Active NPI
Michele Ann Waugh, RPH
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Gig Harbor, WA
National Provider Identifier
1003081977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- PH1000014347
- Practice address
- Costless Senior Services
14216 92ND Ave NW
Gig Harbor, WA 98329 - Phone
- (253) 857-7677
- Fax
- (253) 857-2983
- NPI assigned
- Apr 23, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | PH1000014347 | WA | Primary |
Addresses
Primary practice location
Costless Senior Services
14216 92ND Ave NW
Gig Harbor, WA 98329
Mailing address
11302 Vipond Dr NW
Gig Harbor, WA 98395
Phone (253) 720-1920
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6143101 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH1000014347 | WA | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Purdy Pharmacy Inc | Past | Accepting new patients | |
| Purdy Pharmacy Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Long Term Care Pharmacy
- Gig Harbor, WA
- NPI 1205580933
-
- Community/Retail Pharmacy
- Gig Harbor, WA
- NPI 1508960550
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597104000000",
"number": "1003081977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11302 VIPOND DR NW",
"city": "GIG HARBOR",
"state": "WA",
"postal_code": "98395",
"telephone_number": "253-720-1920",
"fax_number": "253-857-7679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "COSTLESS SENIOR SERVICES",
"address_2": "14216 92ND AVE NW",
"city": "GIG HARBOR",
"state": "WA",
"postal_code": "98329",
"telephone_number": "253-857-7677",
"fax_number": "253-857-2983"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAUGH",
"first_name": "MICHELE",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-23",
"last_updated": "2020-08-11",
"certification_date": "2020-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "WA",
"license": "PH1000014347",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6143101",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gig Harbor, WA
- Washington CVS Pharmacy LLC
- Washington CVS Pharmacy LLC
- Washington Dental Corporation, PC
- Washington State Department of Corrections Washington Corrections Ce
- Jane A. Watson, P.T.
- Matthew Blake Webber, ARNP
- Sarah Louise Weerheim, MSN, PMHNP
- Keith M Weigel, MD
- Malia Weigelt, NP-C
- Heather Lee Weis, RRT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.