 1427321470 | Shirley Ann Tinsley | Pharmacist | 834 Sheridan, Pharmacy, Port Townsend, WA 98358 | 2012-02-21 |
| 1881967834 | Adam Sims Crabtree | Pharmacist | 834 Sheridan, Pharmacy Department, Port Townsend, WA 98368 | 2012-02-21 |
| 1043583099 | Brenda Ann Diprete | Pharmacist | 834 Sheridan, Pharmacy Department, Port Townsend, WA 98368 | 2012-02-21 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | PORT TOWNSEND |
| Zip Code | 98368 |
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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.