DR. SAMUEL JACOB ENDRESS (NPI# 1821135781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821135781 |
| Entity Type | Individual |
| Full Name | DR. SAMUEL JACOB ENDRESS |
| Credential | PHARMD |
| Practice Address |
5520 N Division St Spokane WA 99208-1211 |
| Mailing Address |
5410 S Lloyd St Spokane WA 99223-1633 |
| Practice Telephone | 5094896010 |
| Mailing Telephone | 5098796360 |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
PH00064924 | WA | Pharmacy Service Providers |
| Street Address |
5520 N DIVISION ST |
| City | SPOKANE |
| State | WA |
| Zip Code | 99208-1211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336137355 | Clinton Lee Funkhouser | Pharmacist | 5520 N Division St, Spokane, WA 99208-1211 | 2005-10-13 |
| 1902282262 | Gregory Glenn | Pharmacist | 5520 N Division St, Spokane, WA 99208-1211 | 2015-08-09 |
| 1427453588 | Matthew Bostwick | Pharmacist | 5520 N Division St, Spokane, WA 99208-1211 | 2014-10-30 |
| 1336402239 | Stephen Smith | Pharmacist | 5520 N Division St, Spokane, WA 99208-1211 | 2012-06-17 |
| 1871887356 | Ivyn Scott Reynolds | Pharmacist | 5520 N Division St, Spokane, WA 99208-1211 | 2011-06-02 |
| 1851683601 | Shawn Mitchell Neal | Pharmacist | 5520 N Division St, Spokane, WA 99208-1211 | 2011-05-12 |
| 1528392396 | Maria R Ryan | Pharmacist | 5520 N Division St, Spokane, WA 99208-1211 | 2009-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043787161 | Bonnie Rose Spencer | Social Worker | E 44 Cozza, Spokane, WA 99208 | 2018-10-26 |
| 1235617515 | Melissa Dawn Scholl | Massage Therapist | 906 E Country Hill Ct, Spokane, WA 99208 | 2018-07-30 |
| 1043706583 | Healthy Schools Washington, Pllc | Pediatrics | 1028 West Rosewood Ave, Spokane, WA 99208 | 2018-07-09 |
| 1467943720 | Simone Ferguson | Student in an Organized Health Care Education/Training Program | 7808 North Morton Avenue, Apt. # 675, Spokane, WA 99208 | 2018-05-22 |
| 1912496035 | Ascend Network Corp | Counselor | 3711 W Woodside, Spokane, WA 99208 | 2018-05-03 |
| 1023522216 | Cherrywood Place-spokane, LLC | Assisted Living Facility | 100 East Dalke Ave, Spokane, WA 99208 | 2017-11-27 |
| 1881118792 | Annie Kamau | Registered Nurse | 5920 W Lonewolf, Spokane, WA 99208 | 2017-08-01 |
| 1609303908 | Jeffery Anthony Glinski | Counselor | 3754 W. Indian Trail Rd., Spokane, WA 99208 | 2017-05-17 |
| 1487186938 | Mukhlis Azar | Physical Therapy Assistant | 305 E Sierra Ct, Spokane, WA 99208 | 2017-04-03 |
| 1154796241 | Daisy O'dell | Marriage & Family Therapist | 515 W. Francis Ave., Suite #8, Spokane, WA 99208 | 2015-12-01 |
| Find all providers in zip 99208 | ||||
| Taxonomy Code | 1835P1200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacotherapy |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063554954 | Kyle Downey | Pharmacist | 6727 S Moran View St, Spokane, WA 99224-8494 | 2007-02-13 |
| 1477641538 | Audre Garrett | Pharmacist | 1221 S Hayford Rd, Spokane, WA 99224-7023 | 2006-10-11 |
| 1013999432 | Brian John Gates | Pharmacist | 3901 E Main Ave, Spokane, WA 99202-4736 | 2005-11-20 |
| 1023011319 | Kelvin Douglas Crafton | Pharmacist | 104 S Freya St, Ste 225 Turquoise Flag Bldg, Spokane, WA 99202-4862 | 2005-05-31 |
| 1992258404 | Shurrie Morris | Pharmacist | 46 E Rowan Ave, Spokane, WA 99207-1232 | 2016-08-02 |
| 1851667711 | Roxanne Largent | Pharmacist | 46 E Rowan Ave, Spokane, WA 99207-1232 | 2012-03-26 |
| 1508185315 | Angela Que Maldonado | Pharmacist | 101 W 8th Ave, Kidney Transplant Program, Spokane, WA 99204-2307 | 2010-05-19 |
| 1932399326 | Ann Marie Patten | Pharmacist | 101 W 8th Ave, Spokane, WA 99204-2307 | 2007-07-31 |
| 1275744955 | Ryan Oberst | Pharmacist | 105 W 8th Ave, Sacred Heart Medical Center Pharmacy, Spokane, WA 99204-2302 | 2007-05-24 |
| 1699985010 | Frederick William Nichols Jr. | Pharmacist | 101 W 8th Ave, Sacred Heart Medical Center Pharmacy Department, Spokane, WA 99204-2307 | 2007-05-23 |
| Find all providers in SPOKANE | ||||
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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.