JODI VANTRESS (NPI# 1750782314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750782314 |
| Entity Type | Individual |
| Full Name | JODI VANTRESS |
| Practice Address |
725 S Wahanna Rd Seaside OR 97138-7735 |
| Practice Telephone | 5037177380 |
| Mailing Telephone | 5037177380 |
| Enumeration Date | 2014-09-12 |
| Last Update Date | 2014-09-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RPH-0014315 | 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 |
| Find all providers in zip 97138 | ||||
| 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 |
|---|---|---|---|---|
| 1316435803 | Teddy Yaw Akosa Agyapong | Pharmacist | 1055 Fremont Bld, Seaside, CA 93955 | 2018-04-30 |
| 1699151902 | Joseph Alphonse Sutton | Pharmacist | 79380 Highway 202, Seaside, OR 97138 | 2015-08-10 |
| 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 |
| 1548552938 | Robert W Olson | Pharmacist | 313 S Rosevelt Drive, Seaside, OR 97138 | 2011-05-04 |
| 1750672341 | Jeffrey Chow | Pharmacist | 313 S Roosevelt Dr, Seaside, OR 97138-6743 | 2011-04-29 |
| 1558661884 | Marla Jean Nolan | Pharmacist | 8 Westminster Ct, Seaside, CA 93955-4027 | 2010-11-03 |
| 1639717085 | Jisu Kim | Pharmacist | 1055 Fremont Blvd, Seaside, CA 93955-5712 | 2019-12-17 |
| 1215574397 | Ruby Thuy Dang | Pharmacist | 313 S Roosevelt Dr, Seaside, OR 97138-6743 | 2019-12-07 |
| 1346803707 | Emmalee Thornton | Pharmacist | 725 S Wahanna Rd, Seaside, OR 97138-7735 | 2019-04-20 |
| Find all providers in SEASIDE | ||||
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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.