Jake Watterson
Pharmacist • La Grande, OR
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Jake Watterson has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Jake Watterson was a registered Pharmacist practicing in La Grande, OR. Throughout an active medical career spanning 5 years, Jake Watterson provided care at the practice location at 2111 ADAMS AVE until profile deactivation on 2017-09-08.
Practice Location & Contact Primary Location
2111 Adams Ave
La Grande, OR 978502921
Specialty Benchmarks & Practice Insights
Comparative analytics for Pharmacist in La Grande, OR
Practicing in La Grande, OR (3654 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 183500000X
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.
Practice Associates & Co-Workers
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Pharmacist
Career & Practice History Timeline
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Record deactivated on September 08, 2017
NPI status registered as active in NPPES database
Registered at 2111 ADAMS AVE, LA GRANDE, OR 978502921 (Tel: 5416632705)
Registered at 2111 ADAMS AVE, LA GRANDE, OR 978502921 (Tel: 5416632705)
Recorded as JAKE WATTERSON
Pharmacist (License #PI0010856 in OR)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
2111 Adams Ave
La Grande, OR 978502921
Phone: 5416632705
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