DR. DEREK MATLOCK


Address: 3715 Ocean Beach Hwy # 2, Longview, WA 98632-4801
Phone: 3603553082

DR. DEREK MATLOCK (NPI# 1982110805) 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) 1982110805
Entity Type Individual
Full Name DR. DEREK MATLOCK
Credential PHARM.D.
Practice Address 3715 Ocean Beach Hwy # 2
Longview
WA 98632-4801
Practice Telephone 3603553082
Mailing Telephone 3603553082
Enumeration Date 2017-12-15
Last Update Date 2017-12-15
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1835P0018X Pharmacist
Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
PH60758206 WA Pharmacy Service Providers

Office Location

Street Address 3715 OCEAN BEACH HWY # 2
City LONGVIEW
State WA
Zip Code 98632-4801

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1851992366 Honor Senior Care LLC Home Health Aide 1135 3rd Ave, Ste S101, Longview, WA 98632 2020-11-03
1417416728 Sam Wise Dentist 1538 11th Ave Lowr Columbia, Longview, WA 98632 2019-03-16
1053870717 Matthew Johnson Physician Assistant 900 Ocean Beach Hwy Ste 110, Longview, WA 98632 2019-03-12
1295205367 Abid Valji Occupational Therapist Americana Health and Rehabilitation Center, 917 7th Ave, Longview, WA 98632 2018-11-30
1184106437 Peacehealth Durable Medical Equipment & Medical Supplies Triangle Mall Suite 16 1015 Ocean Beach Hwy, Longview, WA 98632 2018-09-04
1982186318 Linda Joan Mason Licensed Practical Nurse 1153 23rd Ave, Longview, WA 98632 2018-09-01
1891291910 Ellen Sumner Hornbeak Physical Therapist 200 Triangle Shopping Ctr Ste 270, Longview, WA 98632 2018-04-05
1700399961 Johnna Joyce Knapp Speech-Language Pathologist 2615 Lilac St, Longview, WA 98632 2017-11-09
1841711868 Deborah Annette Burzynski Registered Nurse 1057 12th Avenue, Longview, WA 98632 2017-06-29
1598291122 Cheyenne West Counselor 1616 10th Avenue, Longview, WA 98632 2017-05-02
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Taxonomy Information

Taxonomy Code 1835P0018X
Grouping Pharmacy Service Providers
Classification Pharmacist
Specialization Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1750912796 Grishma Patel Pharmacist 701 W Marshall Ave, Longview, TX 75601-6218 2020-01-29
1952947327 James David Burgan Pharmacist 511 E Marshall Ave, Longview, TX 75601-5425 2019-11-20
1134626468 Daniel Richard Sharp Pharmacist 1230 7th Ave, Longview, WA 98632-3166 2018-04-12
1427508985 Katherine Johanson Pharmacist 1230 7th Ave, Longview, WA 98632-3166 2016-10-09
1447686514 Jared Koyle Pharmacist 701 W Marshall Ave, Longview, TX 75601-6218 2013-09-20

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1891395760 Evelyn Tong Pharmacist 4229 122nd Ave Se, Bellevue, WA 98006-1915 2020-10-29
1356985345 Nancy Celine Tran Pharmacist 906 S 38th Ct, Renton, WA 98055-5897 2019-11-01
1265087654 Valorie Swensen Pharmacist 4500 Harrison St, Bellingham, WA 98229-3323 2019-08-02
1659880938 Hazel Ann Feist Pharmacist 14406 Nw 20th Ave, Vancouver, WA 98685-8007 2017-09-29
1528586732 Mayumi Robbins Pharmacist 410 9th Ave N Fl 7, Seattle, WA 98109-4708 2017-09-07
1699293688 Jin Man Choe Pharmacist 105 W 8th Ave Ste 350, Spokane, WA 99204-2312 2017-08-30
1821457813 Marie Cermak Pharmacist 12333 Ne 130th Ln # Lane415, Kirkland, WA 98034-7467 2016-02-18
1902281959 Carmen Joy Berg Pharmacist 2320 South Salnave Road, Medical Lake, WA 99022 2015-07-20
1639574981 Loi Chau Pharmacist 601 Broadway Rm 117, Seattle, WA 98122-5330 2014-10-29
1023410750 Danny Dang Pharmacist 64 Rainier Ave S Ste H, Renton, WA 98057-2047 2014-09-25
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Competitor

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City LONGVIEW
Zip Code 98632

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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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