THEODORE PERILLO (NPI# 1932511185) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932511185 |
| Entity Type | Individual |
| Full Name | THEODORE PERILLO |
| Credential | R.PH. |
| Practice Address |
15924 223rd Ave Ne Woodinville WA 98077-7486 |
| Practice Telephone | 2175121917 |
| Mailing Telephone | 2175121917 |
| Enumeration Date | 2014-05-22 |
| Last Update Date | 2014-05-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PH60327482 | WA | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | NABP | 554048 | 01 |
| Street Address |
15924 223RD AVE NE |
| City | WOODINVILLE |
| State | WA |
| Zip Code | 98077-7486 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699750992 | Eugene Akira Kanda | Pharmacist | 22627 Ne 142nd Pl, Woodinville, WA 98077-5113 | 2005-12-08 |
| 1083086086 | Sylvia Tripp | Chiropractor | 14306 214th Way Ne, Woodinville, WA 98077-5120 | 2015-10-29 |
| 1528360427 | Brian William Orr | Naturopath | 16017 198th Ave Ne, Woodinville, WA 98077-5400 | 2010-11-28 |
| 1629510839 | Bella Fleur | Massage Therapist | 14344 231st Ct Ne, Woodinville, WA 98077-5872 | 2016-11-07 |
| 1467670075 | Sandra Kay Brabant | Physical Therapist | 19423 200th Ave Ne, Woodinville, WA 98077-5914 | 2007-04-22 |
| 1770141459 | Teresa Lowery | Counselor | 17701 199th Ave Ne, Woodinville, WA 98077-5919 | 2019-05-29 |
| 1043523038 | Steven Paul Jewitt | Psychiatry & Neurology | 16326 197th Ave Ne, Woodinville, WA 98077-5937 | 2010-07-19 |
| 1851594980 | Dawn S Blomberg | Speech-Language Pathologist | 18613 201st Ave Ne, Woodinville, WA 98077-5947 | 2007-06-06 |
| 1003422239 | Leeilah Archuleta | Counselor | 16434 246th Ave Ne, Woodinville, WA 98077-6745 | 2020-09-22 |
| 1841554334 | Melissa Jane Thompson | Doula | 23722 Ne 192nd Way, Woodinville, WA 98077-6773 | 2012-06-28 |
| Find all providers in zip 98077 | ||||
| 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 |
|---|---|---|---|---|
| 1427532159 | Jacquelyn Baik | Pharmacist | 15030 232nd Ave Ne, Woodinville, WA 98077-7222 | 2018-09-19 |
| 1831631506 | Julie Kim | Pharmacist | 13627 Ne 146th Ln, Woodinville, WA 98072-4661 | 2016-11-12 |
| 1710365754 | Alexandra Castro | Pharmacist | 16427 Ne 145th St, Woodinville, WA 98072 | 2015-05-11 |
| 1952656647 | Simon T Tang | Pharmacist | 19710 131st Pl Ne, Woodinville, WA 98072 | 2012-07-18 |
| 1316220940 | Linda Cho | Pharmacist | 18800 142nd Ave Ne Ste 4b, Woodinville, WA 98072-8218 | 2011-09-20 |
| 1437454386 | Nermeen A Youssef | Pharmacist | 12409 Ne 171st Pl, Woodinville, WA 98072 | 2011-01-24 |
| 1194028753 | George Alphonse Doty | Pharmacist | 24008 Sno Wood Rd, Woodinville, WA 98072-9743 | 2010-12-20 |
| 1205138609 | Charles Burke De Briere | Pharmacist | 14612 Bear Creek Rd Ne, Woodinville, WA 98077-7820 | 2010-11-17 |
| 1528393352 | Aditi Agarwal | Pharmacist | 14035 Ne Woodinville Duvall Rd, Woodinville, WA 98072-8504 | 2009-10-13 |
| 1457586497 | Rachelle Lynn Cardoza | Pharmacist | 17000 140th Ave Ne Suite E-101, Woodinville, WA 98072 | 2009-05-20 |
| Find all providers in WOODINVILLE | ||||
| City | WOODINVILLE |
| Zip Code | 98077 |
Please comment or provide details below to improve the information on THEODORE PERILLO.
| 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.