GARY HAWORTH (NPI# 1912362302) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912362302 |
| Entity Type | Individual |
| Full Name | GARY HAWORTH |
| Credential | R.PH. |
| Practice Address |
1700 Geary St Se Albany OR 97322-6842 |
| Practice Telephone | 5418125533 |
| Practice Fax Number | 5418125545 |
| Mailing Telephone | 5418125533 |
| Mailing Fax Number | 5418125545 |
| Enumeration Date | 2015-12-29 |
| Last Update Date | 2016-10-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | RPH-0007627 | OR | Pharmacy Service Providers |
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
7627 | OR | Pharmacy Service Providers |
| Street Address |
1700 GEARY ST SE |
| City | ALBANY |
| State | OR |
| Zip Code | 97322-6842 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467441048 | Clinton E Preston | Emergency Medicine | 1700 Geary St Se, Albany, OR 97322-6842 | 2005-10-17 |
| 1316302672 | Albany General Hospital | Pharmacist | 1700 Geary St Se, Albany, OR 97322-6842 | 2015-12-30 |
| 1063877454 | Justin Matthew Lux | Pharmacist | 1700 Geary St Se, Albany, OR 97322-6842 | 2015-12-29 |
| 1609260728 | Sara Jill Bybee | Family Medicine | 1700 Geary St Se, Albany, OR 97322-6842 | 2015-03-26 |
| 1558776047 | Albany General Hospital | Family Medicine | 1700 Geary St Se, Suite 300a, Albany, OR 97322-6842 | 2014-06-24 |
| 1629480553 | Samuel Blechman Milstein | Family Medicine | 1700 Geary St Se, Albany, OR 97322 | 2014-05-27 |
| 1952711293 | Christine Forester | Pharmacist | 1700 Geary St Se, Albany, OR 97322 | 2014-05-07 |
| 1235567108 | Sally Manibusan | Pharmacist | 1700 Geary St Se, Albany, OR 97322-6842 | 2013-10-30 |
| 1366793846 | Elizabeth Gienger | Nurse Practitioner | 1700 Geary St Se, Albany, OR 97322-6842 | 2012-09-25 |
| 1265794697 | Emily Claire Looney | Family Medicine | 1700 Geary St Se, Albany, OR 97322-6842 | 2012-06-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083109748 | Benjamin Voth | Counselor | 1858 Grand Prairie Rd Se, Albany, OR 97322 | 2018-06-26 |
| 1033534748 | Willamette Orthotics & Prosthetics, LLC | Durable Medical Equipment & Medical Supplies | 1630 9th Ave Se, Albany, OR 97322 | 2014-03-04 |
| 1699035998 | Morgan William Brown | Behavioral Analyst | 1885 21 St Ave Se Apt 44, Albany, OR 97322 | 2012-05-21 |
| 1780986059 | Gene Vang | Pharmacist | 1330 Goldfish Farm Rd Se, Albany, OR 97322 | 2010-11-18 |
| 1427362912 | Kate Fredrickson | Speech-Language Pathologist | 5353 Columbus St. Se, Albany, OR 97322 | 2010-07-27 |
| 1689906455 | Sandy Janiszewski | Registered Nurse | 1970 4th Ave. Se, Ste 120, Albany, OR 97322 | 2010-02-04 |
| 1841527066 | Karina Leonore Towers | Speech-Language Pathologist | 5353 Columbus Street Se, Albany, OR 97322 | 2009-11-09 |
| 1548497951 | T.c.s. Transportation, Inc. | Non-emergency Medical Transport (VAN) | 3012 Se Oakwood Avenue, Albany, OR 97322 | 2009-06-12 |
| 1790932952 | Ramel C Romero | Physical Therapist | 5353 Colombus St Se, Albany, OR 97322 | 2008-08-19 |
| 1023275492 | Michael James | Hearing Instrument Specialist | 1610 9th Av. Se, Albany, OR 97322 | 2008-05-21 |
| Find all providers in zip 97322 | ||||
| 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 |
|---|---|---|---|---|
| 1811373772 | Katrin M Ridge | Pharmacist | 1010 7th Ave. Sw., Albany, OR 97321 | 2015-08-03 |
| 1982245452 | Cheryl Ann Hanslovan | Pharmacist | 1046 6th Ave Sw, Albany, OR 97321-1916 | 2019-10-04 |
| 1760960801 | Sara Evanko | Pharmacist | 2272 Santiam Hwy Se, Albany, OR 97322-5205 | 2018-07-31 |
| 1346748712 | Jan Matherne Lantrip | Pharmacist | 29148 South Montpelier Ave, Albany, LA 70711-0328 | 2018-01-31 |
| 1154867810 | Chelsea Bond | Pharmacist | 400 Hickory St Nw, Albany, OR 97321-1700 | 2017-01-18 |
| 1982076022 | Jeremy Boyd Theobald | Pharmacist | 1010 7th Ave Sw, Albany, OR 97321-1922 | 2015-10-28 |
| 1902296544 | Esther Chon | Pharmacist | 12 Jupiter Ln, Albany, NY 12205-6918 | 2015-02-04 |
| 1184067167 | Vanessa J Tedisch | Pharmacist | 1046 6th Ave Sw, Albany, OR 97321-1916 | 2013-04-09 |
| 1679832927 | Tiffany Gitt | Pharmacist | 1700 Geary St Se, Albany, OR 97322-6842 | 2012-05-07 |
| 1487977955 | Colby Mitchell | Pharmacist | 43 New Scotland Ave, Mc85, Albany, NY 12208-3412 | 2010-03-11 |
| Find all providers in ALBANY | ||||
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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.