Julia M Annis, PHARMD
Individual provider Active NPI Pharmacist · Redmond, OR
NPI 1003545153 · NPPES record last updated Jun 6, 2022
Key facts
- NPI
- 1003545153
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RPH-0018949 (OR)
- Practice address
- 300 NW Oak Tree LN
Redmond, OR 97756-1694 - Phone
- (657) 554-1923
- NPI assigned
- Jun 6, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH-0018949 | OR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spruce Mountain Pharmacy Inc. | Current | Accepting new patients | |
| Spruce Mountain Pharmacy Inc. | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH-0018949 | OR | Yes |
Addresses
Primary practice location
300 NW Oak Tree LN
Redmond, OR 97756-1694
Mailing address
4611 Hope Valley Rd Apt G
Durham, NC 27707-6604
Phone (207) 717-6011
Other providers in Redmond, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 6, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.