DR. COLIN FAHEY


Address: 2700 Nw Stewart Pkwy, Roseburg, OR 97471-1281
Phone: 5416730611

DR. COLIN FAHEY (NPI# 1912490582) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1912490582
Entity Type Individual
Full Name DR. COLIN FAHEY
Credential PHARMD
Practice Address 2700 Nw Stewart Pkwy
Roseburg
OR 97471-1281
Mailing Address 1437 Nw Grove St
Roseburg
OR 97471-6147
Practice Telephone 5416730611
Mailing Telephone 4582105704
Enumeration Date 2018-06-08
Last Update Date 2018-06-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 183500000X Pharmacist RPH-0016440 OR Pharmacy Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
OR OREGON BOARD OF PHARMACY RPH-0016440 01

Office Location

Street Address 2700 NW STEWART PKWY
City ROSEBURG
State OR
Zip Code 97471-1281

Providers in the same location

NPI Name Taxonomy Address Enumeration
1790766822 Mercy Healthcare, Inc General Acute Care Hospital 2700 Nw Stewart Pkwy, Roseburg, OR 97470-1281 2005-11-07
1902412505 Lisa Mai Physician Assistant 2700 Nw Stewart Pkwy, Roseburg, OR 97471-1214 2020-09-18
1609480359 Jacob Watters Physician Assistant 2700 Nw Stewart Pkwy, Roseburg, OR 97471-1281 2020-09-01
1245843143 Marcus Lee David Sickelton Student in an Organized Health Care Education/Training Program 2700 Nw Stewart Pkwy, Roseburg, OR 97471-1214 2020-08-28
1053978403 Shelli Cross Registered Nurse 2700 Nw Stewart Pkwy, Roseburg, OR 97471-1281 2019-05-21
1225695711 Christa Lynne Creech Pharmacist 2700 Nw Stewart Pkwy, Roseburg, OR 97471-1281 2019-05-21
1366007510 Nikki Jean Whiting Nurse Practitioner 2700 Nw Stewart Pkwy, Roseburg, OR 97471-1281 2019-05-03
1629554811 Gary Sorcher Physician Assistant 2700 Nw Stewart Pkwy, Roseburg, OR 97471-1281 2018-07-11
1548756158 Timothy Lawrence Garvey Jr. Physician Assistant 2700 Nw Stewart Pkwy, Roseburg, OR 97471-1281 2018-07-06
1437645223 Kimberly Ann Romano Registered Nurse 2700 Nw Stewart Pkwy, Roseburg, OR 97471-1281 2018-07-05
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1841805660 Rae Ann Barnes Pharmacist 913 Ne Garden Valley Blvd, Pharmacy, Roseburg, OR 97471 2020-09-09
1023651031 Colton Phillips Behavioral Analyst 940 Nw Garden Valley Bvld #104, Roseburg, OR 97471 2019-10-22
1952884876 Meredith Krugel Lcsw PC Clinic/Center 2225 Nw Stewart Parkway Ste 200, Roseburg, OR 97471 2018-09-07
1114456563 Philip Kaser Family, LLC Pharmacy 1175 W. Harvard Avenue, Roseburg, OR 97471 2017-06-08
1053854208 Icco LLC Clinic/Center 1740 Nw Goetz Street, Roseburg, OR 97471 2016-11-21
1770034589 Evie Jepsen Case Manager/Care Coordinator 2700 Stewart Parkway Annex B, Suite 110, Roseburg, OR 97471 2016-10-17
1932551256 Jonathan Schmidt Licensed Practical Nurse 913 Nm Garden Valley Blvd, Va Roseburg Medical Center, Roseburg, OR 97471 2016-07-11
1932580586 Jeffrey Mark Wareham Case Manager/Care Coordinator 2700 Medical Loop, Annex B, Roseburg, OR 97471 2015-06-09
1558784215 Ginger Jean Thibedeau Massage Therapist 3019 Nw Stewart Parkway, Suite 304 #183, Roseburg, OR 97471 2014-01-30
1427303122 Karishma Parekh Internal Medicine 2460 Nw Stewart Pkwy Ste 103, Roseburg, OR 97471 2012-07-18
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Taxonomy Information

Taxonomy Code 183500000X
Grouping Pharmacy Service Providers
Classification Pharmacist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1841805660 Rae Ann Barnes Pharmacist 913 Ne Garden Valley Blvd, Pharmacy, Roseburg, OR 97471 2020-09-09
1619418555 Kim Vo Pharmacist 444 Se Stephens St, Roseburg, OR 97470-3136 2017-03-11
1568812865 Gerald Wieland Pharmacist 2757 Nw Stewart Pkwy, Roseburg, OR 97471-1251 2016-06-16
1871920025 Lonnie D Sanders Pharmacist 4601 Carnes Rd, Suite #9, Roseburg, OR 97471-4600 2013-10-02
1629320486 Aaron M Ballensky Pharmacist 390 N River Dr, Roseburg, OR 97470-8008 2012-10-03
1790058584 Keith A Phifer Pharmacist 1381 Garden Valley Blvd, Roseburg, OR 97471-1790 2012-02-09
1134412067 Su Yan Har Pharmacist 1430 Nw Garden Valley Blvd, Roseburg, OR 97471-1766 2011-05-25
1457643058 Thirupathi Reddy Dontam Pharmacist 161 Ne Rifle Range St, Apt#58, Roseburg, OR 97470-5914 2011-05-15
1912027731 George Martin Hiers Iv Pharmacist 1350 Ne Stephens, 42, Roseburg, OR 97470 2007-03-29
1417902834 Philip Bruce Kaser Pharmacist 1175 W Harvard Ave, Roseburg, OR 97470-2834 2006-05-24
Find all providers in ROSEBURG

Competitor

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City ROSEBURG
Zip Code 97471

Improve Information

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Dataset Information

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.

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