KEITH J VANDERHOUWEN (NPI# 1861433708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861433708 |
| Entity Type | Individual |
| Full Name | KEITH J VANDERHOUWEN |
| Credential | RPH |
| Practice Address |
17788 147th St Se Monroe WA 98272-1030 |
| Mailing Address |
17323 Trombley Rd Snohomish WA 98290-6329 |
| Practice Telephone | 3607947351 |
| Practice Fax Number | 3607945751 |
| Mailing Telephone | 3605681948 |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PH00007576 | WA | Pharmacy Service Providers |
| Street Address |
17788 147TH ST SE |
| City | MONROE |
| State | WA |
| Zip Code | 98272-1030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235136169 | Camp Riley Drug Co. Inc | Durable Medical Equipment & Medical Supplies | 17788 147th St Se, Monroe, WA 98272-1030 | 2005-07-07 |
| 1487158259 | Northwest Sport and Spine Physical Therapy | Physical Medicine & Rehabilitation | 17788 147th St Se, Monroe, WA 98272-1030 | 2018-03-19 |
| 1720301450 | Daniel Lee Mcmanus | Pharmacist | 17788 147th St Se, Monroe, WA 98272-1030 | 2010-03-09 |
| 1740381961 | Jeff Kauffman | Pharmacist | 17788 147th St Se, Monroe, WA 98272-1030 | 2006-09-26 |
| 1922033257 | Cindi Deslys Kenner | Pharmacist | 17788 147th St Se, Monroe, WA 98272-1030 | 2006-07-12 |
| 1801826466 | Bridget B Thorpe | Pharmacy Technician | 17788 147th St Se, Monroe, WA 98272-1030 | 2006-07-03 |
| 1952331597 | Pamela S Counsell | Pharmacy Technician | 17788 147th St Se, Monroe, WA 98272-1030 | 2006-07-03 |
| 1811923238 | Pam Denton | Pharmacy Technician | 17788 147th St Se, Monroe, WA 98272-1030 | 2006-06-25 |
| 1629014832 | Gary O Smith | Pharmacist | 17788 147th St Se, Monroe, WA 98272-1030 | 2006-06-22 |
| 1396786109 | Bridgett A Yankey | Pharmacy Technician | 17788 147th St Se, Monroe, WA 98272-1030 | 2006-06-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710346135 | Kiran Agarwal | Internal Medicine | 17707 W Main St Fl 1, Monroe, WA 98272 | 2016-02-12 |
| 1982073136 | Rochelle Conway Toulouse | Behavioral Analyst | 642 North Street, Monroe, WA 98272 | 2015-09-17 |
| 1740658467 | Casey Jane Bahr | Social Worker | Casey Bahr, C.o. Tru- Sotap, 16550 177th Ave Se, Monroe, WA 98272 | 2015-09-11 |
| 1811395049 | Gianna M Rosewood | Massage Therapist | 101 East Main Street Set 201, Monroe, WA 98272 | 2014-12-22 |
| 1528478609 | Puget Sound Kidney Centers | Clinic/Center | 18121 149th Street Se, Monroe, WA 98272 | 2014-04-29 |
| 1215356878 | Sabiha K Barot | Emergency Medicine | Evergreenhealth Monroe, 14701 179th Ave. Se, Monroe, WA 98272 | 2014-04-10 |
| 1346677986 | Irina Emily Goldstein | Pharmacist | 179th Ave Se, Monroe, WA 98272 | 2013-09-27 |
| 1740612449 | Erik Michael Erxleben | Massage Therapist | 211 West Hill St., Monroe, WA 98272 | 2013-08-05 |
| 1780023796 | Jamie Marlo Selbe | Counselor | 16560 167th St Se, Monroe, WA 98272 | 2013-06-24 |
| 1942644620 | Robin Fenn | Counselor | 14841 179th Ave Se, St 230, Neary Naturopathic Clinic, Monroe, WA 98272 | 2013-04-24 |
| Find all providers in zip 98272 | ||||
| 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 |
|---|---|---|---|---|
| 1194346189 | Irene Ghali | Pharmacist | 38 Twin Lakes Rd, Monroe, NY 10950-2646 | 2020-04-30 |
| 1366086209 | Robert Lay | Pharmacist | 122 Saint John St, Monroe, LA 71201-7370 | 2019-11-04 |
| 1750934949 | Sara Fitzpatrick Pittman | Pharmacist | 150 Mlk Jr Blvd, Monroe, GA 30655-5620 | 2019-07-17 |
| 1609333525 | Trudy Anthony Kelly | Pharmacist | 150 Mlk Jr. Blvd, 150 Mlk Jr Blvd, Monroe, GA 30655-0965 | 2019-02-27 |
| 1003396060 | Penny Jean Gehrs Nerderman | Pharmacist | 11 Ridge Wood Dr, Monroe, OH 45050-1090 | 2018-08-20 |
| 1144708520 | Cassie Lord | Pharmacist | Brookshires, 7920 Desiard Street, Monroe, LA 71203 | 2018-07-30 |
| 1366945040 | Charles Kevin Early | Pharmacist | 21 Jay Ln, Monroe, CT 06468-2102 | 2018-03-09 |
| 1811414907 | Yelena Gapchenko | Pharmacist | 515 22nd St., Monroe, WY 53566 | 2017-08-29 |
| 1154877272 | Chaston Ransom | Pharmacist | 540 Green St, Monroe, GA 30655-1849 | 2016-08-29 |
| 1891249918 | Merriam Rafla | Pharmacist | 7 Lamplight Village Rd Apt C, Monroe, NY 10950-4204 | 2016-08-05 |
| Find all providers in MONROE | ||||
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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.