DR. JULIE ELIZABETH CROSHAW (NPI# 1932223880) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932223880 |
| Entity Type | Individual |
| Full Name | DR. JULIE ELIZABETH CROSHAW |
| Credential | PHARM D. |
| Practice Address |
2444 E Powell Blvd Gresham OR 97080 |
| Mailing Address |
502 Nw Mawrcrest Pl Gresham OR 97030-5224 |
| Practice Telephone | 0349252675 |
| Practice Fax Number | 5034925370 |
| Mailing Telephone | 5036670841 |
| Mailing Fax Number | 5036610615 |
| Enumeration Date | 2007-03-18 |
| Last Update Date | 2018-07-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RPH-0010446 | OR | Pharmacy Service Providers |
| N | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
RPH-0010446 | OR | Pharmacy Service Providers |
| Street Address |
2444 E POWELL BLVD |
| City | GRESHAM |
| State | OR |
| Zip Code | 97080 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740524453 | Walmart Inc. | Pharmacy | 2444 E Powell Blvd, Gresham, OR 97080-1311 | 2012-11-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528428554 | Jeffrey Henry Lucero | Social Worker | 4687 Se 1st Terrace, Gresham, OR 97080 | 2016-03-03 |
| 1124371059 | Nickole Turner | Massage Therapist | 2831 Se Palmquist Rd #157, Gresham, OR 97080 | 2012-10-16 |
| 1992061048 | Russell A Wendt | Pharmacist | 2497 Ne Roberts Ave, Gresham, OR 97080 | 2012-04-03 |
| 1821385584 | Angela West | Counselor | 320 Sw 6th Ave., Gresham, OR 97080 | 2011-07-01 |
| 1043543572 | Natalie Dawn Wilson | Behavioral Analyst | 97 Sw Riverview Place, Gresham, OR 97080 | 2009-09-16 |
| 1427205442 | Maria G Jolley | Dental Hygienist | 1267 Se Stapleton Loop, Gresham, OR 97080 | 2008-08-21 |
| 1073776738 | Sabrina Joye Hindman | Marriage & Family Therapist | 6370 Se 26th St, Gresham, OR 97080 | 2008-07-03 |
| 1669676193 | Kimberly Sabin | Nurse Practitioner | 2222 E Powell Blvd, Gresham, OR 97080 | 2007-06-11 |
| 1508903261 | Lonetta Elise Davis | Adult Companion | 349 Se Plamblad, Gresham, OR 97080 | 2007-01-31 |
| 1275679896 | Alicia Marie Curtiss | Case Manager/Care Coordinator | 1911 Se Night Heron Place, Gresham, OR 97080 | 2007-01-30 |
| Find all providers in zip 97080 | ||||
| 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 |
|---|---|---|---|---|
| 1841643681 | Laura Pahlmeyer | Pharmacist | 24988 Se Stark St Ste 220, Gresham, OR 97030-8324 | 2016-07-17 |
| 1992061048 | Russell A Wendt | Pharmacist | 2497 Ne Roberts Ave, Gresham, OR 97080 | 2012-04-03 |
| 1801160684 | William Robert Dupuis | Pharmacist | 2800 Ne Hogan Dr, Gresham, OR 97030-3100 | 2012-02-27 |
| 1326352030 | Jeffery Bradford Yates | Pharmacist | 1555 Ne Division St, Gresham, OR 97030-4271 | 2010-08-05 |
| 1497084453 | Katherine Cheng | Pharmacist | 439 Se 223rd Ave, Gresham, OR 97030 | 2009-12-21 |
| 1356595821 | Jeffrey Robert Nikolaisen | Pharmacist | 439 Southeast 223rd Avenue, Gresham, OR 97030 | 2008-11-11 |
| 1386255156 | Crystal Jihyun Rim | Pharmacist | 24988 Se Stark St Ste 220, Gresham, OR 97030-8324 | 2020-08-13 |
| 1093227548 | Tatyana Shiyenkova | Pharmacist | 1555 Ne Division St, Gresham, OR 97030-4271 | 2017-10-24 |
| 1174068126 | Justin Ngo | Pharmacist | 4285 W Powell Blvd, Gresham, OR 97030-5050 | 2016-12-29 |
| 1467995886 | Traci Mo | Pharmacist | 24800 Se Stark St, Gresham, OR 97030-3378 | 2016-12-02 |
| Find all providers in GRESHAM | ||||
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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.