DR. BRENT LEE EDISON (NPI# 1730590928) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730590928 |
| Entity Type | Individual |
| Full Name | DR. BRENT LEE EDISON |
| Credential | PHARM.D., R.PH. |
| Practice Address |
6720 Ne 84th St Vancouver WA 98665-2016 |
| Practice Telephone | 3608282289 |
| Practice Fax Number | 3608282286 |
| Mailing Telephone | 3608282289 |
| Mailing Fax Number | 3608282286 |
| Enumeration Date | 2014-05-11 |
| Last Update Date | 2018-11-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | RPH-0013593 | OR | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | PH60390978 | WA | Pharmacy Service Providers |
| N | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
RPH-0013593 | OR | Pharmacy Service Providers |
| Street Address |
6720 NE 84TH ST |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98665-2016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639289275 | Costco Wholesale Corporation | Pharmacy | 6720 Ne 84th St, Vancouver, WA 98665 | 2006-08-30 |
| 1225422017 | Costco Wholesale Corporation | Hearing Aid Equipment | 6720 Ne 84th St, Vancouver, WA 98665-2016 | 2015-03-19 |
| 1063803286 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 6720 Ne 84th St, Vancouver, WA 98665-2016 | 2015-02-10 |
| 1427323146 | Alex Michael Peterson | Pharmacist | 6720 Ne 84th St, Vancouver, WA 98665-2016 | 2012-03-13 |
| 1023383999 | Kiersten Norene Flyckt | Pharmacist | 6720 Ne 84th St, Vancouver, WA 98665-2016 | 2012-03-12 |
| 1376827733 | Scott Watkins | Pharmacist | 6720 Ne 84th St, Vancouver, WA 98665-2016 | 2011-10-04 |
| 1699056994 | Michael Lee Raymond | Pharmacist | 6720 Ne 84th St, Vancouver, WA 98665-2016 | 2011-08-31 |
| 1902950835 | James Thomas Lentz | Optometrist | 6720 Ne 84th St, Vancouver, WA 98665-2016 | 2007-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023584877 | Always Smiles Dentistry | Dentist | 910 Ne Minnehaha St #12, Vancouver, WA 98665 | 2018-10-19 |
| 1255811196 | Rachael Hickert | Counselor | 1179 Northeast 95th Street, Vancouver, WA 98665 | 2018-08-20 |
| 1063899011 | Edward Michael Borromeo | Massage Therapist | 8500 Ne Hazel Dell Ave Apt. B4, Vancouver, WA 98665 | 2015-04-29 |
| 1033460811 | Gretchen Ann Bell | Speech-Language Pathologist | 511 Ne Anderson Road, Vancouver, WA 98665 | 2012-09-20 |
| 1831322379 | Diana Miriam Copeland | Massage Therapist | 517 Ne 85th Cir, Vancouver, WA 98665 | 2009-09-01 |
| 1073782116 | Roxanne Marie Brown | Contractor | 7902 Ne St. Johns Rd. Ste 105a, Vancouver, WA 98665 | 2008-02-22 |
| 1588726657 | Emil V. Knysh | Contractor | 1307-b Ne 78th. Street, Suite #3, Vancouver, WA 98665 | 2006-12-15 |
| 1275611501 | Jerry L Reams | Contractor | 1307b Ne 78th St., Suite 3, Vancouver, WA 98665 | 2006-11-02 |
| 1053409961 | Richard C. Sheron Dmd Ps | Dentist | 1200 Ne 99th Street, Vancouver, WA 98665 | 2006-10-10 |
| 1316048887 | Frank Roberts Mossman | Optometrist | 7600 Hazeldell Ave, Vancouver, WA 98665 | 2006-09-26 |
| Find all providers in zip 98665 | ||||
| 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 |
|---|---|---|---|---|
| 1639797798 | Jordan Kathleen Hurley | Pharmacist | 3905 Ne 89th Way, Vancouver, WA 98665-5329 | 2020-07-06 |
| 1639793474 | Christina Putnam | Pharmacist | 16811 Se Mcgillivray Blvd Ste 101, Vancouver, WA 98683-3404 | 2020-06-06 |
| 1306404041 | Couper D Millar | Pharmacist | 14313 Ne 20th Ave Ste 109, Vancouver, WA 98686-1487 | 2019-05-29 |
| 1811472780 | Dang Hai Pham | Pharmacist | 4110 Ne 127th Ave, Vancouver, WA 98682-6848 | 2018-09-26 |
| 1972095636 | Merna Saied | Pharmacist | 306 Se 169th Ave, Vancouver, WA 98684-8411 | 2018-05-30 |
| 1245741008 | Courtney Louie | Pharmacist | 7819 Se 17th St, Vancouver, WA 98664-1783 | 2017-10-19 |
| 1760912059 | Mai Thi Phuong Nguyen | Pharmacist | 6706 Ne 65th Ave, Vancouver, WA 98661-1509 | 2017-06-19 |
| 1821535840 | Mark Balyshev | Pharmacist | 2602 Se Bella Vista Rd, Vancouver, WA 98683-7616 | 2017-01-28 |
| 1407205263 | Jennifer Nadine Locsmandi | Pharmacist | 17701 Se Mill Plain Blvd, Apt 219, Vancouver, WA 98683-7549 | 2016-06-11 |
| 1275996027 | Eric J Lofgren | Pharmacist | 6926 E 4th Plain Blvd Ste B, Vancouver, WA 98661-7369 | 2016-03-30 |
| Find all providers in VANCOUVER | ||||
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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.