MR. CRAIG STEVEN WYNN (NPI# 1982798062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982798062 |
| Entity Type | Individual |
| Full Name | MR. CRAIG STEVEN WYNN |
| Credential | R.PH. |
| Practice Address |
3333 Ensign Rd Ne Olympia WA 98506-5012 |
| Practice Telephone | 3604934572 |
| Practice Fax Number | 3604935404 |
| Mailing Telephone | 3604934572 |
| Mailing Fax Number | 3604935404 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835G0303X |
Pharmacist Specialization: Geriatric |
PH00016135 | WA | Pharmacy Service Providers |
| Street Address |
3333 ENSIGN RD NE |
| City | OLYMPIA |
| State | WA |
| Zip Code | 98506-5012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992704126 | Providence Health & Services Washington | Skilled Nursing Facility | 3333 Ensign Rd Ne, Olympia, WA 98506-5012 | 2005-07-19 |
| 1629546684 | Eugene Daniel Villacian | Nurse Practitioner | 3333 Ensign Rd Ne, Olympia, WA 98506-5012 | 2018-11-07 |
| 1235271701 | Providence Health & Services Washington | Pharmacy | 3333 Ensign Rd Ne, Olympia, WA 98506-5012 | 2007-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477185460 | Chloe Harper | Technician, Other | 3443 Lilly Rd Se, Ste B, Olympia, WA 98506 | 2020-02-07 |
| 1912543539 | Jessica Marie Radakovich | Licensed Practical Nurse | 3426 Mary Elder Rd, Olympia, WA 98506 | 2019-11-19 |
| 1669014973 | Arlene Josephine Adams | Registered Nurse | 413 Lily Rd Ne, Olympia, WA 98506 | 2019-10-09 |
| 1861999120 | Debra Delores Barker | Licensed Practical Nurse | 3710 South Bay Rd Ne, Olympia, WA 98506 | 2018-04-12 |
| 1801304431 | Michelle Warner | Nurse Practitioner | 205 Lilly Rd Ne Ste A1, Olympia, WA 98506 | 2018-01-17 |
| 1396258364 | Institute for Family Development | Community/Behavioral Health | 204 Quince St. Ne, Suite 200, Olympia, WA 98506 | 2017-11-13 |
| 1083137715 | Cameron Kunkel | Specialist/Technologist | 2512 20th Ave Ne, Olympia, WA 98506 | 2017-07-25 |
| 1184144768 | Trevor Shane Kwan | Family Medicine | 525 Lilly Road Ne, Olympia, WA 98506 | 2017-06-23 |
| 1073043212 | Michael H Harburg | Behavior Technician | 3857 Martin Way Ne, Olympia, WA 98506 | 2017-06-19 |
| 1780114371 | Priscilla Kangyang Jadu | Counselor | 3857 Martin Way E., Olympia, WA 98506 | 2017-06-15 |
| Find all providers in zip 98506 | ||||
| Taxonomy Code | 1835G0303X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Geriatric |
| A pharmacist who is certified in geriatric pharmacy practice is designated as a "Certified Geriatric Pharmacist" (CGP). To become certified, candidates are expected to be knowledgeable about principles of geriatric pharmacotherapy and the provision of pharmaceutical care to the elderly. |
| Notes: Source: Commission for Certification in Geriatric Pharmacy (www.ccgp.org) [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730384918 | Paul Mccarty | Pharmacist | 7131 Martin Way E, Olympia, WA 98516-5535 | 2007-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427693258 | Max Dwight Phelps | Pharmacist | 25316 74th Ave S Ste 105, Kent, WA 98032-6022 | 2019-11-15 |
| 1154779494 | Tracy Zarling | Pharmacist | 12606 Ne 95th St, Vancouver, WA 98682-2398 | 2016-05-26 |
| 1851768204 | Dennita Rittenback | Pharmacist | 18110 Se 34th St Ste 270, Vancouver, WA 98683-9418 | 2015-09-01 |
| 1326380122 | Michael Eugene Inman | Pharmacist | 1852 N 10th Ct, Washougal, WA 98671-8363 | 2013-03-20 |
| 1063752384 | Grant Walker | Pharmacist | 21718 66th Ave W Ste 202, Mountlake Terrace, WA 98043-2138 | 2013-02-22 |
| 1962756965 | Rochelle Fontana | Pharmacist | 2726 95th Ave Ne, Clyde Hill, WA 98004-1717 | 2012-10-30 |
| 1710231766 | Mark Autrey | Pharmacist | 23010 E Settler Drive, Spokane, WA 99019 | 2012-10-30 |
| 1942569710 | Kayla Marie Kosel | Pharmacist | 4716 25th Ave Sw, Seattle, WA 98106-1316 | 2012-05-14 |
| 1649544149 | Douglas Craig Pratt | Pharmacist | 9 33rd Avenue Ct Nw, Gig Harbor, WA 98335-7849 | 2012-02-29 |
| 1285926774 | Sandy Paul Larkin | Pharmacist | 7110 Ne Ferris Rd, 7110 Ne Ferris Rd, La Center, WA 98629-3419 | 2011-05-03 |
| Find all providers with the same taxonomy | ||||
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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.